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Digestive Disorders

RUQ pain with a twist

09/01/2010

Question:

I`m a 26 yr old female who has RUQ pain whenever I eat fatty foods. Sometimes its a sharp pain other times its a pulsing sensation. I have had a sonogram which was normal (gas obscured pancreas but no obstruction seen) and a HIDA scan w/ CCK, GB EF is 93%. My bloodwork came back normal as well as my amylase and lipase levels with the exception of my bilirubin.  In the past and most recent blood work I`ve had an elevated bilirubin. My question is could this RUQ pain be a result of something other than my Hyperdynamic GB?  If not is GB removal the answer?

Answer:

Well, pain can always be possibly due to something else and unfortunately you will not know for sure until your gallbladder is removed. A hyperdynamic gallbladder can indeed cause pain that you describe.

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Response by:

Annette  Kyprianou, MD Annette Kyprianou, MD
Senior Clinical Instructor of Medicine
School of Medicine
Case Western Reserve University