Christabella is the name chosen which is used to summarize her signs and symptoms. The main complaint of gallbladder patients is that of constipation. Therefore, the diagnosis of gallbladder disease in Christabella must be established in order to relieve the symptom of constipation. This involves the usual gallbladder studies of ultrasound and pipida scan. The additional study is the CCK study which must be done before it can be determined that there is no organic cause for the disease.
Constipation is also part of the symptom-complex of hypothyroidism.
Therefore, every attempt must be made to establish that diagnosis so as to begin replacement therapy. That is why she continually increases her use of laxatives. She has stopped menstruating. It did not stop abruptly but there have been changes over months. She has been using all kinds of skin creams for months.