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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain in the stomach. Ultrasound showing gall bladder with bowel calculi. What are the measures for pain management?

I been having a lot of pain in my right upper side of my stomach and it goes to my back I hadan ultrasound done the findings were multiple gray-scale echo grams of the abdomen were obtain the gallbladder is visualized with numerous bowel calculi within the gallbladder the wall is 1.2 mm thick the common is 3.5. Numerous calculi mobile within the gallbladder. My pain doesn t go away what is the best thing to do for this problem
Mon, 27 Aug 2012
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Hi there.

Thanks for writing in.

You need to visit the surgeon who will advise you appropriately.If this is a mild case of uncomplicated calculous cholecystitis, treatment requires oral antibiotics ( eg. levofloxacin and metronidazole) and analgesics( oxycodone acetaminophen combination).

If severe abdominal pain, vomiting , fever you might have to get admitted and be given IV fluids etc.
The ultimate treatment of complicated cholecystitis is removal of the gall bladder(cholecystectomy)

You also need to get some blood tests done like complete blood picture and liver function test.

Regards,
Dr. Divya Kuttikrishnan

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