HomeAnswersMedical GastroenterologycholelithiasisDoes it mandatory to get immediate surgery for gallstones?

If gallbladder stones are not removed shortly, will it turn cancerous?

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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. Ajeet Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At June 11, 2020
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

My friend is having a gall bladder stone. We consulted few doctors, some are saying the immediate operation is needed otherwise it will be cancerous and some are saying no immediate action is required. She is having pain in her right side of the upper abdomen and also in the middle. I am attaching her ultrasound report. Please tell me about her condition. During this pandemic, we are not able to go outside and consult the doctor.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

I can understand your concern about symptoms complex and ultrasound findings and whether surgery is the answer to your problem.

Well, first of all, I want to clear that you do not have stones in the gallbladder. They are concretions. It is a medical term and they are called microlithiasis (gall bladder stones less than 3 mm in size). So the possibility of developing cholecystitis (gall bladder inflammation) is very low. However, this microlithiasis can cause pancreatitis (inflammation of the pancreas which is a gland sitting over the back of the abdomen).

Thirdly, the pain can be secondary to the functional gall bladder problem, where the gall bladder is naturally slow resulting in damping of bile (yellow secretion produced by the liver and stored within gallbladder) and production of small concretions such as in y our case.

So I would ask you to get a few blood tests to confirm whether you have pain due to pancreatitis. I also want that you should discuss to me in more detail about your pain, as only proper history can give me a clue towards your problem whether gall bladder inflammation, pancreatitis, or functional gall bladder disorder even before any further testing.

Since the ultrasound findings and your symptoms are not correlated very well, there is no point in discussing the role of surgery. But I just want to assure you that you probably need no surgery, so do not worry about it.

I suggest you some tests, please get it done, then I would recommend you some lifestyle changes and a medical treatment that can help you resolve your minor stones within the gallbladder.

I hope this helps.

The Probable causes

Pancreatitis. Cholecystitis. Peptic ulcer disease. Functional gallbladder disorder (gallbladder dyskinesia).

Investigations to be done

Complete blood count. Serum amylase and lipase. Liver function tests. TSH (thyroid-stimulating hormone).

Treatment plan

Start capsule Esomeprazole 40 mg half an hour before meals once daily for now.

Regarding follow up

Follow up after investigation.

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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