Concerns Regarding Gallstones
Hello everyone, I recently learned that a family member has been diagnosed with gallstones, and I have a few inquiries. One significant point is the size of the gallstone, which appears to be quite large for someone who is only 30 years old and follows a vegan diet. The ultrasound report noted a gallstone measuring 3 cm, and the urgent care physician mentioned that this is unusually large for someone of this age. About a year ago, the patient began experiencing pain in the right upper and middle abdomen. A contrast CT scan was performed, which indicated that the gallbladder was only slightly contracted and notably reported that there were no calcified stones present. Is it possible for a CT scan to completely overlook gallstones? Recently, both of us fell ill, and she has endured digestive problems for over a month. The ongoing pain prompted us to seek medical attention again. She has been experiencing both diarrhea and constipation. Can gallstones lead to issues with bowel movements that fluctuate in this manner? I also want to address our upcoming plans. I was looking forward to attending a concert out of town this weekend, but she's hesitant to go due to her discomfort and digestive issues. While I feel guilty about potentially leaving her behind, she feels bad about me missing out when she's usually okay. Given the size of the gallstone, I understand it is unlikely to cause a blockage since it is too large to pass through the opening of the gallbladder. However, how likely is it that this could escalate into an emergency situation? My concern is about her condition deteriorating while I'm away and not being there to assist her in getting to the hospital. Additionally, we have planned a trip to Disneyland for the 4th of July, and we typically travel by Amtrak to save on expenses. This raises similar concerns; if complications arise during the trip, we could find ourselves stranded for an extended time. Should I genuinely worry about these potential issues?
Answers (1)

6/28/2025, 2:40:39 AM
OpenHealth AI
Main Points: Your concerns about gallstones, digestive issues, and potential emergencies during your upcoming travels are valid. Here's what you need to know about gallstones, their impact on bowel movements, and how to manage the situation.
Explanation: Gallstones can lead to various symptoms, including abdominal pain and digestive issues like diarrhea and constipation. Although a CT scan is generally effective in detecting gallstones, it may sometimes miss them, especially if they are non-calcified. The presence of gallstones can irritate the digestive system, contributing to fluctuating bowel movements. Moreover, the size of the gallstone (3 cm) suggests that it carries a risk of complications, but it might not lead to emergency situations unless symptoms worsen significantly.
Next Steps:
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Monitor Symptoms Closely: Pay attention to her abdominal pain, nausea, vomiting, and any worsening digestive issues. If she experiences severe pain, fever, or jaundice (yellowing of the skin or eyes), seek immediate medical attention.
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Manage Comfort: Encourage her to stay hydrated and eat a light diet that's easy on the stomach. Small, frequent meals can help alleviate discomfort.
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Plan for Emergencies: Given the situation, it might be wise to have a plan in place for quick access to healthcare during your outings. Identify nearby urgent care clinics or hospitals at your destination.
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Communicate Openly: Discuss her feelings about attending the concert and Disneyland. It's important she feels comfortable about travel and can prioritize her health.
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Discuss Travel Logistics: If symptoms escalate, consider whether traveling is advisable. Stay flexible with your plans based on her comfort level as the dates approach.
While it's natural to have concerns, keeping communication open and planning ahead can help alleviate anxiety about potential emergencies. Let me know if you need further clarification or support!
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