HomeAnswersInternal Medicinedistended gallbladderWhat to do for gallbladder extension in an 82-year-old woman?

Ultrasound report of an 82-year-old woman suggest gallbladder extension. What should be done?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Vivek Chail

Medically reviewed by

Dr. Vinodhini J.

Published At March 1, 2020
Reviewed AtMarch 3, 2020

Patient's Query

Hello doctor,

Patient is an 82-year-old female. Ultrasound report says sludge with the distended gall bladder. Ongoing medicines Pantodac, Ulyses 150. What to do?

Answered by Dr. Vivek Chail

Hi,

Welcome to icliniq.com.

I have read through your query in detail. Please find my observations below.

The gall bladder is a bag-like organ adjacent to the liver where bile gets collected. When we eat food at that time the bile is released from the gall bladder into the small intestine.

The patient has the formation of sludge within the gall bladder. This happens when the person does not have food on time and does regular fasting. It might also happen in those who take a lot of oily food. What happens is that the bile acids cannot get expelled because the person does not eat food regularly. If the bile stays in the gall bladder for longer periods then there is sedimentation and the bile solidifies into a semisolid consistency called gallbladder sludge. After a few weeks and if not treated then the sludge will transform into stone.

Pantodac is a medicine to reduce acid formation in the stomach and treat gastritis.

Ulyses 150 is ursodeoxycholic acid and is given to dissolve the gall bladder sludge and prevent stone formation. Please get liver function test repeated every two months if she is given this medicine for a longer duration.

Please continue giving the medicines as recommended by your doctor. Most important is to make her eat in small amounts of food at regular intervals. Since she is elderly therefore the food should be prepared with less oil and made easily digestible. Also, give her adequate amounts of water and fresh juices.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek Chail
Dr. Vivek Chail

General Practitioner

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