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Gallstones Tips

Gall Bladder Attack - What Are The Symptoms?

Dr. Amit C 86% (41 ratings)
MD - Physical Medicine & Rehabilitation
General Physician, Ranchi
Gall Bladder Attack - What Are The Symptoms?

The gall bladder, which sits just below the rib cage to the right of the stomach, is very tender to touch. It is a little sac or storage compartment for bile, which is produced by the liver. The gallbladder emits bile into the small intestines via a duct referred to as the cystic duct. The entire process is meant to break down foods (namely fatty foods). 

Gallbladder attack symptoms may include one or more of the following: 

  1. Pain in the back right shoulder blade: Sometimes, pain radiates through to the back shoulder blade on the right side or in the middle between the shoulder blades. This is pain from the gallbladder affecting the back of the shoulder. This back shoulder blade chest pain is one of the most common yet unknown symptoms of a gallbladder disorder. This can come and go or be constant. It may be sharp, excruciating or dull. It may also occur especially at night. A gallbladder attack will typically last for one to four hours.
  2. Pain in the stomach: The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain will begin to radiate to other areas of the body, including the back and chest.
  3. Nausea or Vomiting: Nausea and vomiting are common symptoms among all types of gallbladder problems. But only a chronic gallbladder disease may cause digestive problems, such as acid reflux, gas, nausea, and vomiting.
  4. Diarrhea: Having more than four bowel movements a day for at least three months may be a sign of chronic gallbladder disease.
  5. Fever or Chills: An unexplained fever may signal that you have a bile duct infection. If you have an infection, you need treatment before it worsens and becomes dangerous. The infection can become life-threatening if it's allowed to spread to other parts of the body.
  6. Unusual Stools or Urine:  Lighter-colored stools and dark urine are possible signs of a common bile duct block.
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पित्त की पथरी- इलाज़ संबन्धित भ्रांतियाँ और निराकरण

Dr. Manohar L.Dawan 91% (509 ratings)
FACRSI (Colo-Rectal Surgery), Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, FAIS, FICS, FIAGES-Advanced Laparoscopy, MBA (Hospital & Healthcare Management), MS - General Surgery
General Surgeon, Bikaner
पित्त की पथरी- इलाज़ संबन्धित भ्रांतियाँ और निराकरण

पित्त की पथरी- इलाज़ संबन्धित भ्रांतियाँ और निराकरण

प्रश्न: पित्त की थैली की उपयोगिता एवं इसमे पथरी क्यों बनती है ?

जवाब: पित्त की थैली लिवर से जुड़ी हुई पेट में छाती के नीचे दायीं तरफ होती है। इसका कार्य लिवर मे बनने वाले पित्त की अतिरिक्त मात्रा का संग्रहण करना मात्र होता है। पित्त वह तरल पदार्थ है जो वसा का पाचन करने मे काम आता है। लिवर मे पित्त का उत्पादन आवश्यकता अनुसार होता रहता है अतः यदि पित्त की थैली ना हो तो पाचन प्रक्रिया पर कोई दुशप्रभाव नहीं पड़ता । पित्त की थैली में संग्रहित पित्त के कॉलेस्टेरोल अधिक होने या थैली मे संकुचन क्रिया नहीं होने एवं कई रसायनिक क्रियायों के कारण क्रिस्टल बन जाते हैं जो सम्मिलित होकर पथरी का रूप ले लेते हैं। अन्य कई कारण जैसे थाइरोइड, शुगर एवं रक्तजनित रोगों, गर्भ निरोधक गोली, चिंता, एंटएसिड दवाइयाँ, डिब्बा बंद खाना खाने, उत्तरी भारत के लोगों में खान-पान के कारण से भी पथरी बनती है। पथरी जब रुकावट करती है या संक्रमण हो जाए तो दर्द शुरू हो जाता है।

प्रश्न: पित्त की पथरी मे मरीज को क्या क्या तकलीफ़ें होती है ?

जवाब: यदि पथरी केवल पित्त की थैली में हो तो पेट के ऊपरी हिस्से या दाहिनी तरफ छाती के नीचे दर्द शुरू होता है कई बार पीठ की तरफ जाता है इसके अलावा अपच, जी मिचलाना, हरी पीली उल्टी और गैस्ट्रिक दिक्कते हो सकती है। आमतौर पर तकलीफ गरिष्ठ भोजन लेने के बाद ही होती है। ज़्यादातर मरीजों में हल्का दर्द लंबे समय तक रहता है कभी कभार तेज दर्द भी उठ सकता है। यदि पथरी पित्त की थैली से निकल कर पित्त ले जाने वाली नलिका (सी.बी.डी) मे आकर फस जाती है तो पीलिया हो जाता है और यदि पाचन ग्रंथि पैनक्रियाज़ की नली तक पहुँच जाए तो पैनक्रियेटाइटिस हो जाता है जोकि घातक दर्दनाक और जानलेवा होता है। यदि पथरी छोटी आंत मे पहुँच जाए तो रुकावट पैदा कर सकती है। पित्त की पथरी लंबे समय तक रहने पर कैंसर मे बदल सकती है और जिससे उपचार मे दिक्कत आती है।

प्रश्न: पित्त की पथरी का इलाज क्या है?

जवाब: किसी भी प्रकार का पेट दर्द होने पर नजदीकी सर्जन डॉक्टर को दिखावे एवं उनकी सलाह पर ही पेट की सोनोग्राफी एवं अन्य रूटीन जाँचें जैसे सीबीसी, शुगर, आर एफ टी, एल एफ टी, पीटी, आई एन आर, ए पी टी टी और जरूरत पड़ने पर पेट का सी टी स्कैन और एम आर सी पी भी करवाते हैं। यदि पथरी केवल पित्त की थैली मे हो और तकलीफ कर रही हो तो, पित्त की थैली को पथरी समेत ही ऑपरेशन द्वारा निकाल दिया जाता है। यदि पथरी पित्त की नली (सीबीडी) मे हो तो ई.आर.सी.पी. (एंडोस्कोपी) द्वारा निकाली जाती है असफल रहने पर ऑपरेशन द्वारा ही निकालनी पड़ती है। पीलिया होने पर  ई.आर.सी.पी. (एंडोस्कोपी) द्वारा स्टेंट (प्लास्टिक की नलिका) लगाकर ठीक करते हैं।

      कौनसा ऑपरेशन और कब करना है का निर्णय विशेषज्ञ सर्जन द्वारा मरीज का पूरा चेकअप करने के बाद ही लिया जाता है। पित्त की पथरी के दो प्रकार के ऑपरेशन होते हैं ओपन (हाथ द्वारा) एवं लैपरोस्कोपिक (दूरबीन द्वारा)। ओपन विधि मे पेट के ऊपरी हिस्से में दायीं तरफ छाती के नीचे करीब 5 से 8 इंच का चिरा लगा कर पित्त की थैली निकाली जाती है और दूरबीन विधि में पेट पर 10 मिलिमीटर और 5 मिलीमीटर के चार या तीन छेद या सम्पूर्ण ऑपरेशन एक ही छेद (सर्जन की विशेषज्ञता अनुसार) करके मॉनिटर मे देखते हुये लंबे पेंसिल आकार के औजारों से पित्त की थैली को पथरी समेत बाहर निकाला जाता है। अतः दोनों ही प्रकार के ऑपरेशन में पित्त की थैली पथरी समेत ही बाहर निकाली जाती है। समान्यतया लोगों में भ्रम होता है कि दूरबीन वाले ऑपरेशन में पथरी पीछे रह जाती है ऐसा कुछ नही है, इसमे कम चीर फाड़ द्वारा पित्त कि थैली निकाली जाती है। मोटे भारी शरीर वाले लोगों के लिए दूरबीन का ऑपरेशन ठीक रहता है। दूरबीन वाले ऑपरेशन इस विधी में पारंगत/विशेषज्ञ शल्य चिकित्सक से ही करवाएँ।  

प्रश्न: ऑपरेशन के बाद सामान्य होने में कितना समय लगता है?

जवाब: दूरबीन द्वारा ऑपरेशन में जल्दी स्वास्थ्य लाभ होता है और 8 घंटे आराम के बाद खाना पीना घूमना फिरना चालू करवा देते हैं और 24 घंटे बाद अस्पताल से छुट्टी भी दे देते हैं, एक हफ्ता आराम करके किसी भी प्रकार का काम कर सकते हैं। हाथ वाले ऑपरेशन मे 24 घंटे बाद खाना पीना चालू करते हैं और 48 घंटे बाद छुट्टी करते हैं लंबे समय तक आराम के बाद काम पर जा सकते है और 3 महीने तक भारी वजन नहीं उठा सकते वरना अंदर के टांके टूटने से हर्निया बनने कि संभावना रहती है।

प्रश्न: ऑपरेशन के बाद खान पान में ध्यान रखने कि बातें?

जवाब: सामान्य मरीजों मे ऑपरेशन के एक हफ्ते तक ज्यादा से ज्यादा तरल/नरम पदार्थ लेने चाहिए जैसे पानी, शूप, शोरबा, गाय का दूध (फेट फ्री/ मलाई उतार कर), दही, छाछ एवं हल्का भोजन, ताजे फल (डॉक्टर की सलाह से) दलीया, खिचड़ी इत्यादि। उल्टी, दस्त एवं अधिक गैस ना बने इसलिए खट्टी चीजें, डेयरी उत्पाद जैसे चीज, क्रीम, बटर दूध, घी, ब्रैड, अंडे का पीला भाग एवं आइस क्रीम, प्याज, लहसुन, तेल, तली हुई चीजें, ड्राइ फ्रूट्स, चना दाल, गोभी, साबुत अनाज नहीं खाएं। एक हफ्ते बाद टांके सही होने पर सर्जन की सलाह पर खुलवाएं। जब तक इन बातों का ध्यान रखें जैसे तेज पेट दर्द, तेज़ या लगातार बुखार, उल्टी, जी मिचलाना, पीलिया, तीन दिन के बाद भी पेट में आंतों की हलचल न होना, गैस पास न होना या तीन दिन से अधिक दस्त लगना, हो तो तुरंत सर्जन से संपर्क करें।

ऑपरेशन के एक हफ्ते बाद (सर्जन की सलाह पर) समान्य फाइबर युक्त भोजन, बिना घी, कम तेल, फैट के हरी सब्जियाँ, सलाद (मूली, हरी गोभी/ब्रोकोली, बंदगोभी के ताजे पत्ते, चुकंदर, केल गोभी), ताजे फल, साबुत अनाज (साबुत गेहूँ की ब्रैड, भूरे रंग का चावल, ओट्स/जई, चोकर युक्त अनाज) रोटी इत्यादि से धीरे धीरे पूर्ण रूप से चबा कर खाना शुरू करें। इनका परहेज करें :- तले हुये खाद्य पदार्थ, ज्यादा तला हुआ मीट, मीट ग्रेवी, चीज, आइसक्रीम, क्रीम, मलाई वाला दूध, पिज्जा, चॉकलेट, नट्स (बादाम, काजू, अखरोट, मूँगफली दाने) खाद्य तेल जैसे पाम एवं नारियल।

ऑपरेशन के एक महीने बाद यदि किसी भी प्रकार की समस्या ना हो तो सामान्य व्यक्ति की तरह भोजन ले सकते हैं । मीट की स्थान पर मछ्ली खा सकते हैं और खाद्य तेल में जैतून (ऑलिव) का तेल काम में ले सकते हैं। फिर भी तीन महीने तक ज्यादा फैट, घी, तेल, शादी समारोह का खाना इत्यादि का परहेज करें।

शुगर, बीपी या किसी बीमारी विशेष से पीड़ित को ऑपरेशन के बाद  सर्जन एवं फिजीशियन डॉक्टर की सलाहनुसार ही दवाइयाँ और खान पान करना चाहिए।

शराब, नशीले पदार्थ, धूम्रपान, गुटखा, तंबाकू एवं तेज चाय/कॉफी का परहेज 6 महीने तक सख्ती से करें।

ऑपरेशन के दो दिन के बाद पट्टी उतारकर साफ पानी और साबुन से सन्नान कर सकते फिर भी सर्जन की सलाह माने।

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Treatment Of Gallstones!

Dr. Swarup Kumar Ghosh 89% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Treatment Of Gallstones!

Gallstones are small, pebble-like substances that develop in the gallbladder. The gallbladder is a small, pear-shaped sac located below your liver in the right upper abdomen. Gallstones form when liquid stored in the gallbladder hardens into pieces of stone-like material. The liquid—called bile—helps the body digest fats. Bile is made in the liver, then stored in the gallbladder until the body needs it. The gallbladder contracts and pushes the bile into a tube—called the common bile duct—that carries it to the small intestine, where it helps with digestion.

Bile contains water, cholesterol, fats, bile salts, proteins, and bilirubin—a waste product. Bile salts break up fat, and bilirubin gives bile and stool a yellowish-brown color. If the liquid bile contains too much cholesterol, bile salts, or bilirubin, it can harden into gallstones.

Types of gallstones:

The two types of gallstones are cholesterol stones and pigment stones. Cholesterol stones are usually yellow-green and are made primarily of hardened cholesterol. They account for about 80 percent of gallstones. Pigment stones are small, dark stones made of bilirubin. Gallstones can be as small as a grain of sand or as large as a golf ball. The gallbladder can develop just one large stone, hundreds of tiny stones,

Gallstones can block the normal flow of bile if they move from the gallbladder and lodge in any of the ducts that carry bile from the liver to the small intestine. The ducts include the
Hepatic ducts, which carry bile out of the liver
Cystic duct, which takes bile to and from the gallbladder
Common bile duct, which takes bile from the cystic and hepatic ducts to the small intestine
Bile trapped in these ducts can cause inflammation in the gallbladder, the ducts, or in rare cases, the liver. Other ducts open into the common bile duct, including the pancreatic duct, which carries digestive enzymes out of the pancreas. Sometimes gallstones passing through the common bile duct provoke inflammation in the pancreas—called gallstone pancreatitis—an extremely painful and potentially dangerous condition.
If any of the bile ducts remain blocked for a significant period of time, severe damage or infection can occur in the gallbladder, liver, or pancreas. Left untreated, the condition can be fatal. Warning signs of a serious problem are fever, jaundice, and persistent pain.

Causes gallstones:

Scientists believe cholesterol stones form when bile contains too much cholesterol, too much bilirubin, or not enough bile salts, or when the gallbladder does not empty completely or often enough. The reason these imbalances occur is not known.
The cause of pigment stones is not fully understood. The stones tend to develop in people who have liver cirrhosis, biliary tract infections, or hereditary blood disorders—such as sickle cell anemia in which the liver makes too much bilirubin.

The mere presence of gallstones may cause more gallstones to develop. Other factors that contribute to the formation of gallstones, particularly cholesterol stones, include

Sex. Women are twice as likely as men to develop gallstones. Excess estrogen from pregnancy, hormone replacement therapy, and birth control pills appears to increase cholesterol levels in bile and decrease gallbladder movement, which can lead to gallstones.
Family history. Gallstones often run in families, pointing to a possible genetic link.

Weight. A large clinical study showed that being even moderately overweight increases the risk for developing gallstones. The most likely reason is that the amount of bile salts in bile is reduced, resulting in more cholesterol. Increased cholesterol reduces gallbladder emptying. Obesity is a major risk factor for gallstones, especially in women.

Diet. Diets high in fat and cholesterol and low in fiber increase the risk of gallstones due to increased cholesterol in the bile and reduced gallbladder emptying.
Rapid weight loss. As the body metabolizes fat during prolonged fasting and rapid weight loss—such as “crash diets”—the liver secretes extra cholesterol into bile, which can cause gallstones. In addition, the gallbladder does not empty properly.

Age. People older than age 60 are more likely to develop gallstones than younger people. As people age, the body tends to secrete more cholesterol into bile.
Ethnicity. American indians have a genetic predisposition to secrete high levels of cholesterol in bile. In fact, they have the highest rate of gallstones in the united states. The majority of american indian men have gallstones by age 60. Among the pima indians of arizona, 70 percent of women have gallstones by age 30. Mexican american men and women of all ages also have high rates of gallstones.

Cholesterol-lowering drugs. Drugs that lower cholesterol levels in the blood actually increase the amount of cholesterol secreted into bile. In turn, the risk of gallstones increases.
Diabetes. People with diabetes generally have high levels of fatty acids called triglycerides. These fatty acids may increase the risk of gallstones.

Symptoms of gallstones:

As gallstones move into the bile ducts and create blockage, pressure increases in the gallbladder and one or more symptoms may occur. Symptoms of blocked bile ducts are often called a gallbladder “attack” because they occur suddenly. Gallbladder attacks often follow fatty meals, and they may occur during the night. A typical attack can cause
Steady pain in the right upper abdomen that increases rapidly and lasts from 30 minutes to several hours

Pain in the back between the shoulder blades

Pain under the right shoulder

Notify your doctor if you think you have experienced a gallbladder attack. Although these attacks often pass as gallstones move, your gallbladder can become infected and rupture if a blockage remains.

People with any of the following symptoms should see a doctor immediately:

Prolonged pain—more than 5 hours
Nausea and vomiting
Fever—even low-grade—or chills
Yellowish color of the skin or whites of the eyes
Clay-colored stools
Many people with gallstones have no symptoms; these gallstones are called “silent stones.” they do not interfere with gallbladder, liver, or pancreas function and do not need treatment.

Homeopathic treatment

Berberis vulgaris:
This homeopathic remedy may be indicated when the individual experiences stitching pains radiating from the area of the gallbladder in the upper right quadrant of the abdomen to the stomach, shoulder and even into the kidneys, according to the university of michigan health system. Sharp pains may be felt in the low back and standing makes them worse.

Lycopodium
Lycopodium may be indicated when the pains start in the right side of the abdomen and move to the left side, according to the" synoptic materia medica" the pains may be accompanied by loud belching, gas, rumbling in the stomach and abdomen, nausea and vomiting. Additional indications for taking this remedy are the desire for very warm food and drinks, which make the pains feel better during eating and drinking; or from waking in the nighttime with burning pains in the chest extending to the throat.

Colocynthis
Colocynthis is indicated in cases of gallstone colic when there is a great deal of cramping in the abdomen, which is made better by firm pressure or when the person bends forward, according to Dr. William boericke in the" materia medica and repertory" other indications pointing to this remedy are when the gallstone colic onset occurs during or after the person has been very angry

Calcarea carbonica: 

When a person needing this remedy has gallbladder problems, the abdomen may feel swollen on the right and be very sensitive to pressure, with cutting pains that extend to the chest and are worse from stooping, the person feels worse from standing, worse from exertion, and better from lying on the painful side. Calcarea carbonica is often indicated for people who tire easily, feel cold and sluggish with clammy hands and feet, crave sweets, and tend to feel anxious and overwhelmed when ill.

Chelidonium majus: 
This remedy is often indicated when pain extends to the back, right shoulder, and shoulder-blade. The abdomen is distended, with a constricting feeling as if a string were pulled across it. Pain is worse from motion, and lying on the left with the legs drawn up may help. The person may feel nauseous, especially after eating fat or drinking something cold (warm drinks stay down more easily). The person may feel tired, worse from being cold, and worse in the early morning.

Dioscorea 
This remedy is indicated when abdominal pain from gallstones is relieved by bending backward, and is worse when the person is bending forward or lying flat. Standing up and moving around in open air can also bring improvement. Pains can spread to the back, chest, and arms, or may shift around. The person tends to feel worse in the evening and at night, and also when lying down.

Nux vomica: 

Constricting pains that travel upward, stitching pains, and a swollen feeling in the upper right part of the abdomen suggest a need for this remedy. Digestive cramps and nausea, along with a general feeling of chilliness, are likely. The person may crave fats, strong spicy foods, alcohol, coffee and other stimulants, and feel worse from having them. Irritability and impatience are usually pronounced when this remedy is needed.
Podophyllum:

This remedy is sometimes indicated in liver and gallbladder problems when soreness is felt in the upper right part of the abdomen along with a feeling of weakness, sinking, or emptiness. Heat may also be felt in the area. Constipation with clay-colored stools that are dry and hard to pass may alternate with watery diarrhea. 

Best General Surgeons in Gurgaon

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

A general surgeon has special expertise in abdomen problems and general anatomy. Best General Surgeons in Gurgaon are specialised in treating trauma surgeries and surgeries related to organs,  gallbladder, colon, appendix bones. Below is the list of best general surgeons in Gurgaon:

1. Dr. Ashish Pitale

MBBS, MS - General Surgery

Consultation fees: ₹500 - 900

Dr Ashish Pitale is a Senior Consultant Surgeon with 27 years of experience. He specializes in Laparoscopic Surgery and has also done a fellowship in Bariatric surgery. He is trained from UK for higher surgical training where he got hands on experience in Gastrointestinal, Laparoscopic, Thyroid and Breast surgery. He currently practices at Columbia Asia Hospital, Gurgaon and his own clinic in Dwarka, Delhi. In his vast experience he has traveled several complicated cases. 

2. Dr. Vaibhav Kapoor

MBBS, MS - General Surgery, FIAGES

Consultation fees: ₹700

Dr. Vaibhav Kapoor has over 10 years of experience in the field of laparoscopic and laser Surgeon. He is also a certified in Laser Proctology and Varicose Veins Surgery. He is known for use of latest technology to treat his patients and is holistic in his approach. He currently practices at Pristyn Care Laser Clinic. His areas of expertise are laser treatment of piles, fistula, fissure, varicose vein treatment. 

3. Dr. Gaurav Bansal

MBBS, MS-General Surgery , FMAS, FIAGES

Consultation fees: ₹500 - 700

Dr. Gaurav Bansal is amongst the best Laparoscopic and General Surgeon in Gurgaon. He is associated with many hospitals like Primus Hospital- Delhi, C K BIRLA , Artemis Hospital, W Pratiksha and Greenwoods Health Centre. His special interest are doing laparoscopic surgeries related to Gallbladder, Hernia, Piles surgery, Fistula, Fissure, Hydrocoele, Gastro Intestinal Surgery , all minor surgeries and Breast surgery. 

4. Dr. Rusy Bhalla

MBBS, MS - General Surgery

Consultation fees: ₹1200 

Dr. Rusy Bhalla is a well known General Surgeon who is practicing from 28 years in these fields. He is currently associated with W Pratiksha Hospital, Gugaon. During his career he has earned various fellowships at national and international level. He is also a member of various medical associations. His area of specialisation are Fistula Treatment, Colorectal Surgery, Thyroid Swelling, G.I. Surgery and Cancer Surgery etc.

5. Dr. Vikrant Sharma

MS - General Surgery, MD - Physician, FNB In Minimal Access Surgery

Consultation fees: ₹300 

Dr. Vikrant Sharma is a well known laparoscopic surgeon and is currently director of advanced laparoscopic surgery centre at Meenakshi Hospital, Kaushambi. He has Done Fellowship In Bariatric Surgery from Mohak Bariatrics and robotics, Indore which is amongst the most reputed center for obesity surgery. He has also specializes in all kind of minimal access procedures like Bariatric surgeries, Colorectal, Gynecological and Gynae-oncosurgeries. 

6. Dr. Avaneesh Hasiza

MBBS, DNB - General Surgery, MS - General Surgery

Consultation fees: ₹500 

Dr Avaneesh Hasiza is amongst the reputed laparoscopic surgeon in Gurgaon. He has more than 15 years of experience and has conducted several hundred surgeries. His area of intrest are removal of gallbladder stone,all types of hernia, abdominal tumours and obstruction surgeries. He is known for the use of the most advanced and best techniques called MIPH or Stapler Piles Surgery for treating appendix and piles surgery. 

7. Dr. Rajiv Parakh

FRCS, M.B.B.S., MS (Surgery)

Consultation fees: ₹1200

Dr. Rajiv Parakh is a General Surgeon who has 36 years of experience. He has been awarded several awards and has been honoured by several institutes like Sushil Malik Oration - Indian Medical Association, SDB Prof. Hari Vaishnava Oration By Delhi Medical Association, Sushil Malik Oration by Indian Medical Association. He is the founder member of Vascular Society of India, Endovascular Intervention Society of India and is a Life Member of the Society of Vascular Surgery. He was elected as Secretary of the International Society for Vascular Surgery, New York, USA in 2007. He currently practices at Medenta hospital. His areas of specialization are Carotid Surgery, Endovascular Surgery, Below the Knee Angioplasty and Vascular Trauma.

8. Dr. A.K. Kriplani

MBBS, MS - General Surgery

Consultation fees: ₹1000

Dr. A.K. Kriplani has 41 years of experience and has held some very reputed positions like President and trustee of the Indian Association of Gastrointestinal Endosurgeons. He is recipient of more than 20 Awards, honours and orations. He is also the first surgeon in India to perform advance surgeries like laparoscopic adrenalectomy, laparoscopic splenectomy and laparoscopic whipple's pancreaticoduodenectomy. He has trained hundreds of surgeons in laparoscopic surgery from India and across different countries.

Bile Duct Blockage - What Can Possibly Lead To It?

Dr. Kunal Das 90% (11 ratings)
DM - Gastroenterology, MD - Internal Medicine, MBBS Bachelor of Medicine & Bachelor of Surgery
Gastroenterologist, Noida
Bile Duct Blockage -  What Can Possibly Lead To It?

Any kind of injury on the surface of the skin is immediately noticed by us, but when something happens to one of our internal organs, it can take a little longer to get to your notice for example, an obstruction in the bile duct. The bile duct is a tubular structure responsible for carrying bile from the liver and gall bladder through the pancreas to the small intestine. This bile helps the digestion process and the absorption of fat. An obstruction in the bile duct can be triggered by a number of factors. 

Causes are: 

  1. Gallstones leading to CBD stones 
  2. Inflammation of the bile ducts 
  3. Cysts 
  4. Traumatic accidents 
  5. Bile duct or pancreatic tumors 
  6. Hepatitis infections 
  7. Cirrhosis or severe liver damage 
  8. Abnormal narrowing of the bile duct 
  9. Chronic Pancreatitis

This can affect anyone, but the people who have a history of gall stones or tumors in the abdomen are at a higher risk of suffering from bile duct obstruction. Chronic pancreatitis, sudden weight loss or obesity can also increase this risk. The symptoms of biliary obstruction include light coloured stool, dark urine, pain in the upper right abdomen, nausea, vomiting and fever. Your doctor will also probably need an X-ray of the bile ducts, blood tests, a hepatobiliary iminodiacetic acid scan and ultrasonograph to confirm a diagnosis before they can start treating you for the same.

If not treated in time, bile duct blockages can lead to a dangerous buildup of bilirubin in the body and trigger a number of life threatening diseases. Treatment for biliary obstruction can be through medication or surgery with surgery being the more preferred mode of treatment. It is aimed at resolving the underlying cause of the obstruction and alleviating the blockage. Treatment for biliary obstruction can be two common forms of treatment include a cholecystectomy and ERCP. The former involves the removal of the gall bladder and is suited to obstructions caused by gallstones. The latter is a procedure to remove small stones from the bile duct or place a stent inside the duct.

There are many ways bile duct obstruction can be prevented which first and foremost includes following a healthy lifestyle. If you are overweight, exercise for at least half an hour a day to regulate your weight and reach a healthy BMI. Decrease your intake of sugar and saturated fats as both these can cause gall stones. Also, increase the amount of fibre in your diet. All the above mentioned tips will certainly help you in preventing bile duct obstruction.

How And Why Are Gallstones Formed?

Dr. Shriniwas Deshpande 92% (942 ratings)
MS - General Surgery
General Surgeon, Pune
How And Why Are Gallstones Formed?

How and why are gallstones formed?

The bile in your body contains enough chemicals to dissolve cholesterol excreted by your liver. In case your liver starts excreting more cholesterol than your bile has the capability to dissolve, the excess cholesterol crystallizes and forms stones. Bile may become concentrated if the gallbladder doesn't empty in the time leading to the formation of gallstones. A number of factors can increase the risks of formation of gallstones like:

  •  High cholesterol
  •  Being obese/overweight
  •  Being an American Indian or Mexican American
  •  Being female
  •  Falling in the age group of 60 or above
  •  A family history of gallstones
  •  Rapid weight loss
  •  Diabetes
  •  Consumption of cholesterol-lowering medications
  •  When should you consider undergoing surgery?

In some cases gallstones that are detected during ct scan or ultrasound (without any symptoms) don't require surgery. If you do not feel aggravating pain in your upper right abdomen or other signs and symptoms, then one can postpone the surgical process according to the need. In few instances, it has been seen that small and solitary gallstones can be dissolved with oral medication like ursodiol and chenodiol. However, you need to opt for surgery to remove the gallbladder necessarily in the following cases-

  •  Sudden inflammation or infection in the gallbladder
  •  If you experience recurring instances of intense pain due to the gallstones
  •  Certain growths known as polyps develop in your gallbladder which is larger than 1 cm in size and begin to give rise to numerous symptoms.
  •  If you have pancreatitis, which is a condition involving inflammation of pancreas due to gallstones
  •  If the wall of your gallbladder gets calcified
  •  Your immune system is damaged
  •  You are experiencing symptoms and your gallbladder has ceased to function

Stones - Myths And Facts!

Dr. Rahul Poddar 90% (706 ratings)
MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship In Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Stones - Myths And Facts!

When the doctor informs you that you have stones in your kidney or gall bladder, the typical reaction it evokes is panic. Though you have been suffering from excruciating and unbearable pain for a long time, the idea of having stones inside your body is not exactly a happy feeling.Stones are small crystallized formations which mainly occur in the kidney, along the urinary tract in the urethra, bladder and urethra OR IN GALL BLADDER

The common causes of stones in the body are-

1. Drinking less water

2. High cholesterol levels in your liver

3. Over concentration of bile in the gallbladder About 30% of the world’s population suffers from kidney stones and about 10% have stones in their gall bladder.

Myths vs Facts

1. Drinking cranberry juice will help eliminate kidney stones: Doctors say that though cranberry juice helps cure urinary tract infections, it will certainly make the condition of kidney stones worse. Cranberry is high in oxalate and stimulates growth of further stones. The correct #treatment is drinking six to eight glasses of water every day to increase urine flow for the stones to pass out from your system. Also drinking citrus juice everyday can prevent stone formation.

2. Prolonged immobility increases the risk of stone formations: THIS IS TRUE AS the more physically active you are, the lower your chances are of having stones. One should always engage in moderate physical activity and keep in mind to replace the fluid loss that happens through sweating by drinking water and juices.

3. Calcium intake aggravates the problem of RENAL stones: A commonly believed rumor, that stone formation in the body and high levels of calcium in the body is inter-related. This is mostly because, most of the stones that are removed from the body and analyzed contain 75% calcium. However, this is not the reality. Drinking a glass of milk or yogurt with food intakes rich with magnesium helps bind the oxalate in the digestive tract and prevents stone formation. Lower levels of oxalate increase the risk of stone formation.

4. Apple cider vinegar helps you dissolve bladder stones: It is a high source of calcium, potassium, malic and acetic acid but it does not control the pH level of the body. Rather it causes an imbalance in the acid formation in the body. A common misconception is that most people who have gallstones suffer from acidity. However, this is not true. Gallstones occur when you don’t eat properly OR high fat containing diet. Over 95% people who have stones in the gall bladder have a minimum of 2 hour gap between the time they wake up and breakfast. Over 40% people with gallstones skip breakfast and over 60% eat a very late dinner. As this routine continues until the next day, the body starts releasing acids in your stomach, causing headaches.

5. Stone formation is entirely hereditary: This myth has propagated from the false notion that the probability of developing stones inside the body is hereditary. Stones formation in the bladder and the kidney is largely based on dietary and lifestyle habits of an individual. This myth makes people more ignorant about this disease and it has also compounded the fact that those with family history of stones have a 2.5% more risk.

6. Medicines can break or dissolve the renal stones: there is no medicine which can break or dissolve the renal stones. Medicines only help in flushing the stone out from the system. 

7. Misconceptions about certain foods as cause of stone formation. Balanced diet is more important in preventing stone formation than avoidance of any particular food item.Plenty of oral fluids, help in diluting and washing away of early stone formations, resulting in prevention of stone

 

4 people found this helpful

Can Homeopathy Treat Gallbladder Stone?

Dr. M. K. Gupta 89% (961 ratings)
BHMS
Homeopath, Lucknow
Can Homeopathy Treat Gallbladder Stone?

Homeopathy can very well dissolve gall stones of small and medium sizes, and relieve the gall bladder and body permanently from the pain, suffering and complications coming from gall stones. One of the benefits of homeopathic treatment for gall stones is that your gall bladder does not need removal, and being an important organ for producing digestive enzymes, it is better to keep it in your body. The other benefit is that you get a side effect-free treatment, which is completely efficient and practical, and costs really low compared to other modes of treatments and surgeries.

But before one goes for a homeopathic treatment, a complete evaluation of the patient’s case history must be done so that the right medicine can be given as per the case, history, severity etc. Here is a quick look at the commonly used homeopathic medicines, which doctors, depending on your case history, may prescribe for your gall stone.

Homeopathic medicines used for treating gall stones

  1. Calcarea carbonica: If you have a family history of kidney and gall stones, are anxious and slow, overweight with high deposits of triglycerides and cholesterol, then you would be given this medicine.
  2. Chelidonium: If you get pain in any or both of the two patterns pain originating under your right shoulder blade and pain in the upper right abdomen, which spreads to the back, you will be prescribed this one.
  3. Lycopodium: This medicine is usually recommended in case you have a family history of stones in kidney and gall bladder, along with other complications like, chronic digestive disorders, high cholesterol, gastric problems, constipation, peptic ulcers, gas and bloating. The patient may usually get biliary colic pains late in the afternoon. He or she may also get irritated easily, and hate contradicting opinions.
  4. Natrum sulphuricum: The patient may have any or some of the problems like chronic diarrhea, gall stone pain, asthma, chronic obstructive pulmonary disease, depression, obesity and problem in joints. On top of that the patient may be too sensitive to changes in humidity and weather. In such a case, Natrum sulphuricum is given.
  5. Nux vomica: If a patient suffers from nausea, colic pains, spasmodic pains, heartburn and acidity, gas and bloating, and takes too much of rich and oily food and drinks, then this medicine is used to treat gall stones for him or her.

As you can see, there is a remedy for all types of patients. Hence in case of small to medium sized gall stones, you can always retain the gall bladder, avoid surgeries, and keep patience with systematic homeopathic treatment from an expert doctor. You will get positive results soon.

5 Myths About Gallstone Disease!

Dr. Harsh Garg 87% (14 ratings)
MBBS, Ms - General Surgery, DNB - General Surgery
General Surgeon, Panchkula
5 Myths About Gallstone Disease!

Top Myths About Gallstone Disease -

1. Excess fat in diet is a cause of gallstone.

Reality is that excess fat in diet may cause the gallbladder to contract and cause pain but it will not lead to the formation of gallstones.

2. Gallstones are mostly a hereditary problem.

It is generally a lifestyle disease and generally not a hereditary disease though occasionally seen in families but no hereditary linkage has been established.

3. After your gallbladder is removed, you need to avoid fatty food.

Patients don't become fat intolerant after gallbladder removal. There is no medical literature to suggest that post cholecystectomy patients become fat intolerant as the gallbladder only stores bile.

4. Gallbladder removal removes only stones.

Stones reflect malfunctioning of gallbladder, so removing only stones will result in recurrence of symptoms.

5. Gallstones can be treated by using waves.

ESWL has been used for treating kidney stones. However, usage of this method can result in recurrence of gallstones and had many complications so it was abandoned.



 

1834 people found this helpful

What Is Biliary Tract Disorder?

Dr. Ramakrishna Chanduri 88% (24 ratings)
BHMS
Homeopath, Hyderabad

What Is Biliary Tract Disorder?

Acute calculus cholecystitis is an inflammation of the gallbladder that develops in the setting of an obstructed cystic or bile duct. It usually develops after 5 hours of biliary-type pain. The initial inflammation is caused by chemical irritation, and bacterial infection probably is a secondary event.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
K83: other diseases of the biliary tract:
cholangitis (including ascending cholangitis and primary sclerosing cholangitis)
obstruction, perforation, fistula of biliary tract
spasm of sphincter of Oddi
biliary cyst
biliary atresis

Symptoms of possible biliary disease:

Although symptoms may differ among bile duct disorders, symptoms common to many of the disorders include:

Jaundice (yellowing of the skin and whites of the eyes)
Abdominal pain, especially in the upper right side of the abdomen under the rib cage
Nausea or vomiting
Loss of appetite, which may result in weight loss
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
**Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

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