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Had white stool, after that I am having lower abdomen pain, 3 weeks before I had open gall bladder removal. What shall I do?
My wife is diagnosed with calculi in gallbladder about 6 mm. Is it possible the treatment without surgery?
Hello, Recently I undergone a ultrasound scan and in that report it showed “ Gall Bladder: It is well distended and shows a calculus of 13 mm with posterior acoustic shadow. GB wall is normal. No e/o pericholecystic fluid. No calculi seen in the CBD at the time of study. The lumen of the GB shows echogenic sludge. Impression: Fatty lever; Cholelithiasis. Also about Lever: Increased echostructure. Please give me your opinion.
This surgery involves the removal of Gallbladder, which is a pear-shaped organ that lies right beneath the right side of the liver. The main function of the gallbladder is to collect and concentrate bile, which is a digestive juice produced by liver after eating, aiding digestion. The most common disorder of the digestive system is presence of Gallstones, which are the stones made up of a mixture consisting of cholesterol, bile pigment and calcium salts.
These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.
Although it is a less vital organ, the body can cope up even after removal.
Procedure of surgery:
- The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
- A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
- Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
- Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
- In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.
Complications after gallbladder surgery:
This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.
Types of gallstones:
There are three main types of gallstones. They are
1. Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
2. Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
3. Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.
Medical factors to consider before cholecystectomy:
The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.
Self-care after the surgery:
Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week.
Are you experiencing skin itchiness and development of dry, scaly rashes on your skin? This indicates you have eczema, which is a group of skin diseases occurring due to the inflammation and irritation of skin. Atopic dermatitis is the most common form of eczema. The disease can be controlled if proper treatment is undertaken.
Itchy skin is the most common symptom of eczema. In some cases, the itching starts before the development of the rash. The rash appears most commonly on the back of the knees, face, hands, wrists and feet. The affected areas become dry and thickened and in people with a fair complexion, the areas may turn reddish initially and then become brown.
The specific cause of eczema is yet to be determined. However, the condition is associated with an overactive response by the immune system to an external irritant. This response leads to eczema. The condition is more common in people who have a family history of allergies or asthma.
- As the condition turns the skin dry and itchy, certain creams and lotions are recommended to be used in order to keep the skin moist. You should apply these products when your skin is damp, ideally after taking a shower. This helps the skin in retaining moisture. You can use a cold compress to ease the itching.
- Several creams such as hydrocortisone cream and ointments which contain corticosteroids are prescribed in order to reduce inflammation.
- In case the affected area becomes infected, antibiotics should be taken to eliminate the infection-causing bacteria.
- Antihistamines are used for reducing the severity of the itching.
Prevention of Eczema Flare-ups
- Moisturize your skin frequently
- Avoid sudden changes in humidity or temperature
- Abstain from overheating and sweating
- Try to reduce stress
- Avoid starchy material
- Avoid soaps, detergents and solvents, which are harsh
- Be aware of food items which trigger eczema flare-ups
It is recommended for you to consult a dermatologist if you experience any symptom of eczema. This will help you with a quick diagnosis so that you can start the treatment without further worsening of the symptoms.