HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Remedy For Cholelthiasis And Fever

default
Posted on Mon, 10 Nov 2014
Question: My 62 year old mother has recently being diagnosed with sepsis. She was in hospital and now taking antibiotic (pills). She has a history of other ailments like diabetes, arthritis, hypertension. Also has cholelthiasis from last four years. Doctors are suggesting operation.
Q1: Is it an emergency situation (cholelthiasis)?
Q2: She has constant fever 99.2 and not eating properly.What can be the reason?
doctor
Answered by Dr. Ajit Naniksingh Kukreja (24 minutes later)
Brief Answer:
Cholelithiasis is not an emergency

Detailed Answer:
Hi

Thanks for writing in

The counts are 4800 and ploymorphs also 69, so I fail to understand where is the sepsis ?

Cholelithiasis is an emergency only if there is acute cholecystitis and/or obstructive jaundice

But in your mother's case I too would advice surgery, as the size of the calculus is small so the chances of it going in to common bile duct and causing obstructive jaundice are always there

Take a medical fitness and if there is no anesthesia risk get her operated with Laparoscope.

Hope this helps
Do write back in case of concern
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
default
Follow up: Dr. Ajit Naniksingh Kukreja (30 minutes later)
Her blood culture report shows gram+ bacteria and also suggested antibiotics.
Q1.I want to know why she is having fever (98.9 - 99.4)?
Q2.Why she is not eating properly (feeling of nausea) Is it because of sepsis ?
Q3. Do you think we need to get her blood culture again?
how long it will take to get better?
doctor
Answered by Dr. Ajit Naniksingh Kukreja (4 hours later)
Brief Answer:
Needs antibiotics for 2 weeks

Detailed Answer:
Hi

Thanks for the information, Was blood culture advised because of her temperature ?

If yes and it is positive the fever is because of sepsis

It will take two weeks for the antibiotics to resolve it and if need be a maintenance dose also after that

Nausea can be because of cholelithiasis, Sepsis and even the medications

If the fever is not controlled you might need to go for a repeat culture

Hope this helps
Wishing your mother in law a healthy life ahead
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastrointestinal Surgeon

Practicing since :1984

Answered : 925 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Remedy For Cholelthiasis And Fever

Brief Answer: Cholelithiasis is not an emergency Detailed Answer: Hi Thanks for writing in The counts are 4800 and ploymorphs also 69, so I fail to understand where is the sepsis ? Cholelithiasis is an emergency only if there is acute cholecystitis and/or obstructive jaundice But in your mother's case I too would advice surgery, as the size of the calculus is small so the chances of it going in to common bile duct and causing obstructive jaundice are always there Take a medical fitness and if there is no anesthesia risk get her operated with Laparoscope. Hope this helps Do write back in case of concern