#Gallbladder Stones
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Why the fuck can some of your organs just make rocks??? Who said that was OK?
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The chronic pain that's been haunting me for five years might not be what I thought.
So... the fuck do I do with this information now?
To explain:
Five years ago, not too long before covid hit and while I was still in high school, I started having these "episodes".
One night I woke up suddenly in the wee hours of the morning (somewhere around 2-3 am). I was in pain and it was something like I'd never felt before. It was like somebody was stabbing me in the abdomen. I had this pain that started on the right side of my body and spread through my whole belly and my whole back. It hurt to the point where I couldn't find a comfortable position and it was almost hard to breathe. I tried taking some painkillers but the pain just wouldn't leave me alone. That was the first of many sleepless nights.
Sometimes it would happen once every two or three months, other times once or twice a week. My final exams were in full swing and sometimes I was losing sleep right when I needed it the most.
When I went to the doctor with my concerns he dismissively said that I just had some irritation in my colon and then asked me how much I weighed. He told me I should move more and change my diet. All things I could agree to for a better future, but my pain was an immediate problem and I had no solution.
My doctor gave me no clear diagnosis or explanation for my pain and just prescribed me some antispasmodics to take whenever I needed them.
I continued on like this for a while but I was unsatisfied and unhappy with the "solution" he gave me. I even went to a specialist but he just seemed puzzled and also didn't really help me, and so I went on like this for five, long years.
At some point I tried searching for some answers myself, and the closest thing I could find as a suitable explanation was IBS... which essentially meant that there really wasn't much I could do to make it go away.
I was sad, but at least I was somewhat satisfied with that explanation. Some more weird things started happening around a year ago, but since my doctor didn't want to take me seriously and I thought I had IBS I just didn't question any of it.
Fast forward to last month, when I woke up at 6 am once again, in unbearable pain. But this time it was different. It was stronger and my stomach felt like it was full of rocks or something from how tense it felt. At first I just waited it out because this pain had happened to me once or twice in the last year but it lasted only a few minutes. This one didn't, and it kept increasing, to the point where I was audibly crying and complaining. I had never felt anything quite like that. I took my antispasmodics and, eventually, it died down... but during lunch it came back.
THAT had never happened before. Usually once it's gone it's gone, but not that time. I was starting to feel scared, and my mother as well. That's when we decided to go the ER.
Long story short: I have gallbladder stones.
It's not a big deal. All I need to do is to get rid of my gallbladder and I should be fine. It's a simple, quick procedure and the recovery should be rather swift.
It's been a month now since that ER visit and for now I am on a strict diet to make sure I don't put any extra strain on my gallbladder in case the stones shift around and obstruct the bile ducts (that's what causes that terrible pain).
At first I thought to myself "wow. IBS and gallbladder stones? Just my luck." But tonight I has a sudden thought.
I had modified my diet plenty of times in the past and the pain never left me, but now that I am following this specific diet, suddenly I don't wake up in the middle of the night anymore?? Yeah, no, things don't fucking add up.
I did a quick search on the symptoms of colics related to gallbladder stones and wouldn't you fucking know it...
"Acute pain on the right side of the abdomen that spreads through the whole back and can last from a few minutes to a few hours".
Are you fucking kidding me?
I spent five years not knowing what the hell was wrong with me and all it took for me to finally get the truth was to be in so much pain that I had to go to the ER??
Look, I know there are people out there who suffer much worse things on the daily, but those nights when the pain would hit I felt like I was slowly going insane. My mental health just tanked and it got to the point where I just started fucking hating my body. I hated the fact it couldn't function properly and I hated the fact I could never truly have full control over it, because no matter what I did I could wake up in pain any night. I spent countless nights crying to myself while waiting for the meds to finally take the pain away. I have been miserable. I got used to feeling like shit and yet sometimes it all just got to be too much. Anxiety, fear, sadness and pain.
And now I come to find out that there's a very high chance that this could all finally go away with a simple surgery.
Don't get me wrong, I am overjoyed that maybe, MAYBE I can fix this and finally get back to my normal life... but all this pain could've been avoided if my doctor had just listened to me.
Yeah, thanks asswipe, I know I'm fat, I don't need you to remind me, but this is a new pain and it's very bad and I'm scared and MAYBE YOU SHOULD TAKE A FUCKING LOOK AT IT.
Five years of PURE SHIT and it all could've been fixed in a matter of weeks if somebody had just taken the time to actually hear me out and investigate the problem.
I am so pissed off and just sad right now and my emotions are all over the place. I am not even sure why I am writing this all down, but perhaps it will help me vent and MAYBE somebody else could find this useful.
Always listen to your body, people.
#chronic pain#medical issues#pain#gallbladder stones#IBS#anxiety#sadness#medicine#mental health#physical health#sil writes#medical trauma
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#gallbladder stones#gallstones#diagnosis#treatment#symptoms#gastroenterologist#Dr. Vatsal Mehta#Ahmedabad#liver health
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Explore essential information about gallbladder stones, symptoms, treatment options, and recovery. Learn how Mukat Hospital provides expert care for your digestive health.
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Understanding Gallbladder Stones: Causes and Symptoms
Gallbladder stones, commonly known as gallstones, are a prevalent condition affecting millions globally. These stones can lead to significant discomfort and, if left untreated, may result in serious health complications. In this blog, we will explore the causes, symptoms, and risk factors associated with gallstones to provide a comprehensive understanding of this condition. Additionally, we will discuss Gallbladder Stone Treatment options to help manage and alleviate the associated issues
What are Gallbladder Stones?
Gallstones are hardened deposits of digestive fluid that can form in your gallbladder, a small, pear-shaped organ located beneath your liver. The gallbladder stores bile, a digestive fluid produced by the liver. Gallstones can vary in size from as small as a grain of sand to as large as a golf ball, and you may develop just one gallstone or multiple at the same time.
Types of Gallstones
There are two main types of gallstones:
Cholesterol Gallstones: These are the most common type, making up about 80% of gallstones. They are usually yellow-green in color and are primarily composed of undissolved cholesterol.
Pigment Gallstones: These are smaller and darker and are made up of bilirubin, a substance produced from the breakdown of red blood cells.
Causes of Gallstones
The exact cause of gallstones isn't fully understood, but several factors are known to contribute to their formation:
Excess Cholesterol in Bile: Normally, your bile contains enough chemicals to dissolve the cholesterol excreted by your liver. But if your liver excretes more cholesterol than your bile can dissolve, the excess cholesterol may form into crystals and eventually into stones.
Excess Bilirubin in Bile: Bilirubin is a chemical produced when your body breaks down red blood cells. Certain conditions cause your liver to produce too much bilirubin, which contributes to gallstone formation. These conditions include liver cirrhosis, biliary tract infections, and certain blood disorders.
Gallbladder Incomplete Emptying: If your gallbladder doesn't empty completely or often enough, bile may become overly concentrated, contributing to the formation of gallstones.
Risk Factors for Gallstones
Several factors may increase your risk of developing gallstones:
Gender: Women are more likely to develop gallstones than men.
Age: People over 40 are at higher risk.
Obesity: Being overweight or obese increases the risk.
Diet: A diet high in fat and cholesterol and low in fiber may increase the risk.
Diabetes: People with diabetes have higher levels of triglycerides, which increases the risk of gallstones.
Family History: A family history of gallstones increases your risk.
Rapid Weight Loss: Losing weight quickly can increase the risk of gallstones.
Certain Medical Conditions: Conditions like cirrhosis, biliary tract infections, and some blood disorders.
Symptoms of Gallstones
Gallstones may not cause any signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include:
Sudden and Rapidly Intensifying Pain: This pain can occur in the upper right portion of your abdomen or in the center of your abdomen, just below your breastbone. It may also spread to your right shoulder or back.
Nausea or Vomiting: These are common symptoms, especially during an episode of gallstone pain.
Other Digestive Problems: These may include bloating, intolerance to fatty foods, belching, and indigestion.
Jaundice: Yellowing of the skin and the whites of the eyes can occur if a gallstone lodges in a bile duct, blocking the flow of bile.
High Fever and Chills: These symptoms can occur if the gallbladder or bile ducts become infected.
When to See a Doctor
Seek immediate medical attention if you experience:
Abdominal pain so intense that you can't sit still or find a comfortable position
Yellowing of your skin and the whites of your eyes
High fever with chills
Conclusion
Understanding the causes and symptoms of gallbladder stones is crucial for early detection and treatment. If you suspect you have gallstones, it’s important to consult with a healthcare professional for proper diagnosis and treatment options. By being aware of the risk factors and symptoms, you can take steps to manage your health and potentially prevent the formation of gallstones.
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Laparoscopic Gallbladder Stone Surgery in Bangalore - Patient-Help
Looking for laparoscopic gallbladder stone surgery in Bangalore? Patient-Help offers advanced laparoscopic procedures with minimal incisions, ensuring faster recovery and less pain. Our skilled surgeons provide expert care using the latest technology. Trust Patient-Help for safe and effective gallbladder stone surgery in Bangalore. Schedule your consultation today!
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we will explore the reasons behind gallbladder pain, the diagnostic process, and the various treatment options available. Additionally, we will highlight the expertise and proficiency of Dr. S. Srivatsan Gurumurthy, a renowned Robotic Surgeon in Chennai, who specializes in gallbladder surgeries.
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Understanding Alcohol-Induced Liver Disease (ALD)
Alcohol-induced liver disease (ALD) is a serious condition that results from prolonged excessive alcohol consumption. It encompasses a range of liver disorders, including fatty liver, alcoholic hepatitis, and cirrhosis. ALD can have severe consequences for liver function and overall health, making it essential to understand its causes, symptoms, and treatment options.
Causes of ALD:
The primary cause of ALD is excessive alcohol consumption over an extended period. Alcohol is metabolized by the liver, and chronic alcohol abuse can lead to inflammation, scarring, and damage to liver cells. Factors that increase the risk of developing ALD include:
Heavy and prolonged alcohol consumption Genetics Poor nutrition Obesity Hepatitis C infection Gender (women are more susceptible to ALD) Symptoms of ALD:
The symptoms of ALD can vary depending on the severity of the liver damage. In the early stages, individuals may not experience any noticeable symptoms. However, as the disease progresses, symptoms may include:
Fatigue Jaundice (yellowing of the skin and eyes) Abdominal pain and swelling Nausea and vomiting Loss of appetite Weight loss Easy bruising and bleeding Swelling in the legs and ankles Confusion and cognitive impairment Treatment Options for ALD:
The treatment of ALD depends on the stage of the disease and the extent of liver damage. Treatment goals typically include:
Abstinence from Alcohol: The most critical aspect of managing ALD is to stop drinking alcohol completely. This can help prevent further damage to the liver and may even reverse early stages of the disease. Nutritional Support: A healthy diet rich in vitamins, minerals, and antioxidants can support liver health and promote healing. In some cases, nutritional supplements may be recommended. Medications: Medications may be prescribed to manage symptoms, reduce inflammation, and improve liver function. These may include corticosteroids, pentoxifylline, or medications to address complications such as fluid retention or infections. Liver Transplant: In severe cases of ALD, where the liver is severely damaged and non-responsive to other treatments, a liver transplant may be necessary. Consult the Best Gastroenterologist in Chennai:
If you or someone you know is struggling with alcohol-induced liver disease, it's crucial to seek expert medical care from a qualified gastroenterologist. Dr. Kumar Gurubaran, the best gastro doctor in Chennai, specializes in the diagnosis and treatment of liver disorders, including ALD. With his expertise in gastrointestinal health and advanced treatments such as laparoscopic surgery, Dr. Kumar Gurubaran provides comprehensive care to patients in Chennai and beyond.
Don't let ALD compromise your liver health and overall well-being. Take the first step towards recovery by consulting with Dr. Kumar Gurubaran, the leading gastroenterologist in Chennai, today.
#Best Gastroenterologist Chennai#Best Gastro Doctor Chennai#Best Gastro Surgeon Chennai#Gastro Specialist Chennai#Best Gastroenterologist in Chennai#Best Laparoscopic Surgeon Chennai#Dr. Kumar Gurubaran#Gallbladder Stones#Colorectal Surgery#Fistula in Ano#Pancreatitis#Constipation#Endoscopy#Colonoscopy#ERCP#Bile Duct Stones#Obesity Awareness#Laparoscopic Surgery#Gastrointestinal Health#Laparoscopic Hernia Surgery#Hernia Surgery Chennai#Hernia Surgery in Chennai#Hernia Surgeon#Hernia Chennai#Groin Hernia#Incisional Hernia#Inguinal Hernia#Umbilical Hernia#Ventral Hernia#Hiatus Hernia
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Exploring 10 Surprising Risk Factors for Gallbladder Stones
Gallbladder stones, also known as gallstones, are solid particles that form in the gallbladder, a small organ located beneath the liver. These stones can vary in size and composition, ranging from tiny crystals to larger, more solid formations. While some individuals may never experience symptoms or complications from gallstones, others may face severe pain and health issues that necessitate medical intervention.
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Gallstone Treatment Options: Surgery, Medication, and Natural Remedies
Gallstones can be treated in a number of ways. Based on the severity of gallstones and other factors, doctors create a treatment plan that is suitable for your needs. This is one of those health conditions where surgical treatments are not mandatory.
Lifestyle changes and medications are the top non-surgical treatment for gallstones. So, let’s dive deeper and learn more about the medication for gallstones that is most effective for patients. We will also be discussing natural remedies for gallbladder stones and how they can be used in treating gallstones without surgery. But first, let’s look at what the different surgical treatment options are for gallstones that doctors may recommend in some cases.
Surgical Treatments For Gallstones
Surgery is often the last resort in terms of treatment for gallstones. They are recommended in case of serious cases of gallstones or in cases where other types of treatments have not been very effective. Thanks to modern medical technology, today gallstones can be removed using minimally invasive procedures which make the surgeries less risky and offer faster recovery. Here is a detailed look at the surgical treatments offered for gallstones.
Open cholecystectomy
Open surgeries are generally recommended to patients in the most severe cases of gallstones. They are specially prescribed when the patient’s gallbladder is severely inflamed or bruised from other surgeries. An open cholecystectomy involves making a large incision in the body and operating directly inside the patient’s body. These surgeries have a longer recovery time and require mandatory hospital stay after the procedure. The recovery aside, there are certain risks to an open surgery, which include the risk of bleeding and infections that could end up being fatal if not managed properly.
Laparoscopic cholecystectomy
Laparoscopic procedures are generally safer and have a quicker recovery compared to open surgery. However, these surgeries have certain limitations as they can’t be performed in certain cases where the gallbladder is extremely inflamed. In terms of procedure, laparoscopic surgeries do not require large incisions where the surgical tools are inserted into the body. These surgeries are done using specialized tools and high-tech robotic assistance in some cases to ensure the surgeries are very precise. The risk of damage to surrounding structures with laparoscopic surgeries is very low. The recovery period along with the mandatory hospital stay is also lower for laparoscopic cholecystectomy.
Medications Used For Treating Gallstones
Medications are used alongside natural remedies to create a non-invasive treatment plan for gallstones. Oral medications are the most commonly used to treat gallstones and their purpose is to help melt the gallstones. This type of treatment has its own benefits and disadvantages, however, it is the best option for patients who are not suitable for surgery.
Ursodiol is the type of medication that’s most commonly used for this purpose and it helps melt the gallstones over time. It is important to note that medications take a long time to clear gallstones and they also have to be taken for extended periods without break to stop resurgence. However, given medications are non-invasive, they don’t affect your quality of life and can even help patients get relief from their symptoms while continuing their normal life.
Natural Remedies For Treating Gallstones
Natural remedies are dietary and lifestyle changes that help treat the symptoms of gallstones while also working towards melting the stones away naturally. Even though the efficacy of natural remedies differs from patient to patient, they are safe and don’t have side effects in most cases. Here are some of the best natural remedies for treating gallstones.
Apple Juice and apple Cider Vinegar
Apple juice and apple cider vinegar are perhaps some of the most popular natural remedies for gallstones. Even though not much scientific data is present to back up the claims that they do in fact help patients pass gallstones, they are used widely for this purpose. Apple cider vinegar for that matter is the more popular option as it is now a part of most cleanses and other options that are gaining popularity in helping people pass gallstones. They may be helpful to you, however, you should consider speaking to your doctor before adding them to your diet as treatments.
Artichoke
Artichoke is available both as a supplement or you can prepare it in various ways and enjoy this food. It is believed to help stimulate bile and be good for your liver. For these reasons, it is considered to be an important natural remedy for passing gallstones. Artichoke can be a good addition to your diet in general, so there’s no harm in adding it to your diet. However, if you are interested in opting for the supplement form, you should first get clearance from your doctor.
Yoga
Yoga is said to have beneficial effects on gallstone patients, which could help them pass their gallstones naturally. As a healthy practice, yoga can help improve your quality of life and help with symptoms of stress. It could be a complementary therapy treatment that helps your medications work better for your body. So, if you are interested, yoga can be a valid natural remedy to help with the treatment of gallstones. However, there is limited evidence of success in yoga solely being to help pass gallstones.
Castor Oil Pack
Castor oil packs involve soaking warm clothes in castor oil and placing them over your abdomen. They are supposed to help melt the gallstones and allow them to pass. Castor oil packs can be used to help with gallstones, but they shouldn’t be used as a treatment alone given there’s no scientific evidence to suggest that they are effective.
Conclusion
There you have it, these are the various gallstone treatment options that are readily used on a regular basis. It should be noted that no treatment is perfect and each of the options has its own advantages and disadvantages. So, to help you choose the treatment option that best suits your condition and lifestyle, visit MASSH. We specialize in holistic medical care and will help you treat your conditions from the root causes be it with our highly specialized minimally invasive surgeries or our functional medicine. Check out our website or visit us today to learn more.
Source: https://massh.in/
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Navigating Gallbladder Stones Surgery in Dubai: A Comprehensive Guide
Gallbladder stones, also known as gallstones, are a common medical condition that can cause discomfort, pain, and digestive issues. When other treatments prove ineffective, surgery becomes a necessary option to alleviate symptoms and prevent complications. If you're facing the prospect of gallbladder stones surgery in Dubai, this guide will provide you with valuable insights into the process, options, and considerations.
Understanding Gallbladder Stones
Gallstones are solid particles that form in the gallbladder, a small organ beneath the liver. These stones can vary in size and composition, and they develop when there is an imbalance in the substances that make up bile, a digestive fluid stored in the gallbladder.
The presence of gallstones can lead to various symptoms, including severe abdominal pain, nausea, vomiting, and digestive problems. In some cases, gallstones can cause serious complications such as inflammation of the gallbladder or blockage of the bile duct.
When is Surgery Necessary?
Surgery to remove the gallbladder, known as cholecystectomy, is typically recommended when:
Gallstones Cause Symptoms: If you experience recurring pain or complications due to gallstones, surgery is often the most effective solution.
Gallstones Are Large: Large gallstones are more likely to cause problems and may necessitate surgery.
Gallbladder Inflammation: In cases of gallbladder inflammation (cholecystitis), immediate surgical intervention may be required.
Blockage of the Bile Duct: If a gallstone becomes lodged in the bile duct, it can lead to serious complications, necessitating surgery.
Types of Gallbladder Surgery
In Dubai, you have access to various types of gallbladder surgery, each with its own advantages and considerations:
Laparoscopic Cholecystectomy: This minimally invasive procedure is the most common method for removing the gallbladder. It involves making small incisions and using a tiny camera (laparoscope) and specialized instruments to remove the gallbladder. Laparoscopic surgery generally offers quicker recovery times and less scarring compared to traditional open surgery.
Open Cholecystectomy: In some cases, open surgery may be necessary, especially if complications are present. This involves a larger incision and a longer recovery period but may be the safest option when complexities exist.
The Surgical Process
Preparation: Before surgery, your healthcare team will conduct a thorough evaluation, including blood tests, imaging, and discussions about your medical history and any medications you're taking. You may be asked to fast for a specific period before the procedure.
Surgery: The actual surgery will depend on the chosen method. For laparoscopic cholecystectomy, you'll be under general anesthesia, and small incisions will be made in your abdomen to insert the laparoscope and surgical instruments. The surgeon will then remove your gallbladder. In open cholecystectomy, a larger incision is made, and the gallbladder is removed.
Recovery: After surgery, you'll be closely monitored in a recovery area. Most patients are able to go home the same day or within a day or two, depending on the type of surgery. You'll receive instructions for post-operative care, including pain management and dietary guidelines.
Benefits of Gallbladder Stone Surgery in Dubai
Dubai is renowned for its world-class medical facilities and highly skilled healthcare professionals. Opting for gallbladder stone surgery in Dubai offers several advantages:
Advanced Technology: Dubai's healthcare infrastructure is equipped with state-of-the-art surgical technology and equipment, ensuring that you receive the best care possible.
Experienced Surgeons: Dubai attracts experienced surgeons from around the world, many of whom specialize in minimally invasive techniques, leading to shorter recovery times and less scarring.
Multicultural Environment: Dubai's diverse and multicultural environment means that you can expect healthcare providers who are familiar with a wide range of cultural and linguistic backgrounds.
Ease of Access: Dubai's strategic location makes it easily accessible from many parts of the world, attracting patients seeking high-quality medical care.
Post-Surgery Care
After gallbladder surgery, it's crucial to follow your surgeon's instructions for a smooth recovery. This typically involves:
Pain Management: You may experience some discomfort after surgery. Your surgeon will prescribe pain medication to help manage this.
Dietary Changes: Your diet may need to be adjusted temporarily to accommodate the absence of the gallbladder. Your healthcare provider will provide guidance on what to eat and avoid.
Activity Level: While you'll be encouraged to resume light activity soon after surgery, it's essential to avoid strenuous activities for a few weeks.
Follow-up Appointments: Regular follow-up appointments with your surgeon are essential to monitor your recovery and address any concerns.
Conclusion
Gallbladder stones surgery is a common and effective procedure that can relieve pain and prevent complications. In Dubai, you have access to world-class medical facilities and experienced healthcare professionals who can guide you through the process with care and expertise. If you're facing gallbladder issues, consult with a healthcare provider in Dubai to explore your treatment options and embark on your journey towards better health and well-being
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Gallstones – 5 Things You Should Know
Do you know? Frequent abdominal pain can be a sign of gallstones. Located just under the liver, gallbladder is the organ responsible for storing bile that your liver releases. Bile helps in digesting fatty food when they pass through the small intestine. However, if a gallstone is formed in the bladder, then it can cause deliberate pain. These condition requires an immediate gallbladder treatment.
1. What are gallstones?
Gallstones are small bits of crystalized bile clumped together. The size of the gallstones can be small such as salt grain or can be as large as an egg. When they are within the gallbladder, they don’t show any symptoms and does not require any gallbladder treatment. But when they pass through bile duct to the small intestine, they cause inflammation and severe pain. The pain may last from a few minutes to a few hours.
2. What are the symptoms of gallstones?
The signs and symptoms of gallbladder stones include:
Recurring severe abdominal pain, occurs mostly after eating a meal
Abdominal tenderness especially on the upper right side
Excessive gas and heartburn
Pain in chest
Jaundice
Nausea
Pancreatitis
Frequent occurrence of these symptoms requires best gallbladder treatment immediately.
3. What are the risk factors of gallstones?
The risk factors of gallstones include:
Obesity
An increase in oestrogen hormone during pregnancy or due to undertaking certain hormone therapy
High amount of fat and refined carbohydrates in diet
Low-fibre diet
A family history of gallstones
Multiple pregnancies
Old age
4. What are best gallbladder treatments?
The presence of gallstones is usually diagnosed with X-ray, CT scan or ultrasound. Treatments are not required unless you have symptoms. The surgical procedure for gallbladder removal is known as cholecystectomy where the stones are removed through laparoscopic surgery. Once the treatment is over, the doctors will advice you to live on vegetarian diet that includes fibre and caffeine, polyunsaturated fat and monounsaturated fat.
5. What are the complications associated with gallstones?
Even if the gallstones are not showing any symptoms, it still may possess health risks. Gallstones may cause Jaundice with itchy skin. It also may lead to acute cholecystitis which does not let the gallbladder release bile into the bile duct. Nausea, vomiting and severe stomach pain are usually symptoms. In serious cases, patients may develop pancreatitis. Usually, these complications go away after gallbladder disease treatment.
Looking for the best hospital gallstones treatments? Sarvodaya Hospital in Faridabad offers the best treatment for gallstones and other gallbladder related conditions. With their exceptionally advanced diagnosis technology and experienced doctors, they ensure best care facility for gallbladder stones.
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ive got such a good idea
#im going to make a little gallbladder stuffy...and i will put ROCKS in it as gallstones#im so stupid im like hmmm what can i use to represent gallstones...maybe childrens beads or smth...bro STONES like ROCKS FROM OUTSIDE
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few days post op
#tanner talks#gallbladder is gone and all the stones are removed too#this is ass tho#ion recommend surgery to NOBODY#especially since mine was an emergency
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