Confused

[Lannybabe]

Hi guys am new to this page and thank you in advance I got told my the a and e emergency team I have gall bladder disease so I have gall stones only the first bit of what they’ve sent me about my liver doesn’t make sense (I’ll write it at the bottom) they said my liver is on a angle also don’t know if that makes a difference or not is what they’ve wrote down to the gall stones or is this something else entirely?

This is what it says - liver echogenicity appears increased in keeping with diffusefatty infiltration. There are hypoechoic regions adjacent to the gall bladder and at the porta hepatis which likely represents fatty sparing. Multiple non-shadowing mobile gallbladder calculi and sludgevisualised. No intra or extrahepatics duct dilation seen. The pancreas kidneys spleen and sorta appear normal.

Thank you in advanced

[AyrshireK]

So, it looks like you have both gall stones and sludge in your gall bladder so that's the gall bladder issue. Whether they need to do anything about this depends on whether it is causing pain or problems with your liver numbers etc.

You also have some fatty change in your liver, alcohol related liver issues can cause this or the fastest rising cause of liver issues is a condition known as NAFLD - Non Alcohol Related Fatty Liver Disease. This will account for the fatty areas showing up in your liver. This condition is reversible providing you tackle any contributing factors.

BLT has pages about gall bladder and NAFLD issues at the following pages:-

britishlivertrust.org.uk/in...

britishlivertrust.org.uk/in...

Katie

[Lannybabe in reply to AyrshireK]

They’ve said their going to remove my gall bladder but before that their doing a camera through my bile ducts or something to check if theirs gall stones in there but I didn’t understand what they sent me x

I don’t drink if am honest with you as I suffer from chronic migraines and this makes them worse but I’ve never heard of nafld and they never mentioned anything like that to me over the phone just that my liver was on a angle is it something I should worry about? X and I’ll look at them links thank you so much I really appreciate it xx

[AyrshireK in reply to Lannybabe]

The camera through your bile ducts is likely to be a procedure called an ERCP (Endoscopic retrograde cholangiopancreatography) where they put a small camera down via endoscopy and they can explore the bile duct to look for stones etc. My hubby recently had this procedure - in his case he has cirrhosis so they can't remove his gall bladder but he had stones lodged in his bile duct which they removed via ERCP.

Your scan report talks about fatty liver hence the reason I mention it. It is reversible but you may need to make some dietary or exercise changes. The links I posted should help. The BLT has also recently released details of a study showing how a Mediterranean style diet can help manage the condition. britishlivertrust.org.uk/ea...

Katie

[Lannybabe in reply to AyrshireK]

Thank you so much x yeah they said something about checking if it’s blocked they never said about removing them though they said it makes the operation more complicated or something like that but maybe it is what you’ve just said thank you hun

I follow a slimming world diet already and lost 1stone 3ib in 10 weeks but I had a bit of a time where I wasn’t eating at all and am wondering if that’s where I’ve done the damage I had spoken to the hospital about this before so they know about it also as I wasn’t eating for 8 weeks I’ve read them information and am defiantly going to stick to the Slimmingworld well within reason because some of their food also kicks the gallstones off but am going to try to make myself healthy again thank you so much for all your information xxx

[Kristian]

Yes, it can be tricky sometimes with the technical terms. Basically a rough, and very simplistic translation is as follows:

Hyperechoic - it reflects the sound waves more

Diffuse fatty infiltrations - you have some fatty deposits in your liver. These make the sounds waves reflect more, hence hyperechoic. I think they show up as bright spots on the ultrasound, lol.

Hypoechoic fatty sparing - there's no fat there. So there is no increase in sound wave reflection.

Gallbladder calculi - gallstones

Intrahepactic - inside the liver

Extrahepatic - outside the liver

Ductal dilatation - widening of the bile duct, usually seen if there is a blockage caused by a stone as the bile backs up behind it, or by the stone itself.

I think Katie has already given you a good response so no need for me to add anything more. Good luck with your gall bladder removal. 👍

[Lannybabe in reply to Kristian]

Thank you so much for that xx

[Elenaevent]

If the gallblader is not working properly it may cause liver issues. My gallbladder had one stone but it was removed and my liver enzymes went up. I am recovering and hopefully things will return to normal. So if they reccomend the surgery , don't hesitate.

[Lannybabe in reply to Elenaevent]

Yeah I’ve said I’ll take the surgery as I can’t cope with this pain and it seems to be getting worse rather than better hun x I was thinking maybe it might have something to do with the gallstones but didn’t think it could cause fatty tissue on the liver though but I don’t know need a medical degree these days to know what their talking about haha x

[Elenaevent in reply to Lannybabe]

I had a fatty liver - like beginning of it. Plus pain I'm gallbladder- not typical for gb attacks. Some surgeons were not even sure if the surgery would help.... it did but enzymes are high and I had painf for 3(!) Months after the surgery. It is finally subsiding. Sometimes doctors cannot tell why enzymes are high and why pain. It was my case.