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Sharp pain in stomach, vomitting. Enlarged liver, gall bladder well distended, shows calculi in lumen. Treatment?

Hi doctor, My mother has a liver infection problem, sometimes she fell sharp pain in stomach and also do vomit sometimes. Recently i got ultrasound report of her,there mention Liver Enlarged in size 16.2cm and shows homogenously increased echogenicity of its parenchyma. Intra hepatic bilary and portal radicals are nomal. Intrahepatic veins are normal. portal. Gall Bladder Well distended and shows few calculi in lumen. Will you please suggest me what i have to do. which treatment i have to give her.
Asked On : Sun, 27 Jan 2013
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Gastroenterologist, Surgical 's  Response
Mr Soni,
Pain, Vomiting (liver infection details -not provided)
ultrasound - gallstones, liver enlarged (no other reports)
next steps: 1. endoscopy on empty stomach to rule out ulcer as cause for pain.
2. Liver function tests-to look for jaundice
3. If all above tests are normal
- may require removal of gallbladder & stones (laparoscopic surgery)
4. Use pain killers & antacids till you consult your G I surgeon
- for further assesment & surgery.
Answered: Mon, 28 Jan 2013
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