Attack of Gall Bladder Stone Pain What are Signs Symptoms Where is Pain What are reasons What to do
गॉल ब्लैडर स्टोन (पित्ते में पथरी) दर्द का अटैक लक्षण क्या हैं लक्षण दर्द कहां है कारण क्या हैं क्या करें?
STAR Hospital
Dr. Jasmeet Singh Ahluwalia
(MS, FNB-MAS, FBMS)
Super-Specialist Bariatric, Metabolic & Advanced Laparoscopic Surgeon
Star Hospital
265, Lajpat Nagar, Guru Nanak Mission Chowk,
Jalandhar, Punjab, 144001
Helpline: +91-9888958889
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Appointment: 0181-4674888
Gall Bladder Surgery (Cholecystectomy)
This surgery is performed to remove gall bladder. Gall Bladder is a small pear shaped organ which lies under liver in right upper part of your abdomen as shown in pictures above.
Its function is to store bile (digestive juice) secreted by liver in-between meals.
Common symptoms of Gall Bladder stones –
They may not cause any symptoms at all for many years.
Pain in the right upper abdomen (Can be in upper centre abdomen as well) when stone blocks gall bladder. Pain may be short lasting if stone dislodges quickly (called biliary colic) or may be long lasting when gall bladder becomes inflamed and may start to have infection inside it.
Nausea or vomiting may occur as well.
Loss of appetite or dyspepsia.
Jaundice can occur if stone slips into bile duct thereby blocking the flow of bile (liver juice).
Fever may occur if infection becomes severe.
But all these symptoms may not be present and others may be present. Hence examination by your doctor is very crucial to diagnose or rule-out gall stone pain.
It usually occurs in females of 20 to 40 but no age is immune and many males also have gall stones.
Causes-
There are many reasons for it and it is usually impossible to find out exact cause in most patients. Too much cholesterol, too much bilirubin, or not enough bile salts in bile can cause gall stones.
Gall Bladder Surgery (Jalandhar ) is required in following conditions –
Gall bladder containing stones which are causing symptoms (sometimes even without symptoms).
Gall bladder containing large polyps.
Inflammation of gall bladder.
If gall bladder stones have slipped to bile duct (choledocholithiasis).
If gall bladder stones have caused pancreatitis (inflammation of pancreas).
Complications from Gall Stones –
Cholecystitis – Inflammation of gall bladder.
Mucocoele of gall bladder – Gall bladder is filled with clear fluid.
Empyema of gall bladder – Gall bladder is filled with pus.
Gangrene of gall bladder – Gall bladder becomes blackish due to cut-off of its blood supply.
Perforation of gall bladder – Gall bladder ruptures due to gangrene.
CBD stone – Stone from gall bladder can slip into common bile duct (choledocholithiasis).
Jaundice – Slipped stone into bile duct blocks bile coming from liver leading to jaundice. It usually requires a separate procedure (ERCP) to remove slipped stone and gall bladder surgery is done later.
Pancreatitis
Diagnosis –
Examination by doctor
Blood Tests – It may show signs of infection like high leukocyte count, alteration in liver tests etc.
Ultrasound of abdomen – Is very sensitive in picking up stones in gall bladder. It also shows complications arising out of gall stones like swelling of gall bladder wall, slippage of gall stones etc.
MRI (MRCP) – Sometimes required if ultrasound & blood tests create a doubt of complication.
CT scan – In case there is doubt of ultrasound that gall bladder may have a tumour.
Treatment –
Once the diagnosis of gall stones is confirmed and you have any symptom because of gall stones, surgery is generally recommended. Once gall bladder has been removed, you can not have same problem again as the organ will be removed during surgery.
Open Surgery – Involves about 5 to 7 cm incision in right upper abdomen to remove appendix.
Laparoscopic or Key Hole Surgery – Usually involves four very small cuts, one for camera and three for instruments used to perform the surgery. Size of the cuts vary from 0.5 cm to maximum of 1 cm. After few months, these cuts are hardly visible in most individuals. Usually two are of just 0.5 cm and two is of 1 cm. In mini-laparoscopic surgery, some cuts can be further reduced to 0.23 cm. In single incision surgery, this can be done through a single incision hidden in umbilicus.
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