Flower

It's a stony feeling

by S Sharma | 04 OCT 2017

7
 Image used for representational purpose only
Stones in the gallbladder is a very common complaint in India. It is a major disease affecting people where the hospital based reports state its prevalence to be between 11.4 per cent to 40 per cent in southern and northen states of India.
 
 
 Dr Srivenu, senior consultant gastrentologist, Cygnus Institute Of Gastroenterology talks about gallstones, symptoms, risks and lifestyle changes to prevent this disease. 
 
The gallbladder is an organ that stores bile produced by the liver and aids in digesting and absorbing fats. Gallstones and other related diseases occur when bile concentrates and thickens in the gallbladder. This often causes inflammation, infection, and obstruction of bile flow, leading to pain and discomfort.
 
 
CAUSES OF GALL STONES:  
 
Risk factors/predisposing factors
 
  More common in females who are otherwise obese.
 
 With  overall female to male ratio of 2: 1 ( for all  age groups)
 
 Two times more common in females.
 
 Diets with high calorie - that is western diet with high cholesterol, total calories, saturated fats refined carbohydrates, proteins and salts as well as low fiber diet.
 
  More number of Pregnancies. Especially in young females.
 
 Rapid weight loss –by any obese individual.
 
 Prolonged usage of oral contraceptive pills and hormone replacement therapy in premenopausal women. (Estrogen –an important risk factor of cholesterol gall stones.)
 
 Patients with hemolytic anemia’s.
 
PROTECTIVE FACTOR
 
Satins eg.:  Atorvastatin & Rosuvastatin (lipid-lowering  agents)
 
DIETARY SUPPLEMENTS AGAINST GALLSTONES:
 
Drugs 
 
 Diets rich in vitamin –c & 2to3 cups of coffee. Are protective against development of Gallstones.
 
 
SYMPTOMS OF GALL STONE DISEASE:
 
 Upper  abdominal  pain- either in  central  part)  Right side  of  abdomen-lasting for  15-30min. occurs radiating back.
 
 Severe prolonged- pain - in case of acute cholecystitus / pancreatitis.
 
 Pain  abdomen  with fever  & Jaundice  in case  of  stone  in Bile duct  with infection  (choledocholithiasas with  chrolangitis)
 
 Nausea & vomiting.
 
DIET CHANGES TO PREVENT GALL STONES:
 
 Avoid- fast foods/ bakery items like pizzas/ burgers-reduce high carbohydrates & high fat content food intake
 
 
GALL  STONES   FOUND  ON  ULTRA SOUND ABDOMEN-  WHAT  NEXT
 
 Do not panic consult Gastroenterologist.
 
 No intervention for  asymptomatic  gall stone disease
 
 Once patient develops symptoms better to go for laparoscopic cholecystectomy.
 
 
 In high risk patients with severe Cardiac/ Lung diseases/ other life threatening conditions.
 
 Treatment with Ursodeoxy cholic acid (UDCA) 10-15mg/kg body weight may be tried.
 
POST LAP. CHOLECYSTECTOMY:  
 
 Continue dietary changes advised.
 
 Regular  exercise
 
 Weight reduction.
 
For  Appointments : Dr.Srivenu, MD - General Medicine, DM - Gastroenterology, Fellowship in ERCP, Cygnus Institute Of Gastroenterology, Hyderabad. 

 Disclaimer: Welthi.com does not guarantee any specific results as a result of the procedures mentioned here, and the results may vary from person to person. Read more

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