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What Do My Lab Test Results Indicate?

Posted on Tue, 23 Aug 2016

Question: Gallbladder is distended and shows few calculi mesasures 5.6mm, gallbladder wall is echogenic and thickened upto 6mm.
Impression
Acute on chronic calculus cholecystitis. FAtty liver grade 1.

Answered by Dr. Hari Charan Perigela (34 minutes later)

Brief Answer:
I prefer medical management initially.

Detailed Answer:
Hi
In cases of Acute on chronic cholecystitis , I prefer medical management initially. I Start with Antibiotics like Cefuroxime 500mg twice daily, Anti inflammatory tablet twice daily for 7 to 10 days.If there is severe pain, I give Intravenous Antibiotic and pain killer injections.
Once the Acute attack subsides,I will do Surgery and remove Gallbladder (Cholecystectomy).It can be Laparoscopically.
Regarding fatty liver, you should avoid oily food.Liv52 tablet twice daily or Liv52 syrup will be helpful.
Please let me know the values of Liver function tests.
Nothing to worry.
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Hari Charan Perigela (2 days later)

LAB REPORT

Bilirubin conjugacted directed Serum: 0.5 mg/dl.

Protein Total Serum Plasma:8.1.

AST (SGOT) Serum: 62

ALT (SGPT)-Serum/Plasma: 123

Answered by Dr. Hari Charan Perigela (8 minutes later)

Brief Answer:
Liver function tests are not very abnormal.

Detailed Answer:
Hi
Except for mild increase in SGPT,other values are normal.
I still prefer Medical management initially.
Once the Acute inflammatory episode subsides,Gall bladder removal surgery can be planned.
Nothing to worry.
Regards

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Above answer was peer-reviewed by : Dr. Prasad