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Suggest Treatment For Severe Abdominal Pain When Diagnosed With Gall Stones

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Posted on Thu, 30 Jun 2016
Question: Hi, My Mother is about 60 years and having 85 kg weight. she reported severe abdomen pain few days back. Then now also, mild pain in abdomen continues. She is having:
Fatty Lever - Report attached
2 stones in Gallbladder 18mm each. - Report attached
She is having High BP also for last 6 months

What medicines should be given? Remove gallbladder immediately or wait. Is fatty liver curable?
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Acute Abdominal Pain with Gall stones /Gr II fatty live / Under Evaluation

Detailed Answer:
Brief Ans-Acute Abdominal Pain with Gall stones /Gr II fatty live / Under Evaluation
Mostly with obesity , NASH(Non-Alcoholic Steato-Hepatitis) with High Bp with Gall Stones


Hi,Dear !! Thanks for your query to HCM.
Read and reviewed your query in context to your health concerns.
Dear in view of the USG reports, following are My replies to your queries-
Q-1-What medicines should be given?
Ans-1-Dear-following medicines- could prevent surgery or could be used to prepare body-before surgery
a-Cholestyramines and statins-to reduce dyslipidemia
b- and Urso-deoxycholic acid to dissolve gall stones with cholesterols-fats.
Exercises/low fat diets would be giving added benefits.

Q-2-Remove gallbladder immediately or wait.
Ans-2-With the above medicines trial you can plan studied surgery/ or even could avoid surgery with diet restrictions and gyming.

Q-3- Is fatty liver curable?
Ans-3-Reversal of Gr-II diet is possible with meticulous
diet and lifestyle changes with statins and cholestyramine resin intake under expert cover.Degree of damage would decide the time period of its recovery and extent of recovery with preventive treatment suggested.
Fibroscan and Liver profile tests-would be needed to assess extent of corrective efforts and would assess the duration for such corrective efforts.

Next appointment- for follow up-
Keep Me updated after 4-6 weeks during which you can work up on lines suggested above or in case of emergency need.

Hope this would help you to plan for needful treatment on above suggested lines,with help of your attending doctors.

Dear, Hope this comprehensive and detailed reply would help you to resolve your health issues with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mukund Savaskar (19 hours later)
Dear Dr Savaskar,

Thanks a lot for your detailed reply and appreciate the same. You have suggested below medicines.
a-Cholestyramines and statins-to reduce dyslipidemiab- and Urso-deoxycholic acid to dissolve gall stones with cholesterols-fats.

Need to know
1. Company / manufacturer name and Potency of each medcine.
2. How much per day and what time, before meal / after meal ctc? and howmany days?
3. Any special advise regarding foods to be avoided which can interfere with these medicines.

Please advise, enable us to start medicines.

With Best Regards,

XXXXX
doctor
Answered by Dr. Mukund Savaskar (4 hours later)
Brief Answer:
Consider taking help from local doctors for the Execution of Advise ....

Detailed Answer:
Brief Ans-Consider taking help from local doctors for the Execution of Advise ....

....For Acute Abdominal Pain with Gall stones /Gr II fatty liver / Under Evaluation
Mostly with obesity , NASH(Non-Alcoholic Steato-Hepatitis) with High Bp with Gall Stones


Hi,Dear !! Thanks for your reposing confidence and appreciating My detailed reply.

Read and reviewed your query updates and its appreciation,in context to your health concerns.

Dear We are not supposed to give any prescriptions on this HCM platform,as you are supposed to get the execution of the suggestions given under care of your local doctors.

Dear in view of the complicated liver illness-and for her age,she would need close observation,for which one physical assessment would be needed at XXXXXXX

Dear this being a very complicated execution process,Prescriptions for execution are not supposed to be given on this platform,as execution requires expert care.

Before this drug execution, first you would have to assess the Degree of damage with Fibroscan and Liver profile tests,as its a complex and complicated process requiring monitoring and close follow ups during the treatment.
So before starting any execution you would need one physical assessment by planning visit at XXXXXXX



Next appointment- for follow up-
Keep Me updated after 4-6 weeks during which you can work up on lines suggested above there with local doctors,or could plan physical evaluation at XXXXXXX by prior appointment,if you insist My personal involvement.
My personal contact details are on HCM web profile, for your perusal, to confirm any private appointments.

Hope this would help you to plan for needful treatment on above suggested lines,with help of your attending doctors.

Dear, Hope this reply would help you to resolve your Mother's health issues with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Severe Abdominal Pain When Diagnosed With Gall Stones

Brief Answer: Acute Abdominal Pain with Gall stones /Gr II fatty live / Under Evaluation Detailed Answer: Brief Ans-Acute Abdominal Pain with Gall stones /Gr II fatty live / Under Evaluation Mostly with obesity , NASH(Non-Alcoholic Steato-Hepatitis) with High Bp with Gall Stones Hi,Dear !! Thanks for your query to HCM. Read and reviewed your query in context to your health concerns. Dear in view of the USG reports, following are My replies to your queries- Q-1-What medicines should be given? Ans-1-Dear-following medicines- could prevent surgery or could be used to prepare body-before surgery a-Cholestyramines and statins-to reduce dyslipidemia b- and Urso-deoxycholic acid to dissolve gall stones with cholesterols-fats. Exercises/low fat diets would be giving added benefits. Q-2-Remove gallbladder immediately or wait. Ans-2-With the above medicines trial you can plan studied surgery/ or even could avoid surgery with diet restrictions and gyming. Q-3- Is fatty liver curable? Ans-3-Reversal of Gr-II diet is possible with meticulous diet and lifestyle changes with statins and cholestyramine resin intake under expert cover.Degree of damage would decide the time period of its recovery and extent of recovery with preventive treatment suggested. Fibroscan and Liver profile tests-would be needed to assess extent of corrective efforts and would assess the duration for such corrective efforts. Next appointment- for follow up- Keep Me updated after 4-6 weeks during which you can work up on lines suggested above or in case of emergency need. Hope this would help you to plan for needful treatment on above suggested lines,with help of your attending doctors. Dear, Hope this comprehensive and detailed reply would help you to resolve your health issues with help of your doctors there. Welcome for any further query in this regard. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS