Doctor insights on:
Gallstone Gallbladder Sludge
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
Dr said I have gallbladder sludge, and inflamed gallbladder, is it possible to have that without gallstones? Pain happens once a week
Sludge is a variant: Form of stones. Instead of large globular stones, you have many small crystals, and yes, you can have that instead of or in addition to discreet "stones". It's sounding as though you will need to have a cholecystectomy. The sludge can obstruct the common bile duct and lead to pancreatitis. Discuss this with your doctor to see if surgery is recommended and when. If severe pain/vomiting seek ER care ...Read more
I have an inch gallstone blocking the duct. Can the stone be removed without removing the gallbladder? I also have some stone sludge and a hiatal hern
Depending on the size, it might work its way through the duct.
An ERCP can be done. This procedure would be decided on by the surgeon or gastroenterologist and you. Certainly the size of the stone and your overall health are factors.
Having sludge is just "tiny stones" and a hiatal hernia has no affect on gallstones. ...Read more
Surgical consult-gallbladder sludge and gallstone means what? My doctor sent me these instructions. Any advice on what it means?
What instructions?: The standard treatment for gallstones is removing your gallbladder; I believe this should be the last resort rather than initial treatment. I've had many patients have great success with natural therapies to dissolve gallstones & flush them out of the liver/gallbladder. I advise consulting a holistic md. See http://www. Townsendletter. Com/july2011/momiracles0711.Html & the book by moritz mentioned. ...Read more
Ultrasound results: large gallstone present in neck of gallbladder and tumefactive sludge. What is meaning?
I have gallbladder sludge but the doctorss aren't sure if stones are there. I had hida, catscan, and cck injections performed but docs are not sure if gallstones are present. Why can't they tell?
I was told I have a spasming gallbladder but the CT and ultrasound showed no gallstones or sludge. But I am still in pain in my right side.
Need a HIDA scan: You may have gallbladder dyskineasia, a functional disorder of your gallbladder. A HIDA scan can check the under or over functioning which both may lead to your symptoms. See your Gastroenterologist. ...Read more
Usually infection: Gallstones can get left behind after surgery, that is the most common cause, they were there all along. It's easy for that to happen. If new gallstones form it is usually because of an infection in the bile ducts called cholangitis. If you are still having pain and there is a gallstone in one of the bile ducts, see a gastroenterologist, there is a procedure called ERCP to remove the stones. ...Read more
Possibly: The usual culprit here is that gallstones got out of the gallbladder before it was removed, even during the surgery. Rarely gallstones can form in the bile ducts, usually when there is inflammation of the liver/bile ducts (called cholangitis). Gallstones can often be removed with a procedure called an ERCP, which is an outpatient procedure similar to an endoscopy. ...Read more
Surgery: Remove gallbladder and stones. If gallbladder is contracted it may indicate disease of the gallbladder. ...Read more
Distention: A distended gallbladder without gallstones could be a normal variant or could be due to an obstruction in the biliary tract distally, however that would also cause other related symptoms. ...Read more
See below: It doesn't matter whether there is 1 stone or multiple stones in the gallbladder. If gallstones are causing symptoms, surgery is recommended, and it always includes removal of the gallbladder together with all it's contents. If there are no symptoms and the finding is incidental, then surgery is not indicated. ...Read more
Narcotics: Unfortunately, once you start having gallbladder attacks, the only definitive treatment is surgery. Thankfully, this is a very simple, straightforward operation that can get you back to normal activity in 1-2 weeks. There are some ways to dissolve stones but they are ineffective in the long run: the gallbladder is the gallstone factory and new ones will form. ...Read more
If known already: Stay away from fatty foods, i.e. Fried. When there's gallbladder disease with or without stones, my recommendation is to have it removed! ...Read more
Yes: If you still have tour Gallbladder, you are still able to get gall stones. ...Read more
Gallstones: If there are no stones in the gallbladder you can still have gallbladder problems related to sludge/gravel material as well as a poorly functioning gallbladder among other more rare conditions. ...Read more
Most likely: If you are symptomatic and surgeon thinks from GB then it likely needs to come out. He/she may do a HIDA scan to confirm that it is unhealthy. Asymptomatic cholelithiasis with normal labs can wait to be removed as not urgent. The goal is to fix the problem causing you pain and sometimes a gallstone isn't the thing causing the pain. Talk with your physician/surgeon about it. ...Read more
It is possible, and no reasonable physician would do it.
See, the problem is not just having gallstones, but the gallbladder and bile allow the formation of these... so it is likely you would produce many more...
The solution in a symptomatic patient is to remove the gallbladder. That is where the problem lies, and if it gets inflamed the surgery is urgent. ...Read more
Could you please help me find an answer! What would cause a distended gallbladder without gallstones?
Could be normal: Fasting can cause the gallbladder to be distended when examined by ultrasound. A stone too small to see at the gallbladder neck can do this as well as a stone in the common bile duct. Narrowing of the bile duct where it empties into the duodenum by stricture or tumor can do this as well as pancreatic cancer. ...Read more
I read on a medical website that when you get gallstones your gallbladder has already stopped working. Is that true?
Is their any meds u can take to dissolve gallstones? Can gallstones b removed without removing the entire gallbladder?
If I eat more fat would that empty my gallbladder more completely so that I would have less chance of getting gallstones?
No but: A interesting though, formation of gall astones involves several factors, from genetic, composition of bile, repeated infections in the gall bladder causing damage to mucosa and muscle wall of gall bladder, when damaged your suggestion will not work, will not be contracting so not going to help ...Read more
3 years since having gallbladder out and keep getting the exact same pain like a gallstone attack why is this and how can I stop it?
Does your GI know?: There are a number of possibilities. With your age and medical conditions, sphincter of Oddi dysfunction is most likely - but could also still be gallstones (now just in the biliary tree) or smth in your stomach (heartburn, gastritis, etc). Too frequently are the gallbladders taken out for pain when it never was that to begin with... ...Read more
Only if Symptoms: App. 80% of people with gallstones never develop symptoms and need not have their gallbladder removed. However, once attacks begin, the only way to prevent them from coming back is to remove the gallbladder. Of course, every operation involves a decision regarding the risks vs. Benefits; if the risks of surgery are too high, there are alternatives that may temporize matters. ...Read more