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The gallbladder is responsible for storing and releasing bile. This bile aids in digestion by breaking down fat cells. If the gallbladder does not function optimally, small crystals begin to develop within the gallbladder. These are known as gallstones and can range from being the size of a salt crystal to a golf ball. Gallstones can be extremely painful and do not go away on their own. Since the body can function without a gallbladder, a surgeon may advise removing this organ to treat gallstones. This is known as a cholecystectomy. Today, this surgery is usually performed laparoscopically.
What is a laparoscopic cholecystectomy?
This surgery is also known as a keyhole surgery. Unlike an open surgery, in this case, the surgeon makes a few small incisions through which instruments may access the gallbladder. The removal of the gallbladder is also done through one of these incisions. A laparoscopic cholecystectomy may also be performed if the gallbladder is inflamed or in the case of pancreatitis. There are a number of advantages to this type of surgery. Most important amongst them is that the patient recovers faster and has less scarring.
Laparoscopic Cholecystectomy Procedure
This surgery is usually performed while the patient is under general anaesthesia. The surgeon begins by making a number of small incisions in the patient’s abdomen. A tube is then inserted into one of the incisions. Carbon dioxide gas is passed through this tube to separate the underlying organs from the abdominal wall. A tiny camera is inserted into another cut. The feed from this camera is displayed on a large monitor. Clips are sued to cut off the arteries and ducts servicing the gallbladder. The gallbladder is them cut free and pulled out of the abdomen through one of the incisions. During the surgery, special x-rays may also be used to check for gallstones lodged in the bile ducts. The incisions will then be stitched and dressed. In most cases, patients may go home on the same day.
Recovery from Laparoscopic Cholecystectomy
This surgery has a high success rate and is considered relatively safe. However, there are some risks associated with the procedure. These include:
- Allergic reaction to anaesthesia
- Bleeding or clotting of blood
- Increased heart rate
- Injury to the small intestine or bile duct
Recovering from a gallbladder removal surgery usually takes a week. Unless there are any complications, extended hospitalization is not required. In the first few days after the surgery, patients may experience slight diarrhoea. Patients are advised to walk but should avoid lifting weights. Special antibacterial soaps should be used while bathing to avoid the onset of infections.
It still happening a times I feel belching noise from my stomach. My urine turn yellowish especially in the morning. My digestive system seems to be jeopardised. My stool is always abnormal and I give out fowl smell of gas from my anus regularly. What could be the cause, doctor?.
Dear Doctor, I'm 74 kg and 5'9" Age 25. Since birth I haven't had a perfect digestive system, constipation etc were a regular thing. Now, since a few months. Acidity, regular burping, tight and inflated stomach, bad breath, excessive sweating, stools like small particles, takes 7 to 8 sittings to clear bowels (don't think the bowels clear completely)
Was suffering with gastric problem since few days so I'm taking medicines since one week still I have shortness of breath anxiety low bp too Past one day onwards I'm continuously yawning which is not normal What should I do help me.
Fatty liver grade 3 with left abdomen pain and left hip swell and left shoulder pain but when I go for abdominal scan all the organs are good except liver and there is no gastric seen in endoscopy also,
The liver is a key organ in metabolism and will have some amount of fat. However, excessive fat accumulation in the liver can be abnormal and is referred to as fatty liver. If the fat content exceeds anything more than 5% to 10% of the liver’s weight, it would be referred to as fatty liver.
Types - There are mainly two types based on causes:
- Alcoholic fatty liver: This is very common in people who consume excessive amounts of alcohol. Even a one-off instance of binge drinking can cause increased fat accumulation in the liver, but it would not produce any symptoms though. Preexisting hepatitis, pregnancy, obesity, and genetic predisposition may also lead to alcoholic liver disease.
- Non-alcoholic liver disease: This is the less common type of fatty liver, and there would be no alcoholic abuse history here. However, there could be genetic predisposition, obesity, autoimmune liver disease, malnutrition, which can lead to this condition.
Fatty liver disease is a chronic condition with insidious onset (meaning to say, the exact time of onset cannot be pinpointed). However, as the disease condition progresses, symptoms will become evident, which can trigger a medical evaluation to identify the fatty liver. Some of the symptoms include:
- Excessive fatigue and weakness
- Unexplained weight loss
- Loss of appetite
- Trouble focusing and concentrating
- Impaired judgment
- Constant, slow enlargement of the liver can cause pain in the right upper quadrant of the abdomen (where the liver is)
- There could be jaundice, where the skin and the white of the eyes turn pale yellow
- Symptoms of liver failure, including increased levels of proteins in the chemical tests.
As noted earlier, it is not easy to identify liver disease, as there are no specific symptoms. However, the above symptoms could point to a potential fatty liver.
- Blood tests, especially for liver enzymes
- Ultrasound, where the liver is imaged to look for any structural changes
- Biopsy, where liver tissue is extracted to confirm the diagnosis of fatty liver
There is no specific treatment for fatty liver. It can be managed through the following, where symptoms reduce in severity, and overall prognosis improves.
- Diabetes control: There is a relation between how well diabetes is controlled and severity of fatty liver. Improving diabetes control ensures fatty liver does not progress.
- Alcohol: Cutting down or even better quitting alcohol, definitely helps improve symptoms. If it is alcohol induced fatty liver, alcohol should be stopped.
- Weight management: Obesity and fatty liver are related, so weight management is essential.
- Healthy diet: Eating a healthy diet and regular exercise regimen also helps improve symptoms of fatty liver.