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Gallstones Health Feed

My gall bladder operation done in 2013 my microsurgery. Since 2015 often had vomiting with in 2-3 months. But now usg, endoscopy normal, then my doctor suggested ct scan, my report cbd dilated, cbd measurement 15 mm. And have calculus/stone. My doctor suggested for ercp. My questions have any medicine instead of surgery ercp those clear the stone? At the situation ercp is must required or not? If I change my life style, heavy water, timely food habits, exercise etc with medicine it clear properly? Please suggest me with proper guidance.

My gall bladder operation done in 2013 my microsurgery. Since 2015 often had vomiting with in 2-3 months. But now usg...
When the bladder does not empty completely, you become at risk for developing urinary tract infections. Other serious problems can also develop over time, including bladder stones, blood in the urine, incontinence, and acute urinary retention. You should discuss it in detail to get right diagnosis and treatment.
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My wife has stone in gall bladder and I need to operate it but my daughter is 2 year 3 month old. Doctor advice my for the laparoscopy and I am not clear about it. Can you tell that what would be better laparoscopy or operation? Also the winter time is better for this?

My wife has stone in gall bladder and I need to operate it but my daughter is 2 year 3 month old. Doctor advice my fo...
Laparoscopy is also operation. Laparoscopy is a way of doing surgery using small incisions (cuts). It is different from “open” surgery where the incision on the skin can be several inches long. Laparoscopy is better than open operation.
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I just had a hida scan today for my gallbladder and the Dr. said that everything came back normal. I checked the ejection fraction rate and it’s at 83%. Is that normal? And what would the next step be?

I just had a hida scan today for my gallbladder and the Dr. said that everything came back normal. I checked the ejec...
Hi, Lybrate user, you need further medical assistance if required after hida scane inorder to monitor condition of liver and gall ladder, if needed as per the report. Tk, care.
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क्या पित्त की थैली की पथरी (gall bladder stones) का इलाज operation है । medicine से इलाज हो सकता please advise me can understand our doctor doesn't know hindi every time my question is reject.

क्या पित्त की थैली की पथरी (gall bladder stones) का इलाज operation है ।
medicine से इलाज हो सकता please advise me can...
There is no way to expel gall bladder stones (unlike case of kidney stones). So gall stones if they r not creating problem, let them be there. But do follow annual checkups. But if they r causing problem, its better to remove them.
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Hi my name is vinay singh I have a 12 mm stone in my gallbladder. Some times I get pain in my back, can I remove gallstone without surgery. I have a reports if you want I can send you.

Hi my name is vinay singh I have a 12 mm stone in my gallbladder. Some times I get pain in my back, can I remove gall...
sootshekhar ras 1 tablet twice a day pittari avleh 10 gm twice a day relief in 2-3 days and for complete cure take it for 60 days only
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Hello there I am shubhanshu agarwal and I have gall bladder stone. I am treating it from last 4-5 months. But it's still increasing and now in today's ultrasonography it is found that there is a sludge. My personal doctor is saying that it is positive but when treatment started its size was 17 mm and now its size is 20 mm. I am very concerned what should I do? I want to skip operation. Please suggests me criticalness of my case. Thanks.

Hello there I am shubhanshu agarwal and I have gall bladder stone. I am treating it from last 4-5 months. But it's st...
There is no way to expel gall bladder stones (unlike case of kidney stones). So gall stones if they r not creating problem, let them be there. But do follow annual checkups. But if they r causing problem, its better to remove them.
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What causes gall stones and what are the best foods to pass the stones out of ones system.

What causes gall stones and what are the best foods to pass the stones out of ones system.
There is no way to expel gall bladder stones (unlike case of kidney stones). So gall stones if they r not creating problem, let them be there. But do follow annual checkups. But if they r causing problem, its better to remove them.
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Gall Stone Surgery - What Should You Know?

Gall Stone Surgery - What Should You Know?

What is gallstone surgery?

It is surgical removal of the gallstone from the gallbladder. It is also known as cholelithotomy.

What are the Statistics of the surgery?
Approximately 90% of patients who seek treatment undergo surgery to remove the stones and the gallbladder.

What is the role of gallstone surgery?
Gallstones which are asymptomatic generally don’t need surgical removal. Treatment depends on the size and location of the gallstones. Surgery to remove the entire gallbladder with all its stones is usually the best treatment, and it is done in patients who can tolerate the procedure.

What are the indications for gallstone surgery?
Indications for gallstone surgery are as follows:

  • Stone lodged in the pancreatic duct
  • If the stone is causing severe pain, vomiting
  • Chronically obliterated cystic duct due to gallstone
  • Nonfunctioning gallbladder due to obstruction
  • Calculi greater than 3 cm in diameter
  • Acute infection of gallbladder (acute cholecystitis) due to gallbladder obstruction
  • Chronic infection of gallbladder due to gallbladder obstruction

How is the surgery performed?
The following surgeries are done in patients who are found to have cholelithiasis and choledocholithiasis:

  1. Extracorporeal shock wave lithotripsy: A special machine which generates sound waves is used to break the stone. It is only done in the people who are having a small, and soft stone. This procedure doesn’t require any anesthesia, and repeated shock wave therapy is required for complete removal.
  2. Laparoscopic cholecystectomy: It is a procedure where a laparoscope (a small, thin tube) is put inside the body through a tiny incision made just below the umbilicus, and another probe is inserted to remove the stone.
  3. Open gallbladder surgery: It is done to remove the gallbladder when it is infected, or inflamed, or has large gallstones, or when complications are found during laparoscopic surgery.
  4. Percutaneous cholecystostomy guided by computed tomography (CT), or ultrasonography (USG) to remove the gallbladder.
    • Contact dissolution of gallstone can be done where direct catheter of a chemical solvent is introduced by the percutaneous way. It is best for cholesterol stone and, is best at removing any size of the stone.
    • Endoscopic retrograde cholangiopancreatoscopy (ERCP) is used to remove the stones which are in bile duct through the mouth, throat, esophagus, stomach, duodenum, and biliary system without any surgical incisions.

What are the complications of surgery?
Following are the most common complications of surgery:

  • Bile leakage leading to biliary peritonitis
  • Infection of gallbladder due to improper aseptic precautions
  • Abscess formation around the gallbladder, or over adjacent structures
  • Death due to rapidly spreading peritonitis causing septicemia
  • • Raised liver enzymes, jaundice, and severe pain
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Pain After Surgery - How To Subdue It?

Pain After Surgery - How To Subdue It?

The word 'surgery' is often dreaded by patients. Be it an invasive surgery or a keyhole gallbladder surgery, it does not evoke a ready "yes" in most patients. There are too many patients who are ready to be on long-term medications if they could avoid the surgery and its complications. While there could be a scar. The one feared by most is the postoperative pain. After the effect of the anesthetic wears off patients fear pain and discomfort. The trick is to prepare oneself - not just for the surgery but for the after effects.

Before the surgery, a detailed discussion with the surgeon on the following issues may be helpless:

  • Type and severity of the pain and complete list of medications to reduce pain. 
  • Pain tolerance/threshold - Letting your doctor know your tolerance levels can help him prescribe an appropriate pain killer.

After the surgery, the following are some ways to cope with the pain:

  1. Pain killers - Don't wait for the anesthesia effect to completely wear out. Take the pain killer much before the pain starts so that the onset of pain is delayed or nullified. For severe cases, opioids may be used to manage immediate postoperative pain. However, in most cases, non-steroidal anti-inflammatory drugs like ibuprofen are used. They may also be used for a few days after surgery to reduce the pain and inflammation, depending on the type of surgery.
  2. Topical injections - In cases involving skin incisions, these help reduce the pain in the skin along the incision. Epidural injections continuously help to reduce pain remarkably in abdominal & pelvic operations.
  3. Compression stockings - In addition to reducing blood clot, they also reduce pain in the legs.
  4. Physiotherapy - If there is a joint involved, doing physiotherapy after surgery is extremely beneficial. In addition to reducing pain, they also help improve mobility.
  5. Sleep - Sleeping pills, sedatives or sleep inducing drugs promote comfort and help to cope with pain.
  6. Reduce Stress - This will help you cope better with the pain and heal faster.

A given patient and a given surgery are a unique combination. No two patients will react the same way to a particular surgery. Postsurgical pain can be managed very effectively with a little planning.

Hello Dr. Is there treatment for gall stones in homeopathy recently it was described about gall stones when I have gone through a abdomen scan.

Hello Dr. Is there treatment for gall stones in homeopathy recently it was described about gall stones when I have go...
There is no way to expel gall bladder stones (unlike case of kidney stones). So gall stones if they r not creating problem, let them be there. But do follow annual checkups. But if they r causing problem, its better to remove them.
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