That makes two of us lol and I appreciate it buddy

Yes it does and thanks man

Just going to throw two shots in the dark here... but maybe a bad stomach ulcer or a hernia that's hard to spot and pinching your stomach off at times?

He has pancreatitis, I doubt he has an ileus..

Probably a gall stone blocking the common bile duct.... They'll probably end up just yanking the thing out of him.

This post was edited by ozzyarmy3 on Dec 18 2018 03:32pm

Well I had a dr appointment today they put me asleep and ran a light down my throat they mostly checked for stomach ulcers today which I had none. Now they are scheduling me a hida scan test to check my gallbladder and see what % of it is working.

I went to a different gastroenterologist dr and he is the one that seems to be helping me the most. He is thinking my gallbladder will probably have to come out. I described my problems to him and he definitely thinks it's my gallbladder that is causing me the problems.

I just cant wait to get it out and let my pancreas heal because I am still having quite a bit of pain from it. I went and worked out last night and I made it to the parking lot to my vehicle and started throwing up. I will feel fine one minute and working out and next minute just feel like I have to vomit.

I'll keep u all updated though. My hida scan will hopefully be in a week or so as soon as my insurance approves it. Then hopefully if my gallbladder is the problem get my surgery date and have it removed.

The best indicator is elevated inflammation markers and swelling of the gall bladder membrane in an ultrasound or CT. Cholecystitis can exist with or without stones. ERCP is not the primary procedure for diagnosis, ultrasound is the first choice. ERCP is done if the bile vessels/ducts are enlarged due to a likely obstruction and a treatment procedure is expected. MRCP is less invasive and as such carries less risks.

Pancreatitis doesn't need an ultrasound, occasionally it requires a CT, but it can often be diagnosed through the symptoms and lab tests (amylase).

This post was edited by Neptunus on Jan 14 2019 06:09am

CRP is literally never ordered as part of a primary diagnosis for anything anymore unless they have pre-existing conditions which are being monitored. And you’re right on the mrcp and ultrasound.

What? CRP is the most basic measurement in emergencies alongside blood count, electrolytes and creatinine. There are plenty of CRP quick tests using capillary blood at gp offices. If the symptom has persisted and yet your CRP is low chances of having an inflammation is practically non-existent unless you liver is damaged.

Appendicitis can actually be diagnosed even without imaging, just by pressing the abdomen and knowing the CRP and leukocyte count. Fever helps too.

This post was edited by Neptunus on Jan 14 2019 06:34am

CRP indicates inflammation somewhere, protocol states with rebound pain in the rlq and an elevated white count requires imaging, that’s best practice.

And I rarely see a CRP ordered anymore, but that’s based on the provider. I work emergency medicine, I see it daily.

CRP is ordered frequently

I’ll take a shot in the dark and say it’s provider to provider. None of the ED docs or mid levels I work with ever order a crp, it’s too broad of a diagnosis tool.