It's a stony feeling
by S Sharma | 04 OCT 2017
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.
Satins eg.: Atorvastatin & Rosuvastatin (lipid-lowering agents)
DIETARY SUPPLEMENTS AGAINST GALLSTONES:
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.
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