Discussions By Condition: I cannot get a diagnosis.

Major pain in Liver/GB area, 70 y/o female

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: bcarrie
  • March 29, 2007
  • 05:46 PM

My mthrnlaw, approx.70 y/o has had right lower quadrant pain. She is currently hospitalized for the 2nd time, has been for about 6 days now. She has had one week in between her hospitalizations. The 1st time was for 5 days. Her doctor said she might have kidney or gallbladder stones. Her gallbladder was inflamed, and the surgeon did remove it. They sent her home and the pain came back, henceforth her 2nd hospitalization.

They have done numerous CAT scans and MRI's, a barium bowel scan, several blood tests 2 days ago nothing remarkable, they did a "somethinggram" of her pancreas, and have found nothing. Last night they did a MRI of her heart, don't have those results yet. They had her HEAVILY doped up on her 2nd and 3rd day this week because she had a horrible bout of pain during the night. They now have her on Neurontin, which may be alleviating some of her pain, but I heard it is interferring with her ability to walk and has scattered her pain. She took her last dose this morning, as her husband decided it was doing more harm than good unless the doc is able to tell him differently.

This morning I hear the closest to any diagnosis is that this may be related to her herpes zoster. So a brief history on that. She presented with a typical shingles approx. 10 years ago. About 3 years ago she had horrible pain of her right upper leg travelling down the front side to her knee, sometimes all the way to foot, but mostly staying at knee and above. Several tests were run, including
nerve conduction, found nothing conclusive. This pain never completely went away, and approx. 1.5 year into it this leg became noticeably skinnier. She has been a HEAVY smoker for approx. 50 years, an AVID drinker of alcohol for about the same. About 5 years ago she had a benign tumor, considerably large, removed from her lung.

Thanks so much, hope someone can help.

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  • ask for a HIDA scan. It could be that the gallbladder is indeed causing her pain and the HIDA scan measures exactly how well/or how badly the gallbladder is doing it's job. It doesn't take stones for a gallbladder to be diseased or for it to burst--this causes death if not caught in time. A HIDA scan isn't fun. She will be injected with a radioactive dye that must pass through the liver and into the gallbladder and bowel before the test can start--this may take 1-2 1/2 hours. If the dye does move then they will inject her with another med that will cause her gallbladder to contract and move the dye out. This is the part that sucks. It made me nauseated and I had bad stomach cramps, but it only lasts about 5 minutes then you just lay there for another 25-30min while they measure how much dye leaves the gallbladder. 15% or less is usually suggestive of removal. 35% is considered normal.I hope she feels better soon.Good Luck and God Speed
    emsbabydoll 73 Replies Flag this Response
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