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Suggest Treatment For Severe Pain In The Stomach

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Posted on Tue, 13 Sep 2016
Question: Hi Doctor,
I am attaching the reports of my mother.
on 11 August my mother had high pain on her stomach and belly area, we immediately visited hospital and admitted there, after all tests, report came which says, Gall stones, doctor says this time Gall balder is swelling with water in it ,and solution is to remove the Gall balder when swelling will not be there.
please check all report and suggest me , what is the solution for this alignment , or Removal of Gall balder is the only option?

Regards
XXXXX
doctor
Answered by Dr. Tayyab Malik (16 hours later)
Brief Answer:
kindly read detailed answer below

Detailed Answer:
hi.
thank you for posting query at HCM.

i thoroughly read your query, studied the attached reports and understood your concerns.

Gallstones are small stones that form inside the gallbladder.
Gallstones pain (Biliary colic) usually is usually experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.

1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied with fever.

2. Medical therapy is an option for gallstones , though a vast number of surgeons around the globe prefer removal of gall bladder- surgical intervention. Medical therapy includes intake of ursodeoxyholic acid ( UDCA) for a period of 12 to 24 months. UDCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller in size ( <1cm) and CT shows low density stone with less calcification.
weight reduction and low-fat diet is also a part of medical therapy.

3. Surgery lasts for less than one hour ( usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time.

I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. Patient maybe asked to cut fat completely from your diet ( or keep to minimum) after gall bladder surgery.

hope to answer your concern.
wish the patient good and sound health.

further questions are welcomed.

regards
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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Suggest Treatment For Severe Pain In The Stomach

Brief Answer: kindly read detailed answer below Detailed Answer: hi. thank you for posting query at HCM. i thoroughly read your query, studied the attached reports and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is usually experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides. 1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied with fever. 2. Medical therapy is an option for gallstones , though a vast number of surgeons around the globe prefer removal of gall bladder- surgical intervention. Medical therapy includes intake of ursodeoxyholic acid ( UDCA) for a period of 12 to 24 months. UDCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller in size ( <1cm) and CT shows low density stone with less calcification. weight reduction and low-fat diet is also a part of medical therapy. 3. Surgery lasts for less than one hour ( usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. Patient maybe asked to cut fat completely from your diet ( or keep to minimum) after gall bladder surgery. hope to answer your concern. wish the patient good and sound health. further questions are welcomed. regards Dr Tayyab Malik