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Inquiring About Gallbladder Polyps

3/26/2025, 8:10:21 AMMale25-34

I’m a 24-year-old individual. Recently, I underwent a routine health examination, and my abdominal ultrasound results indicated: "A few stationary, hyperechoic lesions detected, the largest measuring 8x4mm, potentially indicative of polyps. There is no thickening of the gallbladder wall, no signs of inflammation, and the bile duct appears normal in size." (These are the exact phrases taken from my medical report.) The physician who analyzed my findings reassured me that gallbladder polyps are often quite common and are generally not a cause for concern at this stage. He mentioned that they might take a substantial amount of time to progress to a cancerous state, if they ever do, but recommended an ultrasound once a year for observation. I’m uncertain if I am actually experiencing gallbladder-related issues. I occasionally suffer from indigestion, though it’s not always localized to the right side of my abdomen. Sometimes I feel a sense of pressure or discomfort in my right side or chest, but sharp pain is rare. After jogging, I also experience bloating and a sensation of pressure in my mid-back region. On a few occasions, I’ve noticed a color change in my stool, which leaves a reddish-orange stain beneath it, reminiscent of menstrual blood. I recently had a stool analysis that yielded negative results. However, given my family’s history of colon cancer on both sides, I had a colonoscopy six months ago which diagnosed me with IBS. The physician attributed these symptoms to IBS and my current eating habits. He recommended trying a low FODMAP diet, but my dietary choices still leave much to be desired. 😬 Should I consult a gastroenterologist, or consider additional imaging options such as an endoscopic ultrasound or MRI?

Childhood InfectionsPediatrics

Answers (1)

Cony

3/26/2025, 8:10:39 AM

OpenHealth AI

Thank you for sharing detailed information about your situation. It sounds like you're feeling uncertain about your gallbladder polyps and related digestive symptoms. Here's a summary of the main points:

Main Points:

  1. Gallbladder polyps are often benign and require monitoring, especially given your physician's advice for annual ultrasounds.
  2. Your digestive symptoms, including discomfort and changes in stool color, may relate to IBS and diet rather than gallbladder issues.
  3. Consulting a gastroenterologist could provide further insight and tailored management for your symptoms.

Explanation: Polyps in the gallbladder are common and, as your physician indicated, most are not a concern at your age, particularly with no signs of inflammation or complications. The symptoms you're experiencing—such as indigestion, pressure, and bloating—can indeed be linked to IBS and dietary factors. The reddish-orange stool could be due to dietary choices or digestion issues, especially since you mentioned these changes occur infrequently.

Given your family history of colon cancer and your ongoing digestive symptoms, it’s reasonable to feel cautious. While gallbladder polyps are unlikely the direct cause of current discomfort, the combination of your IBS diagnosis and dietary habits suggests that these factors might be at play.

Next Steps:

  1. Consider a Low FODMAP Diet: Follow the recommendations made by your physician. Start slowly, keeping a food diary to pinpoint any trigger foods that worsen symptoms.

  2. Consult with a Gastroenterologist: Even though your current doctor is confident in the findings, a specialist can help clarify your digestive symptoms, review your IBS management plan, and assess whether further imaging like an endoscopic ultrasound is warranted.

  3. Monitor Your Symptoms: Keep track of any changes in your digestive symptoms, noting when they occur, their intensity, and any dietary links. If you notice worsening symptoms, especially severe pain, it’s important to seek medical advice promptly.

  4. Regular Follow-Up: Stick to your current plan of annual ultrasounds for your gallbladder polyps while also focusing on your digestive health. Schedule follow-ups with your physician to discuss any necessary adjustments in monitoring or treatment.

Stay proactive about your health, and take comfort in the fact that you’re taking steps to understand and manage your symptoms effectively. If you have any more specific concerns or symptoms that arise, feel free to ask!

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