My CT scan reported multiple cysts in gallbladder. What is it?

Question

Hi doctor,

Suddenly, I had an intense stomach pain. As per recommendation, I had a CT scan and other tests were carried out. It reported small multiple calculi with biliary sludge in the gallbladder. Jaundice is also high. My stomach pain, headache, body pain and vomiting is happening regularly. I have all these for the last 20 days. Please suggest me what to do. As per my doctor I should not go for surgery till jaundice is completely nil.

Answer 1

Hello,

Hello, welcome to icliniq.com. I have gone through all the details you have posted. The problem you are suffering from is called acute calculous cholecystitis, where the gallbladder has stones and becomes inflamed along with hepatitis. As the stones are multiple, you may also suffer from pancreatitis, which should be checked by doing serum lipase level.

In acute calculous cholecystitis, when a patient presents early, surgery can be done to remove the gallbladder within three to five days of the onset of abdominal pain. Otherwise, it can be performed four to six weeks after everything has subsided, unless there are any complications. Initially, we keep such patients nil per oral until vomiting and abdominal pain subside. Then, we start oral liquids and a soft diet while monitoring liver function tests. Kindly upload your liver function test and the official ultrasound report for more information on this. You need to take antiemetics, antibiotics, and hepatoprotective agents like Ursodeoxycholic acid. Avoid oily foods and non-vegetarian foods, follow a bland diet, and have regular follow-up with liver function tests. Kindly provide further details and upload all the relevant reports, so that I can go through them in detail and assist you further with your problem.