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Suggest Treatment For Abdominal Pain While Having Gall Bladder Stones
Question: This question is for my mother age is 60 Years. While having a routine sonography (Normal checkup) she got found of having gallstone (Gallbladder stone) 2 pieces of 2cm each. She was that time having no symptoms of any kind. Post that she got severe stomach pain but once in 4 month and only 2-3 pain attach in last 1.5 years. What is suggestion of yours. Do she required a surgery or continue having no treatment as pain attacks are very very few.
Brief Answer:
Go for surgery.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/60 (Mother) - GB stones on routine USG - had no symptoms - severe stomach pain as explained - wants opinion...
There are gall bladder stones, had pain in stomach and the patient is 60 years.
IF she has no associated medical problems like diabetes, hypertension or so, it is better to undergo surgery for the following reasons:
Stones in GB - can get complicated by infection anytime and then it becomes an emergency and more importantly complicated to operate also, with possibility of sequel.
History of pain attack itself is an indication for surgery.
So best to go for it when the conditions are favorable.
I hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Go for surgery.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/60 (Mother) - GB stones on routine USG - had no symptoms - severe stomach pain as explained - wants opinion...
There are gall bladder stones, had pain in stomach and the patient is 60 years.
IF she has no associated medical problems like diabetes, hypertension or so, it is better to undergo surgery for the following reasons:
Stones in GB - can get complicated by infection anytime and then it becomes an emergency and more importantly complicated to operate also, with possibility of sequel.
History of pain attack itself is an indication for surgery.
So best to go for it when the conditions are favorable.
I hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for prompt reply sir. I like to ask above that three query 1). is there any complications for removal of gall bladder at age of 60.
2) what is the best recommended technology you suggest for surgery .
3) What changes will be there post removal of gall bladder in terms of lifestyle , will she be able to digest food easily thereafter .
THANKS in advance doctor
2) what is the best recommended technology you suggest for surgery .
3) What changes will be there post removal of gall bladder in terms of lifestyle , will she be able to digest food easily thereafter .
THANKS in advance doctor
Brief Answer:
As discussed in details below.
Detailed Answer:
To answer your specific queries:
1). is there any complications for removal of gall bladder at age of 60.
> If the patient is medically fit and if you get operated by an experienced Laparoscopy Surgeon the chances of complications are almost nil.
Carries the book-risk of 0.5 to 2 % This rate is further reduced if you get operated from an experienced Surgeon.
2) what is the best recommended technology you suggest for surgery .
> Routine Laparoscopic Cholecystectomy is now a world standard.
3) What changes will be there post removal of gall bladder in terms of lifestyle , will she be able to digest food easily thereafter .
Practically speaking only problem comes with fatty, oily fried foods as now the bile is not going to be stored to be released on entry of food in duodenum.
Other small complications can be hernia at the port site, few patients have pain in the right shoulder area- this is a referred pain and why it occurs is not known.
Otherwise there are no changes in lifestyle; the patient walks on the same or the next day and can be discharged within a few days, goes home and is ambulant.
As discussed in details below.
Detailed Answer:
To answer your specific queries:
1). is there any complications for removal of gall bladder at age of 60.
> If the patient is medically fit and if you get operated by an experienced Laparoscopy Surgeon the chances of complications are almost nil.
Carries the book-risk of 0.5 to 2 % This rate is further reduced if you get operated from an experienced Surgeon.
2) what is the best recommended technology you suggest for surgery .
> Routine Laparoscopic Cholecystectomy is now a world standard.
3) What changes will be there post removal of gall bladder in terms of lifestyle , will she be able to digest food easily thereafter .
Practically speaking only problem comes with fatty, oily fried foods as now the bile is not going to be stored to be released on entry of food in duodenum.
Other small complications can be hernia at the port site, few patients have pain in the right shoulder area- this is a referred pain and why it occurs is not known.
Otherwise there are no changes in lifestyle; the patient walks on the same or the next day and can be discharged within a few days, goes home and is ambulant.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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