Problem description: One month ago, I had a stomachache. I went to Sanjiang Hospital for a gastroscopy. The result was atrophic gastritis, erosions, and xanthomas. I did pathology, nothing happened, liver, gallbladder and spleen. I did a color Doppler ultrasound, there are gallbladder stones, cholecystitis bile ducts have calcifications, the total number of white blood cells in the test is high, and the basophils are also high. Now the body is yellow, and there are no symptoms, carbohydrate antigens and carcinoembryonic antigens are normal.
Question date:2020-10-20
Patient information:Age: 63 years old Gender: Male
Question analysis: b>Upper abdominal discomfort 3 months ago, local hospital gastroscopy, consider atrophic gastritis. There was no abnormality in pathology. Tumor markers were normal, and abdominal imaging examination revealed gallbladder stones. Laboratory tests showed that the total number of white blood cells was too high. It is planned to clarify the further diagnosis and treatment plan.
Guide and suggestion: 1) Pain in the upper right abdomen, it is recommended to go to the gastroenterology department or general surgery. 2) As imaging studies suggest gallbladder stones, first consider the possibility of cholecystitis. It is recommended to first improve CRP, Helicobacter pylori, liver and kidney function, MRCP examination, and rule out cholecystitis and bile duct obstruction. 3) If the above check result is normal, it is recommended to take bismuth aluminate granules, trimebutine and other treatments for 2 weeks for observation.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed examination