Gall Bladder Stones

Causes—

Cholesterol Stones

  • Obesity(specially in women)
  • Pregnancy
  • Hormonal therapy,(specially estrogen)
  • Rapid loss of weight
  • High triglycerides(as in diabetes),bilirubin
  • Less bile salts
  • Crohn’s disease
  • Fasting
  • Anti-cholesterol drugs(increase cholesterol in bile)

Pigment Stones

  • Cirrhosis
  • Biliary tract infections(brown pigment stones)
  • Hereditary blood disorders (black pigment stones)
  • Residual bile in gall bladder(due to poor muscle tone)

Symptoms And Signs–

General 

  • Pain
    • Steady gripping or gnawing severe pain in the upper right abdomen near the rib cage, radiating to the upper back.
    • Changing position, taking over-the-counter pain relievers, and passing gas do not relieve the pain
    • Pain typically occur at the same time of day
  • Dark urine, lighter stools, or both
  • Fever, chills
  • Jaundice
  • Nausea or vomiting
  • Rapid heartbeat and abrupt blood pressure drop

Acute cholecystitis

  • Pain in the upper right abdomen is severe and constant
  • Pain last for days.
  • Pain frequently increases with inspiration
  • Pain may also radiate to the back or occur under the shoulder blades, behind the breast bone, or on the left side.
  • Fever and chills

Chronic Cholecystitis 

  • gas
  • nausea
  • abdominal discomfort after meals
  • Chronic diarrhea (4 – 10 bowel movements every day for at least 3 months).

Investigations—

  • Endoscopic ultrasonography (EUS)
  • Magnetic resonance cholangio-pancreatography (MRCP)
  • Cholescintigraphy (HIDA scan
  • Oral cholecystogram (OCG)
  • Intravenous cholangiogram (IVC)

Treatment-

  • Ayurvedic medicines relieves the pain and other symptoms in 1-2 days. It takes nearly 4-5 months to get rid of gall stones depending on the size, number and location of gall stones.
  • Surgical
  1.  Laparoscopic cholecystectomy.
  2. If gallstones are in the bile ducts, ERCP with endoscopic sphincterotomy is performed.

Complications–

  • Pancreatitis
  • Gangrene
  • Perforation of the gallbladder

Leave a Comment