The presence of stones in the gallbladder is called cholelithiasis. Gallstones can exit the gallbladder obstructing the cystic, bile, or pancreatic duct. The symptoms include nausea, vomiting, dark urine, stomach pain, indigestion, and clay-colored stool.
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My 11-year-old son got acute periumbilical abdominal pain. Can he have gallstones?
Query: Hello doctor, My 11 year old son has acute periumbilical abdominal pain after waking up and vomited a couple of times. Before, he used to wake up with mild to moderate pain, but three days back he had severe pain. The pain got relieved half way to the ER, so we came back home. I noticed early the fo... Read Full »
Answer: Hi, Welcome to icliniq.com. The symptoms and the reports (attachment removed to protect patient identity) are pointing towards cholelithiasis. Also, this is more likely since you have mentioned in your history you have the same issue. Depending on the type of stones, the next step is either remova... Read Full »
Will surgery for gallstones relieve abdominal and back pain?
Query: Hi doctor, I am a 34 year old female, who weighs 213 pounds, and I am five feet nine inches tall. I have extreme pain in my upper abdomen and back. I also feel nauseous. I have a fatty liver and pancreas, and gallstones. Please help. I am attaching all my reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). With complaints of severe to moderate upper abdominal pain and vomiting and elevated liver enzyme levels, ultrasound findings of stones in the gallbladder, fatty changes in liver and... Read Full »
At 52, should I consider undergoing a hysterectomy?
Query: Hi doctor, I am a 52 year old female, who weighs 165 lbs and I am 5 feet tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots.... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often consid... Read Full »
Can gallbladder stones be dissolved without doing surgery?
Query: Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen, one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery? Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to say, but dissolving calculi of this size is impossible. Gallstones get dissolved spontaneously if the size is less than 5 mm. You should consult a surgical gastroenterologist. Till then, I suggest you try the following: Tablet Udiliv (Ursodeoxycholic acid) 30... Read Full »
I have 0.28 inches of gallstones. Do I need surgery?
Query: Hi doctor, I have a 0.28 inches gallstone as seen in my ultrasound. They gave me Ranitidine, and I tried apple cider vinegar with fresh apples. Do I need surgery? Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for sharing your concern. Well, medicines and lithotripsy can be tried. Well, medicines and for gallstones, but the definite treatment is surgery. Nowadays, the latest research advocates the removal of gallbladder for stones even if the patient has no symptoms. ... Read Full »
Kindly suggest a solution for gallstones.
Query: Hello doctor, Four days ago, I was admitted to the hospital with severe abdominal pain. I was given Oramorph, Codeine and Paracetamol. I was told that it was most likely a flare up of my gallbladder stones and that the pain would last for a maximum of 12 hours. I underwent an ultrasound scan the nex... Read Full »
Answer: Hi, Welcome to icliniq.com. The nature and characteristics of abdominal pain suggest that it might be related to gallstones. Generally, such severe abdominal pain occurs in gallstones. If a small stone migrates into bile duct from the gallbladder or if the gallstone gets stuck in the narr... Read Full »
What are the complications of leaving an asymptomatic gallstone untreated?
Query: Hi doctor, I am 35 years old with a weight of 101 lbs. I have a gallbladder stone of 18 mm and my common bile duct is 3 mm. This stone was 12 mm before seven years and it has grown up now. I do not have any severe pain and I have a positive murphy sign. My ultrasound shows on and off mild wall thic... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Stones presenting in the gall bladder causes pain. It is of moderate to severe intensity and it starts after taking meals. It remains for one to six hours and tends to recur again. The pain is located on the right subcoastal margin. When there... Read Full »
On considering my cardiac health, is it good to operate gallbladder stones?
Query: Hello doctor, I am a 60 year old female, who weighs 171 pounds. I have multiple stones in the gallbladder. And my vomits are greenish or yellowish in color. Once, I threw up brownish vomit, which my doctor said is blood, due to repeated vomiting. The gastric pipe gets torn and abraded a little, and ... Read Full »
Answer: Hi, Welcome to icliniq.com. The short answer, in my opinion, is yes, let them operate for gallbladder stones. Here is why. The surgeon's job was to see that the patient will be safe, so he asked for a cardiac assessment. Here dobutamine stress echocardiogram (DSE) was requested most likely as it mus... Read Full »
Is gallbladder removal necessary for gallstone problem?
Query: Hi doctor, I have aches on the right side of the upper and lower abdomen as well as in the back that is below my shoulder blade. These aches have got worse over time in the past seven months. My doctor informed me that I have gallstones and that is the cause of my aches and pains. He said that I sho... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed all the details you provided, including the attached images (which have been removed to protect patient identity). Based on the images, mild distension of the gallbladder can be observed, but the exact size of the gallstone is not clearly visible. To p... Read Full »
I have gallstone. Is it necessary to undergo cholecystectomy before planning pregnancy?
Query: Hello doctor, I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years w... Read Full »
Answer: Hello,Welcome to icliniq.com.I have gone through your case and reports (attachment removed to protect patient identity). This looks like a symptomatic uncomplicated gallbladder stones. Even though you say that the symptoms have not been typical of biliary colic but the repeated episodes of pain, nee... Read Full »
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