Suggest treatment for gallstone removal - Online Doctor Chats
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Hi Doctor, My brother has gallstones (5mm) and is under medication..he badly would like to avoid a surgery
when the liver function test was performed, it showed Bilrubin 25.8 umol/L, however the doctor said this is since he has got the gallstone
He is worried and wanted to know if it is Jaundice
Jaundice is a symptoms of a disease
not a disease itself
Does he have yellowish skin or eye discoloration?
However, he doesn't have any symptoms of Jaundice as such, like yellow skin/eye, vomiting
Ok, well then, not jaundice
Now, as far as avoiding surgery, it all depends
Then bile will flow normally
and hopefully the rowachol will work and dissolve the stone
if the stone (or stones) do end up blovking the outflow tract.. then surgery will be required
what should be diet he should follow while on medication? He is avoiding red meat and having vegetables
Unfortunately, there is very little we can do to predict the possibility. The bigger the stone.. the more likely it will block things
Diet.. good question
the stone size is 5mm, not sure if this is considered as big
More than anything, have him avoid fatty foods and foods with high levels of oil
5mm is not that bad
is it ok to have fish and poultry?
Fish and poultry are better than red meat.. but worse than a vegetarian diet in these cases
I guess, in moderation, it should be OK
Also, alot depends on how the meart is cooked..
fish may be very low in cholesterol.. but if you fry that fish in a ton of Ghee.. that is defeating the prupose
He will need a follow-up scan in a few months and he will need to watch for jaundice and abdominal pain
if these signs show up and persist, it may mean that the stone is blocking the outflow tract and surgery is required
There is one other intervention other than surgery that could possibly be tried
it is called an ERCP
He said he is a lot better now, but it appears some pain is there I guess during night
Endoscopic retrograde cholangiopancreatography
Basically an endoscope is used to enter the bile duct and place a ring and allow the stone to pass on its own
It works better on smaller stones, but when it works... its great because surgery was avoided
understood (and it sounds better)
So a good GI specialist can opine on whether he is a candidate for this.
The other thing to remember is that minimally invasive surgeries have come a long way and cholecystectomy (the surgery he wants to avoid) is a pretty safe thing nowadays
He would be in the hospital over the weekend at most
Though, if I were him, i'd want to avoid surgery too..
Do you have any more queries? Anything else I can help you with?
Great, thanks a lot for valuable answers. I appreciate your help
have a great day, I'll end the chat now
Thanks for visiting me here. Bye for now.
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