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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Ultrasound Showing Cholecystolithiasis. Distended Gall Bladder. No-surgical Treatment?

i had a full abdominal ultrasound and found out that i have cholecystolithiases, non obstructing at present. my gallbladder is physiologically distended. muliple calculi ranging from 0.7cm to 2.3cm. i still dont have an attack but i often experienced stomach bloating and gas. what is the best medication for now aside from surgery?
Fri, 21 Dec 2012
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Gastroenterologist,  's  Response
Hello, tylimq,
The findings on your ultrasound shows that you have many stones
from small to fairly large size. Gallbladder distension can mean some
degree of inflammation. Eventhough you say that you have not had
an acute attack , it could be a disaster waiting to happen.
Problem is, one of the small stones can get stuck in the bile duct ,
that is the channel that brings bile into the intestine. Then you can
have severe abdominal pain,fever,chills,yellow jaundice and hospitalization.
This could result in complications like rupture of the gallbladder and peritonitis.
If you had a large single stone, there were options to treat with laser or drugs.
In your case, best option is surgery.This can be done as same day surgery
through laparoscopic approach. Recovery is shorter and you will not have
a large incision. Stomach bloating and gas could be symptoms of gallstones.
Some times, you may have a hiatus hernia and GERD to explain this.
I wish you good luch and be well.
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General & Family Physician,  Dr. Das Arindam's  Response
Hello, welcome to HCM, I am Dr. Das.

Firstly, if you do not feel any pain, or other symptoms then you do not need any surgical resection.

But, you should be cautious. Take a bile acid and uduiliv like drug. It will prevent from aggravation.

Regards.
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Abdominal Ultrasound Showing Cholecystolithiasis. Distended Gall Bladder. No-surgical Treatment?

Hello, tylimq, The findings on your ultrasound shows that you have many stones from small to fairly large size. Gallbladder distension can mean some degree of inflammation. Eventhough you say that you have not had an acute attack , it could be a disaster waiting to happen. Problem is, one of the small stones can get stuck in the bile duct , that is the channel that brings bile into the intestine. Then you can have severe abdominal pain,fever,chills,yellow jaundice and hospitalization. This could result in complications like rupture of the gallbladder and peritonitis. If you had a large single stone, there were options to treat with laser or drugs. In your case, best option is surgery.This can be done as same day surgery through laparoscopic approach. Recovery is shorter and you will not have a large incision. Stomach bloating and gas could be symptoms of gallstones. Some times, you may have a hiatus hernia and GERD to explain this. I wish you good luch and be well.