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Cure for gall bladder stone in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User :   Hi, may
User :   hello dr
User :   I need to consult regarding a sickle cell child
Doctor :   This Is Dr XXXXXXXX how may i help you today?
Doctor :   OK
User :   he has been getting frequent abdomenal pain like every 3 months
User :   we have done ultra sound for him lately and we found a stone in his gal bladder
Doctor :   OK
User :   I have done two tests. one says there is only one stone 7 mm
User :   the other says there are two stones 4mm each
Doctor :   May i know your age, sex, weight and height of the child concerned ?
User :   the recommendation from the local hospital here is to remove the gal bladder
User :   he is my son. 9 years old boy
User :   21 KG and approximtely 90 CM
Doctor :   so abdominal pain, and diagnosed as GB stones
User :   I am very hesitant to do the operation and looking for alterantives or at least a second opininon
Doctor :   And advised surgery.
User :   yes
Doctor :   ok
Doctor :   most of the patients with sickle cell ds, they have chances of having GB stones recurrnently
Doctor :   and since the child is having symptoms recurrently,
Doctor :   Surgery would be appropriate choice here.
User :   is there a risk of waiting until he is older and see if the pain goes away?
User :   he has not had the pain now for instance for the past 5 months
Doctor :   No, the chances of this is less.
Doctor :   recurrent hemolysis due to breakdown of blood cells
Doctor :   causes GB stones again and again
Doctor :   so the pain will come back again and again
User :   I see
User :   can we do a surgery to remove stones only and not the GB?
Doctor :   and as such, The GB has no major function in the body & the child can safely undergo the operation
Doctor :   Yes you can, but why retain the GB, when it is causing recurrent problems
Doctor :   Nowadays, surgery is laparascopic, andminimal pain is involved.
User :   just afraid of having side effects on not having a GB in the body
User :   ok
Doctor :   please note, the body can do without the GB & function normally as well
User :   ok I guess that does not leave us lots of a choice
Doctor :   have I answered your query?
User :   yes doctor
User :   thank you very much
Doctor :   If you choose, you can have a personal appointment with a specialist
Doctor :   and then satisfy yourself,
User :   I have already done so locally
Doctor :   BUt as i said,there is nothing to worry about it
Doctor :   have they said, the same as i said?
User :   and wanted to see for international experience on this
User :   yes they have indeed
Doctor :   then i will advise you to go ahead with the surgery, and you will find that , your child will be asymptomatic
Doctor :   THANK YOU for consulting with me
Doctor :   bye for now
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