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Child has abdominal pain. USG shows stone in gall bladder. Treatment?

My son s age is 9 yrs 1 month and weight is 29 kgs. His height is 4ft and 6inches.Last 15 dec he had sever abdomen pain in the upper abdomen and treated by I V injections .After that he is fine but we went for a whole abdomen USG .The doctor said that he has Stone in his Gall Bladder .The report it is written for Gall Bladder That Wall thickness normal(3.0 mm).Lumen Contains multiple calculi. No pericholecystic oedema seen. Doctor is advising for operation. Now my question is can it be treated and cured with out operation and his activity will be as normal as before?
Asked On : Wed, 26 Dec 2012
Answers:  2 Views:  72
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Pediatrician 's  Response
Feb 2013
As there are multiple stones in the gall bladder sugery is option to remove the gall bladder and at the same time the causes of stone formation should be looked for like any hemolytic anemias. Multiple stones can not be treated witout operation and if you still think for medical management consult Pediatric gastroenterologist for further opinion.
Answered: Wed, 26 Dec 2012
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

As your son is very young, he will have to have this surgery sooner or later, however there is one more thing which should be explained before the surgery. As many people have gallstones and do not know about them, it is possible that your sons symptoms are not caused by gallstones. It is very common that gallstones symptoms are similar to peptic ulcer symptoms, that is why in some cases it is necessary to have upper GI endoscopy to rule it out.
Typical peptic ulcer pain appears after 1-2 hours of the meal, it is located in the upper middle abdomen and can cause nausea. Gallstones pain also appears after a meal (especially fatty foods), is located in the right upper abdomen and very often radiates to the back.
And there is no other way for gallstones than surgery.

Hope this will help.
Answered: Wed, 26 Dec 2012
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