Q. Will my abdominal pain after cholecystectomy throw me into SVT?

Answered by
Dr. Mashfika N Alam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 21, 2018

Hello doctor,

I am 29 years old male, 5'7", 235 lbs. I am suffering from SVT, degenerative disc L4 to S1, ulcerative colitis. Have undergone appendectomy (more than 10 years ago), tonsillectomy (more than 10 years ago), cholecystectomy (three years back). Medicines I am taking are Lopressor 50 mg twice daily, Norco 10 mg (as needed), Bentyl 20 mg. For the last three days, I have been having severe abdominal pain. Similar pain as when I had gallbladder attacks. Started out as come and go thing. But all day has been constant. I had also been vomiting. At least six times today. Not able to keep any medicines down or food or liquids.

For the last few hours now I have been having episodes of SVT. Not lasting longer than 20 minutes and the maximum rate was 210. However, I have been able to vagal down each time. I am currently at the normal rate but my BP is high (176/110). Can my abdominal pain throw me into SVT? I have not had an episode like this in quite a while. Usually well controlled. Mostly my concern is with the abdominal pain as this is very painful and becoming intolerable.

Dr. Mashfika N Alam

Family Physician General Practitioner
#

Hi,

Welcome to icliniq.com.

Your symptoms are most likely a classic case of post cholesystectomy syndrome which occurs roughly after two years post cholecystectomy, like your case. This can be dealt with by dietary modification like fat-restricted diet and oral ursodeoxycholic acid if there are persisting stones. An abdominal ultrasound can identify it. Hepatitis could also be a possibility so do not take Aspirin or any NSAIDs. Antispasmodics can help with the pain. As for SVT (supraventricular tachycardia), anything can set off an attack like stress, exertion. So, in your case, the severity of the pain could be causing it. You need to get both your heart rate and blood pressure down as soon as possible. You might need injection Adenosine. Take an antispasmodic for the right quadrant pain. I understand all these medications require a prescription.


Investigations to be done:

Upper abdominal ultrasound.

Differential diagnosis:

Acute hepatitis.

Probable diagnosis:

Postcholecystectomy syndrome with supraventricular tachycardia.

Treatment plan:

Prescription drugs like a beta blocker or Adenosine, antispasmodic for pain relief, Ursodeoxycholic acid if microlithiasis.

Preventive measures:

Avoid fatty food.


Was this answer helpful?

 | 

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can beta-thalassemia minor be treated?

Query: Hi doctor, One of my daughters has got beta thalassemia major and G6PD deficiency. Is there any treatment for her? Please advice.  Read Full »

I have abdominal pain and diarrhea thrice a day. What is wrong?

Query: Hello doctor,I am suffering from abdominal pain and diarrhea three to four times a day for the last four months. I have gone through colonoscopy and sigmoidoscopy followed by a biopsy. As per the biopsy, it is a mild non-specific inflammation. So, my doctor did several tests like fecal calprotect...  Read Full »

What is the difference between a cystic structure and a cyst?

Query: Hi doctor, I had a CT scan of the abdomen and pelvis with IV contrast. The radiologist report is as follows. The findings are as follows. There is a 0.9 cm cystic structure in the uncinate process, which is new since the comparative examination with the last year scan report. This should be further...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a General Practitioner Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.