Doctor insights on:
Gall Stones Size Need Removal
Define 'natural': Unfortunately, the only way to permanently get rid of gallstones is to remove the "gallstone factory", the gallbladder. Techniques to dissolve stones exist (medication, lithotripsy), but they will return. Gallbladder removal (cholecystectomy) can almost-always be performed via out-patient laparoscopic surgery. If you are having pain, I recommend seeking consultation from a surgeon. ...Read more
No, but...: ...It's the most effective. Gallstones can be dissolved by ultrasound waves (lithotripsy) or medication, however, new ones will form. The only effective way to permanently get rid of stones is to remove the "gallstone factory", the gallbladder. Thankfully, this can be done by minimally invasive outpatient surgery. Most importantly, though, this is only recommended if one has symptoms. ...Read more
No: Gallstones can be found incidentally in many people who will never have problems with them. If you aren't having symptoms and there aren't any concerning findings on the imaging study that diagnosed them, they can be safely observed. Calcification of the gallbladder wall or stones larger than 2cm diameter are some findings that should encourage removal. ...Read more
I have asymptomatic gall stones which were discovered in a random ultrasound test. Should I go in for a glall bladder removal even if I have no pain?
Gallstones: Symptomatic gallstones require surgical evaluation. Please see a surgeon. ...Read more
Yes, in a small: Minority of cases, stones can form in the common duct, which connects the liver to duodenum. If you are having symptoms, you should see a doctor for full exam and tests. It could still be some other problem too. ...Read more
Can I take Carafate, (sucralfate) Omeprazole and R anitidine together? I have bile duct damage, from gall stones removal, and bile reflux. I also have HCL reflux.
Yes: Yes you can take all three together you should ask your doctor for instructions carafate (sucralfate) can be taken two hours after meals or an hour before. Prilosec omeprazole works better taken about 30 minutes before breakfast or supper ...Read more
Whether size of the gall stone bother for asymptomatic gall stones? I ws discovered multiple stones with d largest measured 12mm. Help me. I'm confused.
Due to gall stones in neck position 9mm size with 37 weeks pregnancy. How to reduce sgot sgpt levels to perform cesarean as billirubin is ok?
"Gallstones appear to be more common during pregnancy. Pregnant women who develop gallstones are closely monitored. If a gallstone blocks the gallbladder or causes an infection, surgery may be necessary. This surgery is usually safe for pregnant women and the fetus."
http://www. Merckmanuals. Com/home/women-s-health-issues/pregnancy-complicated-by-disease/liver-and-gallbladder-disorders-during-pregn ...Read more
Male 50 low chol, thin, no fam history of gallstones. 2 attacks 6 weeks ago. Ultrasound shows 4 stones, liver bloodwork normal. Gb removal advised?
Yes!: Even one attack from gallstones is a strong indication for surgical treatment. Speak with an experienced surgeon. ...Read more
Sometimes: Usually large gall stones do not pass but do sometimes cause obstruction at the common bile duct with increased pain and sometimes jaundice. Sludge and gravel are small enough to disappear. A fistula sometimes develops between a gangrenous gallbladder and the duodenum or other parts of the gastrointestinal tract, allowing passage of the stone. If have gallstones and pain surgery usually indicated. ...Read more
Many causes: When bile chemical composition (cholesterol, calcium bilirubinate, calcium carbonate) in the gallbladder gets out of balance, gallstones can form. While its not completely clear why some develop the chemical imbalance, we do know that gallstones are more common in obese people, women (especially oral contraceptives/hormone replacement), high fat intake, diabetes, rapid weight loss - to name a few. ...Read more
Depends: Leave them alone & observe if you are having no abdominal symptoms of discomfort, nausea or vomiting. Laparoscopic surgery is a common means to remove gallbladder and gallstones if they are causing an illness or problem. Medication may dissolve non-calcified gallstones but may take years. ...Read more
Not likely: Gallstones can cause significant pain with yellow jaundice or pancreatitis when they pass through the bile duct, even small ones. Fortunately this does not happen too often. If the gallstones are causing no symptoms then they can be observed. If they are causing upper abdominal pains then consider seeing a surgeon for gallbladder surgery. ...Read more
Extremely rare: Symtomatic gallbladder disease is extremely rare, in medicine we never say never, but in 20 years of pediatrics practice I have never seen this in an 8 year old without significant congenital underlying anatomic GI disorder. That said, as a med student in Kentucky, during trauma rotation, I felt a gallbladder full of stones in a teen who was opened for exploration after car wreck. Poor diet... ...Read more
Pain, nausea, vomit: The classic symptoms of gallbladder pain are right upper abdominal pain which radiates to the upper back or shoulder. May occur after meals or awake you from sleep. May be associated with nausea and/or vomiting. Usually crampy type pain. May be in mid upper stomach as well. ...Read more
Gallstones: Gallstones are made up of bile crystals or cholesterol crystals that grow over time into gallstones. They can form when the bile chemical makeup is unbalanced. They form as a part of heredity (inherited) conditions, more common in some native Indian populations, more common in women who have had children, obesity, after open heart surgery, in some liver diseases, etc. ...Read more
Do you have pain?: The number of gallstones one has does not impact the decision regarding gallbladder surgery. Up to 75% of people with stones have no symptoms and may safely avoid surgery. Surgery is reserved for those who have symptoms, typically right-upper or upper-midline pain, most commonly after eating fried/fatty foods. ...Read more
Yes: Ultrasound is not a perfect test. Most stones can be seen as shadows. Tiny stone are harder to see and can be called "sludge" sometimes. But just because an ultrasound doesn't show stone doesn't mean there is not a reason to have pain from gallbladder. Poor function of gallbladder (biliary dyskinesia) needs to be ruled out. ...Read more
Veggies & Nuts: Patients with gallstones typically should stick to a high-fiber diet, possibly a vegetarian diet. Avoid foods high in saturated fat and trans-unsaturated fat (processed foods). Vitamin C is also very helpful. Nuts are also great. Weight control and avoidance of yo-yo dieting is also very important in reducing risk of gallstones. Good luck! ...Read more
Mixed bag: Certain schools of thought feel as though stones imply a need for cholecystectomy (gallbladder removal). Gallstones form for several reasons, namely chemistry in our bile (which is made in the liver). People who lose weight rapidly also have a propensity to form gallstones. You may have gallstones but it is unknown unless you had symptoms and an ultrasound to verify. Usually people have RUQ pain. ...Read more
Gallstones and diet: The development of gallstones is associated with many factors including age, hormone status, genetic factors and diet. Diet is one of the things that you as an individual can control. Certainly, avoiding fatty and greasy foods can help. Additionally, maintaining a healthy lifestyle with exercise, maintaining ideal body weight and hydration can help. ...Read more
The severe pain: Severe pain from any source can cause one to feel faint or completely pass out (syncope). The symptom your having is like a blackout (pun intended). More important is that u r having recurrent episodes of severe pain. The main question is r these truly due to gall bladder disease, has it been diagnosed properly. If yes, get it removed by competent general surgeon and have good preop med clearance. ...Read more
Low Fat Diet:
Gall Stones are irritated with fatty foods. If you limit your consumption you can prevent the pain and possible gall stone attack.
There was a medication by mouth called Actigall (ursodiol) in the United States. It wasn't used too often but is available to try to reduce gall stones in place of surgery. ...Read more
Diet: You want to avoid stimulating the gall bladder, which is what oil, grease, and fat in foods do. So, avoid fatty meals if your gallstones are flaring up. But, if this is a frequent problem, the best course would be to have your gallbladder removed to prevent trouble (like pancreatitis and hepatitis). I don't put much stock in certain meds that claim to "dissolve" gallstones. ...Read more
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