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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes shrinking of gallbladder?

my ultrasound came back negative for stones in the gallbladder. however, the gallbaldder is smaller than it was a month ago during my first ultrasound. i also have two polyps about 5 mm and 6mm respectively. what could be making my gallbaldder smaller and should i get it removed b/c of the polyps?
Tue, 25 Apr 2017
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Question is related to
Diseases and Conditions
Lab Tests
General Surgeon 's  Response
Hi and welcome to HCM..
I thank you for posting your query here and I'm definitely going to help you out..

I being a surgeon, we encounter so many such cases day in and day out..
I read your question completely and have understood it well enough.

I will analyze all your points and provide necessary explanation..

1. You say your report came back negative for stones!
Meaning, you had stones??
As far as my experience of 12 years goes, gall bladder stones once they come, they stay.
Unlike Renal stones, they do not pass down the tract.
So, either..
A. The 1st report is wrong
B. You need re scan..
All this is in case you have had earlier scan which said gall bladder stones.

2. Gall bladder shrunken has no clinical significance..
Some Radiologists report this. But as a surgeon, there's nothing to worry for this finding.
As long as gall bladder functions, we don't have an issue out of this..

So chill, do not worry..

3. Polyps of 6 and 5 mm should not bother you again.
Generally, in size more than 1 cm or some say 2 cm and associated problems like
A. Diabetes, Uncontrolled
B. Along with stones which is symptomatic like pain
C. Episodes of infection like cholecystitis
These need surgery..

If you are fine without fever episodes, jaundice and pain then do not worry..
We can follow up with regular scans, may be once or twice a year..

Hope this helps you, in case you need any further assistance, please let me know..
Take care and God bless.
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