Gallbladder and Bladder Concerns
I wanted to reach out and share my experience, hoping to connect with anyone else who might be dealing with similar challenges. Recently, I had to visit the emergency room on New Year’s Day, suspecting I had a kidney stone, but it turned out to be a bladder obstruction instead. They placed a Foley catheter, which I had for nearly two weeks. Upon being referred to a urologist, I did not pass the voiding trial. They educated me on how to self-catheterize. Moving forward, I consulted a female urogynocologist, where I underwent several post-void ultrasound tests, which unfortunately did not reveal any significant issues aside from a small cyst on my uterus. I also had an unpleasant urodynamics test, which was not conclusive. Consequently, I was referred to a neurologist to rule out any underlying neurological conditions. Thankfully, there were no indicators of multiple sclerosis or other concerns that might explain my bladder difficulties. He suggested conducting a somatosensory test and possibly checking for autonomic nervous system issues. In the meantime, I had a CT urogram performed, but it appears that they overlooked examining my kidneys for hydronephrosis. On a related note, I also have a growing polyp on my gallbladder that requires removal. During the ultrasound for this, it was discovered that my right kidney shows moderate hydronephrosis, leading to the CT investigation. Currently, I only need to self-catheterize when my bladder is full or occasionally during the day. If I attempt to do it before sleeping, I typically get less than 50 ml. I’ve noticed some improvement in bladder sensation since I have been reminding myself to urinate more frequently, but after cycling this past weekend, I had to catheters again, so the problem persists. I’m doing everything possible to preserve my gallbladder while trying to unravel the mystery of my other health issues. My gallbladder contains a polyp measuring around 1.5 cm, which the doctors say is large enough to remove, and I also have gallstones. Thankfully, no additional conditions have been identified with the gallbladder. I do occasionally experience some discomfort, but nothing severe or alarming. At this stage, I am anxious to find a way to keep my gallbladder intact; surgery is not something I want to consider. Given that I already deal with food allergies, I dread the idea of facing more dietary restrictions if my gallbladder is removed. For context, I’m a physically active woman. I engage in regular exercise, enjoying my Peloton, road cycling, mountain biking, and horseback riding. However, I do have moderate scoliosis at about a 45-degree angle and a sensitivity to alpha-gal.
Answers (1)
8/23/2025, 11:50:48 PM
OpenHealth AI
It sounds like you’re navigating quite a complex set of health challenges with your bladder and gallbladder issues. Managing these conditions can be daunting, and it’s understandable to feel anxious about potential surgeries and lifestyle changes. Let’s discuss some important points regarding your situation and provide actionable guidance.
Main Points:
- Bladder Management: You're already using self-catheterization with some improvements in bladder sensation, but there's still ongoing difficulty.
- Gallbladder Concerns: You have a gallbladder polyp (1.5 cm) and gallstones, with a desire to preserve your gallbladder and avoid surgery.
Explanation:
- For your bladder issues, self-catheterization can ensure you’re fully emptying your bladder, which seems to help somewhat. The urodynamic and neurologic assessments aim to identify any underlying causes for your difficulties, and ruling out neurological conditions is valuable.
- Regarding your gallbladder, a polyp of that size can raise concerns, particularly if there are also gallstones present. However, not all polyps require removal, and possible dietary or lifestyle changes may help manage the symptoms.
Next Steps:
-
Bladder Function Improvement:
- Bladder Training: Focus on a scheduled urination routine to encourage bladder sensations. Trying to urinate at regular intervals (every 2-3 hours) can help strengthen your bladder's signaling.
- Hydration: Ensure you are drinking sufficient fluids throughout the day. However, limit intake in the evening to reduce nighttime catheterization needs.
- Physical Activity: Continue engaging in your regular physical activities. Exercise can improve overall bladder function and sensation as well.
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Gallbladder Management:
- Diet Adjustments: Although you wish to keep your gallbladder, consider moderating fat intake which may lessen gallbladder discomfort. Focus on a diet high in fiber with plenty of fruits, vegetables, and whole grains.
- Monitor Symptoms: Keep track of any specific foods that trigger discomfort. This may help in identifying patterns, allowing you to adjust your diet proactively.
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Follow-Up Tests:
- Communicate with Your Providers: Upon follow-up with your urologist and gallbladder specialist, discuss the results of your recent tests, including the CT scan. If hydronephrosis is confirmed, consider discussing the potential impact on your bladder management and long-term health.
- Prepare Questions: When meeting with your doctors, have a list of questions ready regarding your concerns about maintaining your gallbladder and potential surgical options.
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Self-Care & Support:
- Connect with Support Groups: Finding a community dealing with similar health challenges may provide solace and practical advice from those who understand your experiences.
- Mental Health: If you are feeling overwhelmed, consider speaking with a mental health professional or counselor experienced in chronic illness management.
Your proactive approach to understanding and managing your conditions is commendable. Continue to advocate for yourself, and don’t hesitate to seek clarification from your healthcare providers whenever needed. If you feel any major changes in your symptoms or discomfort, it’s essential to reach out promptly for guidance.
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