| Discussion in 'All Categories' started by Anjan Chakraborty - Jun 18th, 2024 7:13 am. | |
Anjan Chakraborty
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I have 3-5 small stones (4-5 mm max) as detected by YSG. I don't have any pain or complications. Is it necessary or compulsory to do surgery of gall bladder or I can wait and you can suggest medicine. |
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re: Gall bladder Stone
by Dr. B. S. Bhalla -
Jun 18th, 2024
8:26 am
#1
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Dr. B. S. Bhalla
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Since you have small gallstones (4-5 mm) and no symptoms or complications, surgery might not be immediately necessary. However, it’s important to consider a few factors before deciding on a course of action: Non-Surgical Options: Observation: If you have no symptoms, your doctor might suggest a "watch and wait" approach, monitoring the stones to see if they cause any issues. Medications: Ursodeoxycholic Acid (Ursodiol): This medication can help dissolve cholesterol gallstones over time. It’s typically used if surgery is not an option and the stones are made of cholesterol. Lifestyle and Dietary Changes: Diet: Low-Fat Diet: Reducing fat intake can help prevent gallstone formation and alleviate symptoms if they occur. High-Fiber Foods: Incorporate more fruits, vegetables, and whole grains into your diet. Stay Hydrated: Drink plenty of water to aid digestion and reduce the risk of stone formation. Weight Management: Maintain a healthy weight. Rapid weight loss can increase the risk of gallstones, so aim for gradual weight loss if needed. Regular Exercise: Engaging in regular physical activity can help maintain a healthy digestive system. When to Consider Surgery: Symptomatic Gallstones: If you start experiencing pain (biliary colic), infections (cholecystitis), or other complications like pancreatitis, surgery (cholecystectomy) might be necessary. Risk of Complications: Even if asymptomatic, some doctors recommend surgery to prevent potential future complications, especially if you have other health issues. |
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re: Gall bladder Stone
by Praveen -
Nov 10th, 2024
6:23 am
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Praveen
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I have gallbladder stone. Is laparoscopic cholecystectomy necessary, or are there any non-surgical options I could consider? |
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re: Gall bladder Stone
by Dr. Vishal -
Nov 10th, 2024
6:24 am
#3
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Dr. Vishal
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For gallbladder stones, laparoscopic cholecystectomy is the most common and effective treatment, especially if the stones are causing pain or other symptoms. However, non-surgical options are sometimes considered, depending on the severity of your symptoms, the size and type of the stones, and your overall health. Here are some non-surgical options that could be considered: Medication: Certain medications, like ursodeoxycholic acid, can help dissolve cholesterol stones. However, they work very slowly and are typically effective only for small cholesterol stones. These medications are usually not effective for larger stones or pigment stones (stones made from bilirubin). Extracorporeal Shock Wave Lith-otripsy (ESWL): This is a non-invasive procedure that uses shock waves to break up stones into smaller pieces. However, it’s generally reserved for patients who are not good candidates for surgery and works best for small stones. Additionally, this option is rarely used due to limited availability and effectiveness compared to surgery. Lifestyle and Dietary Adjustments: While these changes cannot remove stones, they might reduce symptoms or prevent the formation of new stones. A diet low in fat and high in fiber can help improve gallbladder function and reduce the risk of pain from stones. However, lifestyle changes alone will not eliminate existing stones. Observation: If your stones are asymptomatic (not causing pain or complications), some doctors may recommend a "watch and wait" approach, where they monitor the stones over time. However, if symptoms worsen, surgery might still be necessary. |
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