Treatment FAQ

gallstones treatment when pregnant

by Prof. Shaun Parisian Sr. Published 2 years ago Updated 2 years ago
image

Gallstones are most commonly treated by cholecystectomy, which is the surgical removal of your gallbladder. Depending on your symptoms and risk factors, your doctor may choose to carefully monitor you during pregnancy or go ahead and remove your gallbladder while you are pregnant.May 17, 2018

Full Answer

Why do women get gallstones after pregnancy?

  • A high-cholesterol and high-fat diet
  • Maternal age (40 or more)
  • Being Native American or Hispanic
  • Obesity
  • A sedentary lifestyle
  • Insulin resistance
  • Losing weight very quickly
  • Having liver disease, diabetes, or certain blood disorders like sickle cell anemia or leukemia
  • A family history of gallstones

How can gallstones affect you and your pregnancy?

  • Steady, severe pain in the upper right portion of your abdomen, especially after eating a fatty meal
  • Pain in the upper abdomen that radiates into your right shoulder and back
  • Abdominal pain that lasts more than five hours
  • Nausea and vomiting
  • Fever or chills
  • Yellowing skin or whites of the eyes ( jaundice)
  • Stools that are clay colored

Can gallstones stop you getting pregnant?

Yes you can get pregnant even though you have gallstones. This is totally a totally different problem and it won't interfere with getting pregnant.

Are gallstones dangerous during pregnancy?

While gallstones won't hurt the fetus or complicate pregnancy, in some cases they may cause pain and discomfort for the mom, said Dr. Marcie Feinman, director of the surgical intensive care unit at Sinai Hospital. Sometimes the gall bladder has to be removed, she said. What are gallstones and why are pregnant women at high risk for getting them?

image

What happens if you have gallstones while pregnant?

Most of the time, gallstones that form in pregnancy don't cause symptoms and go away on their own. But they can cause problems if they obstruct ducts in the gallbladder and prevent bile from exiting. This can lead to gallbladder pain, inflammation, and infection.

Can gallbladder be treated while pregnant?

Performing surgery during pregnancy isn't a preferred treatment, but it's possible a woman can safely have her gallbladder removed during pregnancy. Gallbladder removal is the second most common nonobstetrical surgery during pregnancy. The most common is appendix removal.

Can you get gallstones removed while pregnant?

For now, operative guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons recommend laparoscopic cholecystectomy for all pregnant women with symptomatic gallstones and state that the procedure is safe for both the mother and the fetus.

How can I dissolve gallstones naturally during pregnancy?

Treating GallstonesMore fiber: Eat plenty of fiber-rich foods, such as fruits, vegetables, and whole grains.Good fats: Avoid saturated fats, such as those found in animal products (like meat and whole milk) and focus on omega-3 fatty acids and unsaturated fats.More items...•

When should you go to the ER for gallbladder pain?

The most common gallstone symptom is severe abdominal pain in the upper right area of the stomach, which can spread to the shoulder or upper back. You may also vomit and feel nauseous. Seek emergency medical care if these symptoms last more than two hours or you have a fever.

What is the fastest way to relieve gallbladder pain?

Heated compress For gallbladder health, a heated compress can calm spasms and relieve pressure from bile buildup. To relieve gallbladder pain, wet a towel with warm water and apply it to the affected area for 10 to 15 minutes. You can also use a heating pad or hot water bottle for the same effect.

How common is gallbladder surgery during pregnancy?

Despite national guidelines, only 38.2% of women had surgery to remove their gallbladders at the time they presented with cholecystitis during pregnancy.

Is laparoscopy safe in pregnancy?

Laparoscopy during pregnancy is no more dangerous to either the mother or the fetus than laparotomy is, and may be safer. Pregnancy should no longer be considered a contraindication to laparoscopic surgery. Nonobstetrical surgical problems complicate up to 2% to 3% of pregnancies.

What should I avoid eating with gallstones?

Foods to avoid if you have been diagnosed with gallstones include fatty foods such as:Fried foods (fried chicken, French fries, potato chips)High fat dairy products (milk, butter, cheese, ice cream)Fatty meats (beef, pork)Processed meats (bacon, ham, sausage)Alcohol.More items...•

Can you get rid of gallstones without surgery?

Stones in the common bile duct can be removed without surgery by using a scope. Removal of the gallbladder requires surgery, which is typically done laparoscopically (a minimally invasive surgical procedure).

What's The Link Between Pregnancy and Gallstones?

Bile is a liquid produced by your liver that is primarily made of cholesterol, bilirubin, and bile salts. Your gallbladder stores bile until your b...

Symptoms of Gallstones During Pregnancy

Sometimes gallstones don't cause problems or symptoms, and they may go away on their own after you deliver your baby. But it’s important to tell yo...

Diagnosis and Treatment of Gallstones During Pregnancy

To confirm a diagnosis of gallstones, your doctor may perform an abdominal ultrasound, much like those you’ve probably already had to see your deve...

How to Prevent Gallstones During Pregnancy

Here's what you can do to help lower your risk of gallstones during pregnancy: 1. Gain a healthy amount of weight. Obesity is a major risk factor f...

How to treat gallstones while pregnant?

Gallstones are most commonly treated by cholecystectomy, which is the surgical removal of your gallbladder. Depending on your symptoms and risk factors, your doctor may choose to carefully monitor you during pregnancy or go ahead and remove your gallbladder while you are pregnant.

How to prevent gallstones during pregnancy?

Here's what you can do to help lower your risk of gallstones during pregnancy: Gain a healthy amount of weight. Obesity is a major risk factor for the development of gallstones in women. Pregnancy is not a time for weight-loss diets, but working with your doctor to avoid excess weight gain can help. Eat a high-fiber diet.

How do you know if you have gallstones?

Sometimes gallstones don't cause problems or symptoms, and they may go away on their own after you deliver your baby. But it’s important to tell your doctor if you’re having any of the following potential symptoms of gallbladder problems: 1 Steady, severe pain in the upper right portion of your abdomen, especially after eating a fatty meal 2 Pain in the upper abdomen that radiates into your right shoulder and back 3 Abdominal pain that lasts more than five hours 4 Nausea and vomiting 5 Fever or chills 6 Yellowing skin or whites of the eyes ( jaundice) 7 Stools that are clay colored

What fats are good for gallstones?

Choose the right fats. Monounsaturated fats and omega-3 fats help prevent gallstones, while foods high in saturated fat tend to promote their formation.

How do you know if you have gallbladder problems?

But it’s important to tell your doctor if you’re having any of the following potential symptoms of gallbladder problems: Steady, severe pain in the upper right portion of your abdomen, especially after eating a fatty meal. Pain in the upper abdomen that radiates into your right shoulder and back.

Can hormones cause gallstones?

Hormonal increases during pregnancy can put you at risk of gallstones. Thinkstock

Can you get a gallbladder X-ray while pregnant?

Make sure your doctor knows that you’re pregnant, since many diagnostic tests for gallstones, such as an oral cholecystogram ( X-ray of the gallbladder), computerized tomography (CT) scan, or nuclear scan may not be safe during pregnancy.

What percentage of pregnant women have gallstones?

The Journal of Midwifery & Women’s Health estimates anywhere from 3.5 to 10 percent of pregnant women can have asymptomatic gallstones. According to Alice K. Roberts, MD, OB/GYN physician at Abington – Jefferson Health, symptomatic gallstones affect less than one percent of pregnancies.

When can gallstones be removed?

Surgery for gallstones can be done laparoscopically, with timing during the second trimester or early in the third trimester. These times have shown the best outcomes in studies, as the first trimester has greater risk of miscarriage or birth defects from medications used during surgery and the third trimester can be difficult because of the enlargement of the uterus.

What is a gallstone?

A gallstone is a collection of extra cholesterol and bile acids that form a stone in the gallbladder. During pregnancy, the risk of developing gallstones or sludge in the gallbladder rises due to the increased production of estrogen, which can lead to higher levels of cholesterol.

Can gallstones go away during pregnancy?

Treatment for gallstones during pregnancy depend on the symptoms. Most times they will remain asymptomatic or they will go away on their own. If you are experiencing cholecystitis, or repeated episodes of biliary colic, it’s likely that your doctor will recommend surgery to remove the gallstones or the whole gallbladder.

Can gallbladder be removed during pregnancy?

Dr. Roberts says in many cases cholecystitis is an indication that the gallbladder should be removed. “It’s the second most common indication for non-pregnancy related surgery during pregnancy, behind appendix removal,” she says.

Does progesterone cause gallstones?

In addition, increased progesterone levels during pregnancy can slow down digestive system and gallbladder functions and increase reflux and constipation—which are also factors in gallstone formation.

Can gallstones cause pain?

If you are experiencing continued pain that you suspect may be attributed to gallstones, it’s important speak with your doctor as they can advise you on the best course of treatment according to your individual situation.

How to get rid of gallstones?

Avoid junk food, go easy on carbohydrates and fats, drink plenty of water, and get lots of exercises. These simple yet useful suggestions will go a long way in helping you with your gallstone problem if implemented diligently.

What to eat to help gallstones?

Also, eat a lot of apples, pears, grapefruit, cherries, and horseradish. All of these are natural good remedies for gallstones.

How to treat gallstones during pregnancy?

Go for Natural Therapy – one of the safest and most effective methods of treatment for gallstones especially during pregnancy. No drugs are necessary – only natural substances will be used while under this form of treatment.

How to get rid of gallstones in 3 days?

For a quick remedy, do the following 3-day process: Drink 4 glasses of apple juice per day for 2 days: On the second night, take a cup of equal volumes of dark olive oil and lemon juice – sip it till you complete it just before bedtime: On the third day, you will be free from gallstones.

Where do gallstones form?

Gallstones form in the gallbladder when the bile from the liver after processing in the gallbladder, remains there instead of moving into the bile duct and thence to the small intestine for digestion of fatty foods.

Can gallbladder stones be treated while pregnant?

Treating Gallbladder Stones during Pregnancy. You are pregnant and you have this terrible pain in your upper right abdomen; the area between your shoulder blades also aches badly and the nausea and vomiting that occurs after meals is giving you sleepless nights – this kind of tension you can ill-afford while pregnant – but if you visit your doctor, ...

Can gallstones cause swelling?

Some of these gallstones can be fairly large, about the size of a pebble – and if such large gallstones move into the bile duct along with the bile, there are chances of blockage and buildup of bile on one side of the blockage, causing swelling of the duct and inflammation of the gallbladder .

Why is cholecystectomy avoided?

Cholecystectomy in the pregnant patient has generally been avoided because of the reported high incidence of associated fetal loss. Recent developments relating to diagnostic and anaesthetic management have altered the overall approach to symptomatic biliary tract disease in pregnant patients.

Can gallstones be treated during pregnancy?

Management of gallstones in pregnancy. Surgery should be performed only for complicated non-resolving biliary tract disease during pregnancy as in over 90 per cent of patients the acute process will resolve with conservative management.

What is the first choice imaging modality for suspected biliary symptoms?

Regardless of pregnancy status, ultrasonography is the first-choice imaging modality for suspected biliary symptoms.

Can gallstones cause abdominal pain during pregnancy?

Symptomatic gallstone disease presents similarly in pregnant and nonpregnant women, typically with biliary colic—postprandial epigastric or right upper quadrant pain. Pregnancy-associated conditions should first be excluded, because they remain the most common source of abdominal pain during pregnancy.

Can a pregnant woman have gallstones?

Pregnant women with symptomatic gallstone disease should be admitted for observation, and surgical consultation should be obtained. Conservative management can initially be attempted for uncomplicated gallstone disease (ie, biliary colic) with bowel rest, intravenous hydration, and pain control.

Is gallstone anesthetic teratogenic?

No currently used anesthetic agent has been shown to have teratogenic outcomes when used at standard concentrations at any gestational age. In summary, in pregnant women with symptomatic gallstone disease, progression to complicated gallstone disease is the greatest determinant of adverse maternal and fetal outcomes.

Why are women more likely to have gallstones than men?

Women are more likely than men to have gallstones. Pregnant women are at an especially high risk because their bodies are making more estrogen. Added estrogen in the body can lead to an increased amount of cholesterol in the bile, while also reducing gallbladder contractions.

How to stop gallbladder itch?

Applying cold compresses could also help to reduce itching. Note that some treatments you might normally use for skin itching, like an antihistamine or hydrocortisone cream, won’t help gallbladder-related skin itching. They could also harm your baby. During pregnancy, it’s best to avoid them.

What does it mean when your gallbladder is slowing down?

Doctors call the slowing of gallbladder contractions during pregnancy cholestasis of pregnancy. This means bile doesn’t escape the gallbladder as easily . Cholestasis of pregnancy is associated with increased risk for pregnancy complications. Examples of these complications include:

What is the best medicine for cholestasis?

A doctor can prescribe a medication called ursodeoxycholic acid (INN, BAN, AAN) or ursodiol (Actigall, Urso) to women with severe itching related to cholestasis of pregnancy. At home, you can soak in lukewarm water (extremely hot water can be harmful to your baby) to reduce skin itching.

What is the second most common nonobstetrical surgery during pregnancy?

Gallbladder removal is the second most common nonobstetrical surgery during pregnancy. The most common is appendix removal.

Why does my skin turn yellow during pregnancy?

These include: intense itching (most common symptom) jaundice, where a person’s skin and eyes take on a yellow tint because there’s too much bilirubin (a waste product of breaking down red blood cells) in a person’s blood. urine that’s darker than usual.

How long do gallstones last?

Gallstones can cause the following symptoms. These attacks often occur after a high-fat meal and last about an hour:

How to remove gallstones from a pregnant woman?

Gallstones that block the common bile duct between the gallbladder and the small intestine, a condition called choledocholithiasis, can be removed successfully in pregnant women using endoscopic retrograde cholangiopancreatography -- ERCP. The procedure involves advancing a thin, flexible tube through the mouth into the opening of the common bile duct. Dye is injected through a catheter in the tube, and a small video camera on the end of the tube allows visualization of the stones. The stones can then be removed through the tube. Since small amounts of radiation could affect the fetus, the woman's abdomen should be shielded during the procedure.

How to remove gallbladder in pregnancy?

Removing the gallbladder resolves the woman's symptoms and prevents future episodes of gallbladder attacks. Laparoscopic cholecystectomy, a minimally invasive procedure that uses special instruments to remove the gallbladder through tiny incisions in the abdomen, is safe for pregnant women in any trimester, according to guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons -- SAGES. However, the Society for Surgery of the Alimentary Tract advises that it may be necessary to use the open cholecystectomy approach -- surgery through a wide abdominal incision -- if the procedure is performed in the third trimester to avoid damaging the uterus, as well as to make it easier to remove the gallbladder.

How many people have gallbladder disease?

Gallbladder disease affects approximately 10 to 15 percent of all adults in the United States at some point during their lifetime. The risk of gallbladder disease is higher in pregnant women, due to changes in hormones. In fact, gallstones have been found in 5 to 12 percent of pregnant women, and the risk appears to increase along with the number of pregnancies. Management of gallbladder issues depends on the severity of symptoms, the effect on the fetus and the likelihood of complications.

Can gallbladder problems be treated?

Many gallbladder problems, however, don't require treatment unless symptoms occur. On the other hand, an acutely ill pregnant woman with biliary colic may need hospitalization to manage her pain and prevent dehydration with intravenous fluid replacement. If the woman has signs of infection, including a low-grade fever, antibiotics may be needed as well. Cholestasis of pregnancy, a condition that causes severe itching due to a slow-down of the flow of bile, is uncomfortable for the mother, but could be life threatening to the unborn baby, so treatment includes administering medication to stop the itching as well as close monitoring of the fetus until delivery.

What is the best test for gallstones?

Abdominal ultrasound. This test is the one most commonly used to look for signs of gallstones. Abdominal ultrasound involves moving a device (transducer) back and forth across your stomach area. The transducer sends signals to a computer, which creates images that show the structures in your abdomen. Endoscopic ultrasound (EUS).

What are the complications of gallstones?

Blood tests. Blood tests may reveal infection, jaundice, pancreatitis or other complications caused by gallstones.

How does a gallstone endoscope work?

The dye enters the ducts through a small hollow tube (catheter) passed through the endoscope. Tests and procedures used to diagnose gallstones and complications of gallstones include: Abdominal ultrasound.

How long does it take for gallstones to dissolve?

Medications you take by mouth may help dissolve gallstones. But it may take months or years of treatment to dissolve your gallstones in this way, and gallstones will likely form again if treatment is stopped. Sometimes medications don't work.

Can gallbladder be removed?

Surgery to remove the gallbladder (cholecystectomy). Your doctor may recommend surgery to remove your gallbladder, since gallstones frequently recur. Once your gallbladder is removed, bile flows directly from your liver into your small intestine, rather than being stored in your gallbladder.

Can gallstones cause pain in the upper right abdomen?

Your doctor may recommend that you be alert for symptoms of gallstone complications, such as intensifying pain in your upper right abdomen. If gallstone signs and symptoms occur in the future, you can have treatment.

Can gallstones be cured with medication?

Sometimes medications don't work. Medications for gallstones aren't commonly used and are reserved for people who can't undergo surgery.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9