Q. What action needs to be taken for silent and non-movable gallstones?

Hello,

Welcome to icliniq.com.

I have gone through the reports (attachment removed to protect patient identity).

• The reports show chronic calculous cholecystitis. And as you do not have any symptoms like biliary colic or acute severe abdominal pain, it is asymptomatic chronic cholecystitis.

• Asymptomatic cholecystitis is managed expectantly, that is when symptoms or complications develop. The ultrasound shows no gallbladder wall thickening, edema, or distended gallbladder. Most commonly, stones are due to lithogenic bile or stasis of bile within the gallbladder.

1. What is your abdominal girth?
2. Do you have diabetes?
3. Are you on any medication?
4. Recent lipid profile result?

• I suggest you try using tablet Udiliv (Ursodeoxycholic acid) 300 mg twice daily. This decreases lithogenicity of the bile. Take less fatty meal.

• As a final note, chronic fibrotic and static gallbladder poses a minimal risk of adenocarcinoma.

• In your case, the wall and size of the gallbladder are not mentioned. Your common bile duct is also fine, and hence, surgery can be planned expectantly.

Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hi,

Welcome back to icliniq.com.

I have seen all your reports (attachment removed to protect patient identity).

• Your lipid profile is perfect, and your prescription is complete, so do continue your treatment.

• You may start tablet Udiliv 300 mg twice daily, after consulting your doctor.

• Get ultrasound abdomen done after three months of starting the medication. You need to continue the medication for three months, following the radiological dissolution of stones.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Geetha Priyadarsini Kamminana

Experience: 14 + Yrs

Internal Medicine

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