I think my gallbladder needs removed immediately, but can t get results at ER - they just send me home. What do you think? When I looked up my urine, blood results and the ultrasound results, it shows normal except
Hello! Thank you for the query. As surgery is a very serious procedure it needs some indications to have it performed. Your symptoms might be caused by gallbladder inflammation without gallstones (this is very rare) but it can also be caused by peptic ulcer, severe pancreas disease or even heart problems (including heart attack). That is why before any surgery you should have abdominal CT (to make sure the problem is not pancreas), liver tests (AST, ALT,GTP, AP - if last two elevated ERCP should be performed), bilirubin level, amylase and lipase level, urinalysis. Heart ECG and heart enzymes should be performed as well (CK-MB, Troponin) to see if there is any ischemia. As you do suffer from asthma, and it very often is associated with gastric reflux disease you should also have upper GI performed to see if there is no peptic ulcers or duodenum swelling. Only after all this tests if no other reasons of your symptoms you may start thinking about surgery. Hope this will help. Regards.