Treatment FAQ

i have gallstones. what will the doctor do for treatment

by Geovanny Wisoky Published 2 years ago Updated 2 years ago
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Your doctor may refer to you a gastroenterologist or surgeon for treatment. The usual treatment for gallstones is surgery to remove the gallbladder. Doctors sometimes can use nonsurgical treatments to treat cholesterol stones, but pigment stones usually require surgery.

Symptoms

Processed foods such as tuna and salmon canned in oil, sausage, hot dogs, gravy and peanut butter can also cause or aggravate gallbladder pain. Instead, choose a diet of lean meat, cold water fish, and beans. Remove any excess fat from poultry, lean meat, pork, and lamb. Select tuna and salmon packed in water, and processed meats that are fat-free.

Causes

You can reduce your risk of developing gallstones by: Eating vegetable protein - for example, beans and pulses. Increasing fibre intake. Eating nuts. Increasing dietary calcium. Increasing vitamin C intake. Drinking coffee. Drinking a moderate amount of alcohol.

Prevention

  • Abdominal pain that lasts for hours and is so severe you can’t sit still
  • Jaundice (when your skin and the whites of your eyes take on a yellow tinge)
  • Fever
  • Chills
  • Pee that looks tea-like
  • Poop that is strangely light

Complications

You can reduce your risk of gallstones if you:

  • Don't skip meals. Try to stick to your usual mealtimes each day. ...
  • Lose weight slowly. If you need to lose weight, go slow. ...
  • Eat more high-fiber foods. Include more fiber-rich foods in your diet, such as fruits, vegetables and whole grains.
  • Maintain a healthy weight. Obesity and being overweight increase the risk of gallstones. ...

What kind of foods are good/bad for gallstones?

What's good to eat when you have gallstones?

How can you tell if you have gallstones?

What are gallstones and how to treat them?

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Does gallstones can be treated 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 happens if you are diagnosed with gallstones?

Gallstones often have no symptoms. But if a gallstone becomes trapped in an opening (duct) inside the gallbladder, it can trigger a sudden, intense pain in your tummy that usually lasts between 1 and 5 hours. This type of abdominal pain is known as biliary colic.

Does gallstones need to be removed immediately?

If your gallstones aren't causing symptoms, there's usually no need for you to have surgery. You'll only need it if a stone goes into, or blocks, one of your bile ducts. This causes what doctors call a “gallbladder attack.” It's an intense, knife-like pain in your belly that can last several hours.

What size of gallstone requires surgery?

Any stone more than 1.5CMS in size needs removal of gall bladder.

What happens if gallstones are left untreated?

If gallstones lodge in a bile duct and cause a blockage, it eventually results in severe life-threatening complications such as bile duct inflammation and infection, pancreatitis or cholecystitis (an inflammation of gallbladder). In addition, if left untreated, it might increase risk of “gallbladder cancer”.

When are gallstones an emergency?

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 happens if you wait too long for gallbladder surgery?

You may wonder how long can you put off gallbladder surgery. We don't want to scare you. However, if not managed in time, it can cause severe issues, like sepsis, jaundice, or cancer.

What are the warning signs of gallstones?

SymptomsSudden and rapidly intensifying pain in the upper right portion of your abdomen.Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone.Back pain between your shoulder blades.Pain in your right shoulder.Nausea or vomiting.

What is the best treatment for gallstones?

Gallstone Disease Treatment: Surgery. Cholecystectomy is surgery to remove your gallbladder. It is the only treatment option to cure symptomatic gallstones. Laparoscopic cholecystectomy is the most common procedure instead of a traditional, open procedure. During a laparoscopic cholecystectomy, your surgeon:

How to treat gallstones?

Gallstone Disease Treatment: Percutaneous Therapy. In certain high-risk patients, surgery may be too dangerous. A percutaneous (through the skin) treatment approach may be used. During this procedure, your doctor opens the gallbladder, dilates the tract and removes any gallstones using a device called a cholecystoscope.

What is the best treatment for gallbladder resection?

Usually, a cholecystectomy (removal of the gallbladder) is the best treatment. Choledocholithiasis: This occurs when gallstones become displaced to the common bile duct rather than to the gallbladder. Choledocholithiasis can cause life-threatening conditions.

What is the procedure to remove gallstones?

Endoscopic gallbladder stenting is another nonsurgical approach to treat gallstones. It is useful in treating high-risk patients who cannot undergo surgery, usually due to an illness. During this procedure, your doctor performs an ERCP and inserts a stent from the gallbladder to the duodenum. The stent relieves biliary symptoms and complications.

How long does it take for gallstones to dissolve?

Dissolve the stones. These medications are only useful in patients who have small, non-calcified cholesterol stones and whose gallbladder is functioning normally. Therapy takes at least six to 12 months. There is a chance that the gallstones will recur within five years.

What are the complications of gallbladder disease?

Certain complications may arise in patients with gallbladder disease. Your doctor will discuss with you the risks of complications. Acute cholecystitis: This is the most common complication, and it occurs when the gallstone becomes impacted in the cystic duct.

What is ESWL in a gallbladder?

Extracorporeal shock wave lithotripsy (ESWL) is a nonsurgical alternative to manage gallstones. You can receive this treatment as long as your gallbladder is functioning normally and your stones are small. You do not need anesthesia for ESWL, and the procedure may be performed as an outpatient.

What is the best treatment for gallstones?

Your doctor may refer to you a gastroenterologist or surgeon for treatment. The usual treatment for gallstones is surgery to remove the gallbladder. Doctors sometimes can use nonsurgical treatments to treat cholesterol stones, but pigment stones usually require surgery.

What is the procedure to remove the gallbladder?

Surgery. Surgery to remove the gallbladder, called cholecystectomy, is one of the most common operations performed on adults in the United States. The gallbladder is not an essential organ, which means you can live normally without a gallbladder. A health care professional will usually give you general anesthesia.

Where does bile go after gallbladder removal?

Once the surgeon removes your gallbladder, bile flows out of your liver through the hepatic duct and common bile duct and directly into the duodenum , instead of being stored in the gallbladder. Surgeons perform two types of cholecystectomy: Laparoscopic cholecystectomy.

How long do you have to stay in the hospital after cholecystectomy?

After the surgery, you may need to stay in the hospital for up to a week. You will probably be able to return to normal physical activity after about a month.

Can gallbladder surgery cause infection?

All surgeries come with a possible risk of complications; however, gallbladder surgery complications are very rare. The most common complication is injury to the bile ducts, which can cause infection.

Can gallstones return after surgery?

Doctors use nonsurgical treatments for gallstones only in special situations, like if you have cholesterol stones and you have a serious medical condition that prevents surgery. Even with treatment, gallstones can return. Therefore, you may have to be regularly treated for gallstones for a very long time, or even for the rest of your life.

How long does it take for gallstones to go away?

Even when gallstone symptoms go away on their own, they return within two years in about two of three people. Most people whose gallstones cause symptoms will continue to have symptoms until the gallbladder is removed, although medications or procedures to break up the stones may also be used.

How do you know if you have gallstones?

Eighty percent of people with gallstones do not have any symptoms and do not need treatment. When gallstones do cause symptoms, they include: 1 abdominal pain, usually high in the abdomen and often on the right side (where the gallbladder is located). The pain can spread to the back. Pain from gallstones can be steady or come and go. It can last between 15 minutes and several hours each time it occurs. 2 sensitivity to high fat meals. Fats trigger the gallbladder to contract and can worsen pain. 3 unexplained belching, gas, nausea, or a general decrease in appetite.

Why does my gallbladder hurt after eating?

It can be very painful if the gallbladder squeezes against a gallstone, or if a gallstone blocks bile from being released into the intestines.

How long does gallstone pain last?

Pain from gallstones can be steady or come and go. It can last between 15 minutes and several hours each time it occurs. sensitivity to high fat meals. Fats trigger the gallbladder to contract and can worsen pain. unexplained belching, gas, nausea, or a general decrease in appetite.

What is the procedure to remove gallbladder?

Removing the gallbladder is usually done with a minimally invasive ("keyhole) operation known as laparoscopic cholecystectomy.

What is the camera called for gallbladder surgery?

A camera, called a laparoscope, is placed into the abdomen through one of these openings. It lets the surgeon see what he or she is doing during the operation. Using small instruments inserted into the abdomen through other small openings, the surgeon removes fluid and stones from the gallbladder to deflate it.

How many women have gallstones?

About 1 in 5 women and 1 in 10 men have a gallstone by age 60. They are more likely to happen to older people, those who are overweight, and those who suddenly lose weight. Women who have had multiple pregnancies, taken birth control pills, or took estrogen after menopause are also more likely to develop gallstones.

What is the best treatment for gallstones?

When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options: Watchful waiting, nonsurgical therapy, and surgical removal of the gallbladder.

What is the best treatment for gallbladder problems?

Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones.

How long does it take for gallstones to go away?

The drug Actigall ( ursodiol) is taken as a tablet; depending on its size, the gallstone may take months or even years to go away. Because some stones are calcified, this treatment often doesn't work. Another nonsurgical technique, shock wave therapy, uses high-frequency sound waves to fragment the stones.

What happens when you remove the gallbladder?

When the gallbladder has been removed, bile flows directly from the liver into the small intestine, and this sometimes leads to diarrhea. Because bile no longer accumulates in the gallbladder, quantities of the digestive fluid cannot be stored up and used to break down an especially fatty meal.

What is a CT scan of the gallbladder?

CT scans are also sometimes done to look at the anatomy of your internal organs. A more complicated test may be used if the doctor suspects that a gallstone is lodged in a bile duct.

Can gallstones be dissolved?

Note that though these methods may destroy symptom-causing gallstones, they can do nothing to prevent others from forming, and recurrence is common. Some gallstones can be dissolved through the use of a bile salt, although the procedure can be used only with stones formed from cholesterol and not from bile pigments.

Can gallstones reoccur?

Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence. In some cases, the stone dissolves or becomes dislodged and thereby resumes its "silence." Because the problem may solve itself without intervention, many doctors take a wait-and-see approach following the initial episode.

Describe Your Gallstone Symptoms

Gallstones (hard deposits collecting inside the gallbladder) do not always produce symptoms. Your doctor may discover the gallstones during an imaging test, such as an abdominal X-ray, related to a different medical condition.

Explore Your Gallstones Treatment Options

Once your doctor knows your medical history, overall health, and symptom severity, you’ll explore your treatment options. You may want to ask:

Discuss Living With or Recovering from Gallstones Treatment

If you have no symptoms from gallstones, your doctor may take a ‘watchful waiting’ approach. You can help prevent the gallstones from getting worse by making various lifestyle changes.

Prepare for the Conversation

To maximize your time with your doctor (or surgeon), come prepared with this list of topics and questions, your medical and surgical history, and a list of all medications, vitamins and herbal supplements you take. In some cases, you may be able to have the conversation online, via a telehealth appointment, instead of going to the doctor’s office.

How to prevent gallstones?

There's no proven way to prevent gallstones, but research suggests some possibilities. Eat three well-balanced meals daily, maintain a normal weight, and get regular exercise (at least 30 minutes a day most days of the week).

What is the best medicine for gallstones?

Medical options. If you can't or don't want to undergo surgery and your gallstones are small, one option is to take ursodiol (Actigall, Urso), a naturally occurring bile acid that helps dissolve cholesterol stones when taken by mouth two to four times a day.

What is it called when a gallbladder is blocked?

Symptoms arise mainly when stones pass through a bile duct or obstruct it, causing biliary colic — better known as a gallbladder attack. These attacks occur when the gallbladder contracts (usually in response to a fatty meal) and presses the stones so as to block the gallbladder duct.

What is a gallstone?

Gallstones are solid lumps that develop when the stored bile crystallizes. Most are less than an inch in diameter, but they can be as small as a grain of sand or as large as a golf ball. Most gallstones are composed mainly of cholesterol.

How many people have gallstones?

Gallstones are one of the most common digestive problems treated in women. More than 25 million people in the United States have gallstones, and 65% to 75% of them are women. Fortunately, for most people, gallstones are "silent" — they don't cause major symptoms. When they do act up, there are effective ways to address the problem.

Can you get gallstones after weight loss surgery?

Gallstones are so common after weight-loss surgery that patients are often advised to have their gallbladders removed at the same time. Gallstones are also more likely to occur in people with diabetes or any condition that decreases gallbladder contractions or intestinal motility, such as a spinal cord injury.

What are the symptoms of a stone?

Any of these conditions can cause severe pain and other symptoms, including jaundice, high fever, chills, and vomiting. Treatment usually requires intravenous antibiotics and often surgical removal of the stone.

What tests are done to check for gallstones?

Tests might include: Blood test. Ultrasound. MRI HIDA (hepatobiliary iminodiacetic acid) scan -- a radioactive chemical is put into your body to create images of any blocked ducts.

What happens if you have gallstones in your intestine?

Damage to your intestine, bowel, or blood vessels. Deep vein thrombosis ( blood clots) Heart problems. Pneumonia. You also run the risk of a problem doctors call “post-cholecystectomy syndrome” (PCS). It can happen if any gallstones are left in your bile ducts or bile happens to leak into your stomach.

What happens if your gallbladder is not working?

If it’s not working the way it should (or your bile gets out of balance), hard fragments start to form. These can be as small as a grain of rice or as big as a golf ball. Gallstones don’t go away on their own.

How long does it take for gallbladder surgery to heal?

If you have your gallbladder removed during open surgery, you’ll need to stay in the hospital for a few days afterward. It may take between 6 to 8 weeks for your body to heal fully. Laparoscopy is less involved, so you’ll have less pain and heal faster than if you have open surgery.

How to stop gallbladder attacks?

You may be able to manage your symptoms for a short time by making changes to your diet. This includes cutting back on fatty foods. But dietary changes don’t always help prevent gallbladder attacks. If surgery isn’t an option for you, your doctor can prescribe a medication to dissolve your gallstones.

What is the procedure called when you have a small hole in your belly?

Laparoscopic cholecystectomy: Doctors also call this “keyhole surgery.”. Your surgeon doesn’t make a big opening in your belly. Instead, they make four small cuts. They insert a very thin, flexible tube that contains a light and a tiny video camera into your belly. These help your surgeon see your gallbladder better.

Do you have to have surgery for gallstones?

If your gallstones aren’t causing symptoms, there’s usually no need for you to have surgery. You’ll only need it if a stone goes into, or blocks, one of your bile ducts. This causes what doctors call a “gallbladder attack.”. It’s an intense, knife-like pain in your belly that can last several hours.

What is the best treatment for gallstones?

For gallstones, a doctor may use the procedure to remove a stone from a blocked duct. Oral dissolution therapy: A doctor may use medications, such as ursodiol and chenodiol, to break up the gallstones. However, attempts to dissolve or break up the gallstones often do not work effectively. If they do not work, a doctor will likely recommend surgery.

What is the procedure to remove gallstones?

The gallbladder is not an essential organ to human life. A surgeon can safely remove the gallbladder with a surgical procedure called cholecystectomy. There are two types of surgery for gallstones: laparoscopic/robotic and open surgery.

What is gallstones in the gallbladder?

Summary. Gallstones are hard deposits that form in the gallbladder. About a quarter of people with gallstones need treatment, which is usually surgery. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), gallstones may range from the size of a grain of sand to the size of a golf ball.

How common are gallstones?

Gallstones are very common, affecting 10–15% of people in the United States, according to the NIDDK. Every year, about a quarter of the people with a diagnosis of gallstones will need treatment, which is usually surgery. However, there is a consensus among doctors from multiple specialties that people with asymptomatic gallstones should not undergo ...

How long does it take to go home after cholecystectomy?

After laparoscopic cholecystectomy, a person can often go home the same day or the next day. They can expect to return to normal activities within 1 week. After open cholecystectomy, a person may need to stay in the hospital for up to a week. During this time, doctors will provide follow-up care.

Is there a long term aftercare for gallbladder surgery?

According to a 2011 review of studies. Trusted Source. , there are limited quality data on long-term outcomes for people who undergo gallbladder surgery. People may need to make some long-term dietary changes after gallbladder removal.

Do you need a physical exam before surgery?

According to the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), a person will need a full physical examination before undergoing surgery to determine if they are healthy enough for the procedure.

How to reduce the risk of gallstones?

To decrease your risk of developing gallstones, maintain a healthy weight, avoid crash diets, reduce the amount of cholesterol in your diet, and eat plenty of fiber from raw fruits and vegetables, cooked dried beans and peas, whole-grain cereals and bran. Also, don't forget to stay healthy by exercising.

Who is most at risk for gallstones?

Those most at risk of developing gallstones are women, people over 40, Pima Indians (native Americans) and Mexican Americans. Other risk factors include obesity and rapid weight loss. There is also an association with Crohn's disease and diabetes.

How long does gallbladder pain last?

Gallbladder attacks often follow ingestion of fatty meals, and they often occur in the evening or during the night. The pain usually lasts from one to several hours. Often, gallstones will move during a gallbladder attack, and this will lead to resolution of the pain.

Where are gallstones found?

These hard particles develop in the gallbladder, a small pear-shaped organ on the right side of your abdomen, just below your liver. They can range in size from a grain of sand to a golf ball. Some people who develop gallstones have no symptoms, and don’t need treatment.

What is the fluid in the gallbladder?

The gallbladder contains digestive fluid called bile that is released into the small intestine. It is not considered an essential organ, and people can live normally without one. The bile is made by the liver and it travels down the main bile duct to get to the intestine to dissolve the fatty foods.

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