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Guidance on treatment for gall bladder stones - 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 : 2008
Answered : 3394 Questions
User :   What is cholecystolithiasises?
Doctor :   Cholecystolithiasis in simple terms is referred to as gal bladder stones.
User :   good day doctor
User :   what may be complications of this if not treated?
Doctor :   Most ofter they are asymptomatic.
User :   can I type and give you my latest whole abdominal ultrasound so you can give me your opinion and advice
Doctor :   However they are known to cause pain, obstruction, jaundice , pancreatitis.
Doctor :   You may.
User :   the liver has a span of 17.2 cm at the mid clavicular line
Doctor :   Ok
User :   the gall bladder is normal in size and configuration. the wall is not thickened
User :   mobile and shadowing echoes are seen within it
User :   the biggest has a diameter of 1.37cm
Doctor :   Ok'
User :   pancreas is are normal in size
Doctor :   Ok
User :   the parenchyma is homogenous
User :   spleen measures 10.6x10.2x5.0cm.
Doctor :   Ok
User :   with an index of 540 (normal=480). the parenchyma is homogenous
User :   the lenght of the right ovary is 11.9cm.
Doctor :   Ok
User :   while the left has a lenght of 12.4cm
Doctor :   Ok
User :   a 1.2cm bright echo with shadowing os seen in the right lower pole
Doctor :   Ok
User :   no associated caliectasia or any other abnormality in the central echo complex
User :   the unirary bladder has a volume of 259cc.
User :   the volume after voiding is 8cc.
Doctor :   Ok
User :   Conclusion: cholecystolithiasis/es
User :   prominent spleen
User :   non-obstructing nephrolithiasis/es, right lower pole
User :   status post hysterectomy and left oophorectomy
Doctor :   May I know the reason why the scan was done and when was this done?
User :   march 22, 2010 because i have painful right abdominal pain under my ribs up to my back since last year
Doctor :   Ok.
User :   after my hysterectomy i was already complaining about my right lower abdominal and pelvic pain
User :   also in march 22, 2010 they also did a 2D TVS
Doctor :   According to the scan, the stones may be the cause for the pain.
User :   cervix with nabothian cyst
Doctor :   Your liver and spleen is slightly enlarged.
User :   right ovary tenderness was elicited in this region
Doctor :   It could have been due to the same problem or due to an another problem.
Doctor :   Have you followed?
User :   inferior to the right ovary is an elongated tubular structure, devoid of color flow on doppler
Doctor :   Ok
User :   yes but was is the main problem?
User :   what are the complications of these?
User :   what should be done
Doctor :   The cause for the pain as I had mentioned would be the stones.
Doctor :   It can be treated with pain killers and antibiotics.
User :   i have severe symptoms of so many things already
User :   antibiotics does not help
User :   i was hospitalized 5 times already because of very high fever but even they give me antibiotics my fever would not go down
Doctor :   If these conservative measures fail to give the desired result, the stones would have to be removed surgically, either through a open surgery or by an endoscopic measures.
Doctor :   If the infection is persisting inspite of the antibiotic therapy, then next possible treatment option would be surgical removal.
Doctor :   Infection is one among the complications that the gall stones may cause.
Doctor :   The other complications are as I had mentioned earlier.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any other query that I can assist you with?
User :   what kind of surgery should be done?
User :   with my kidney it is also stones?
Doctor :   There shadows that are seen in the right pole may be a stone too,
Doctor :   However since you are asymptomatic that is not of concern.
User :   so the one thats causing my pain is the gallbladder stones?
Doctor :   The surgery would involve removal of stone endoscopically through an ERCP or through open surgical removal of gall bladder or endoscopic removal of gall bladder.
User :   last question in my pap smear it says severe inflammation with reparative changes. prior to that my first pap smear 3 months ago it says shift in vaginal flora suggestive of bacterial vaginosis
Doctor :   Since I have not examined you, my answer are based on the history that you have provided and by the reports and accordinly, yes, the cause for the pain is the gall bladder stones.
Doctor :   The pap smear finding is suggestive probably the changes secondary to an infection.
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