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What Does Endoscopy Showing Phytobezoar In Stomach Indicate?

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Posted on Fri, 25 Jul 2014
Question: I had an operation 30 months ago for repair of a giant hiatus hernia and gastric volvulus. After the operation my stomach took a while to get going and I was on TPN for about two weeks. About 12 months ago I started to suffer from intermittent nausea, vomiting, regurgitation and epigastric pain after eating. Last week I had an endoscopy and there was quite a sizeable phytobezoar in my stomach. Does this mean that I have gastroparesis?

Before I had the endoscopy I had an ultrasound scan to see if I had gallstones, but even though I had fasted before the scan my gall bladder could not be found. Would this be connected?

I have had irritable bowel syndrome for about 40 years (I am now 61 years old), but the above symptoms were new. I also have an underactive thyroid, for which I take thyroxine. I had an operation for tongue cancer 7 years ago, but this has not really affected my ability to chew. I have metastatic breast cancer, affecting my bones. Despite all the above I am generally active.

Thank you for your help
XXXXXXX
doctor
Answered by Dr. T Shobha Deepak (5 hours later)
Brief Answer:
likely to be due to gastroparesis

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms

Presence of phytobezoar is usually due to many predisposing factors. Gastroparesis could be one of the factors.
Gastroparesis would also explain the nausea, vomiting and regurgitation. Gall bladder could not be visualized because of two reasons
1. Either the Gall bladder is absent due to agenesis
2. Non distendded gall bladder

The following factors could explain majority of your symptoms
1. Gastroparesis
2. Irritable bowel syndrome
3. Hypothyroidism


In case you require any further assistance will be glad to assist you.

Take care

Best Regards
Dr T Shobha Deepak
MBBS MD
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What Does Endoscopy Showing Phytobezoar In Stomach Indicate?

Brief Answer: likely to be due to gastroparesis Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms Presence of phytobezoar is usually due to many predisposing factors. Gastroparesis could be one of the factors. Gastroparesis would also explain the nausea, vomiting and regurgitation. Gall bladder could not be visualized because of two reasons 1. Either the Gall bladder is absent due to agenesis 2. Non distendded gall bladder The following factors could explain majority of your symptoms 1. Gastroparesis 2. Irritable bowel syndrome 3. Hypothyroidism In case you require any further assistance will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS MD