Gall Stone

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What is Gall Stone ?

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver.

All that you need to about Gall stones

Consult best laparoscopic doctor for getting rid all abdominal problems regarding due to gall stones. We are here to provide best specialized laparoscopic doctor along with high advanced technology.


What are gall stones?

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that's released into your small intestine.


How does gall stones form?

Gallstones are thought to develop because of an imbalance in the chemical make-up of bile inside the gallbladder. In most cases the levels of cholesterol in bile become too high and the excess cholesterol forms into stones. Gallstones are very common.


Types of gall stones

Gall stones are of two types

- Cholesterol stones

- Pigment stones


Causes

  • - Your bile contains too much cholesterol. 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.
  • - Your bile contains too much bilirubin. Bilirubin is a chemical that's produced when your body breaks down red blood cells. Certain conditions cause your liver to make too much bilirubin, including liver cirrhosis, biliary tract infections and certain blood disorders. The excess bilirubin contributes to gallstone formation.
  • - Your gallbladder doesn't empty correctly. If your gallbladder doesn't empty completely or often enough, bile may become very concentrated, contributing to the formation of gallstones.

Symptoms

- Sudden 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

 

Diagnosis

Self-diagnosis

Even if you might not suffer from any sort of pain from gallstones initially, they might internally lead you to several complications which can include the following symptoms:

  • - Nausea and Vomiting
  • - Piercing and rapidly intensifying pain in the right side of your abdomen
  • - Pain in your right shoulder
  • - High fever with chills
  • - Pain in the mid or lower back
  • - Jaundice, leading to skin and eye whites turning yellow
  • - Heartburn and indigestion

If you are going through any of the above-mentioned symptoms, you might consider suffering from the complications of a possible gallstone attack and should immediately seek medical assistance.


Diagnosis by doctor

  • - 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). This procedure can help identify smaller stones that may be missed on an abdominal ultrasound. During EUS your doctor passes a thin, flexible tube (endoscope) through your mouth and through your digestive tract. A small ultrasound device (transducer) in the tube produces sound waves that create a precise image of surrounding tissue.
  • - Other imaging tests. Additional tests may include oral cholecystography, a hepatobiliary iminodiacetic acid (HIDA) scan, computerized tomography (CT), magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP). Gallstones discovered using ERCP can be removed during the procedure.
  • - Blood tests. Blood tests may reveal infection, jaundice, pancreatitis or other complications caused by gallstones.


Severity

Grade: 1- correlates with a normal appearing gall bladder without adhesions.

Grade: 2- correlates with minor adhesions at the neck of the gallbladder.

Grade: 3- correlates with the presence of hyperemia, pericholecystic fluid, adhesions to the body of the body of the gallbladder, or a distended gallbladder

 

Risks

  • - Being female
  • - Being age 40 or older
  • - Being a Native American
  • - Being a Hispanic of Mexican origin
  • - Being overweight or obese
  • - Being sedentary
  • - Being pregnant
  • - Eating a high-fat diet
  • - Eating a high-cholesterol diet
  • - Eating a low-fiber diet
  • - Having a family history of gallstones
  • - Having diabetes
  • - Having certain blood disorders, such as sickle cell anemia or leukemia
  • - Losing weight very quickly
  • - Taking medications that contain estrogen, such as oral contraceptives or hormone therapy drugs
  • - Having liver disease

Complications

  • - Inflammation of the gallbladder.
  • - Blockage of the common bile duct
  • - Blockage of the pancreatic duct.
  • - Gallbladder cancer.

During the surgery of gall stones

A cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy. In some cases, one large incision may be used to remove the gallbladder


If left untreated of gall stones

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”.


Prevention of gall stones

  • - Don't skip meals. Try to stick to your usual mealtimes each day. Skipping meals or fasting can increase the risk of gallstones.
  • - Lose weight slowly. If you need to lose weight, go slow. Rapid weight loss can increase the risk of gallstones. Aim to lose 1 or 2 pounds (about 0.5 to 1 kilogram) a week.
  • - 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. Work to achieve a healthy weight by reducing the number of calories you eat and increasing the amount of physical activity you get. Once you achieve a healthy weight, work to maintain that weight by continuing your healthy diet and continuing to exercise.

Treatment option & cost

Non- surgical treatment:

Ø  Thinning Bile With Acid Pills Can Dissolve Gallstones

Ø  Small Gallstones Can Be Broken Apart With Shock Waves

Ø  Gallstones Can Be Dissolved With an MTBE Injection

Ø  Endoscopic Drainage Follows the Gallbladder’s Natural Path

Ø  Percutaneous Cholecystectomy Is Best for Seriously Ill Patients

Ø  Transmural Drainage Decompresses a Swollen Gallbladder

Ø  Acute Cholecystectomy, an Ultrasound-Guided Drainage Procedure


Surgical treatment for gall stones

Surgeons may remove your gallbladder (called a cholecystectomy) if gallstones (or other types of gallbladder disease) are causing problems. Techniques include laparoscopic ('keyhole') cholecystectomy or open surgery. The gallbladder is not a vital organ, so your body can cope quite well without it.


Types of surgeries

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

Preparation for gall stone surgery

  1. Eat nothing the night before your surgery. You may drink a sip of water with your medications, but avoid eating and drinking at least four hours before your surgery.
  2. Stop taking certain medications and supplements.


What to except during the surgery

A cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy. In some cases, one large incision may be used to remove the gallbladder.


After the surgery

After your surgery, you will likely feel weak and tired for several days after you return home. Your belly may be swollen. If you had laparoscopic surgery, you may also have pain in your shoulder for about 24 hours. You may have gas or need to burp a lot at first.


Before and after the surgery comparison

Gallstones are one of the most common digestive disorders in India with a prevalence of 3-4%. In order to treat the gallstones, the entire gallbladder is completely removed. Thus, there are absolutely no chances of recurrence and the chances of developing gallstones for the next time also stands at nil.


Cost of laparoscopy gall stone removal in India with Doktors

The cost of a laparoscopic gallbladder stone removal surgery in India with Doktors can range anywhere from Rs 45,000 to Rs 3, 50,000. 

The cost range mentioned above can vary from patient to patient, depending on a number of factors like the number of stones to be operated on, severity of the condition and the hospital where the surgery is scheduled to take place. To learn more about the cost of a gallstone removal surgery, you may contact the medical assistance team of a particular Doktors clinic or hospital. 


Recovery rate

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. Most people who have it are able to go home from the hospital the same day. You'll likely be back to your normal routine within 2 weeks


Long term outlook of treatment

Although rare, a person may develop abdominal symptoms even after going through a surgery to remove the gallbladder stones, and the signs of developing a post cholecystectomy syndrome may include stomach upset, nausea or vomiting, gas, diarrhea, bloating and persistent pain in the upper right abdomen. Considering the condition, chances of getting the condition back are rare. Typically, the gallstones might reappear within 3 years after going through the surgical procedure. However, one should take adequate measures and follow a healthy and balanced diet that contains refined carbohydrates, less calories and high fiber like that of fresh fruits and vegetables, wholegrains, fish and nuts such as peanuts and cashew reduce the risk of developing gallstones to a higher extent.

The medical coordinator understand the patient's problem on your first meet and advice's the best treatment for your problem. And starts scheduling your OPD and helps to connect the doctor based on your problem

DOKTORS only perform the advance scheduled surgeries, it doesn't provide any kind of emergency surgeries or treatments.

DOKTORS is not any hospital owner, it collaborates with other hospitals to perform surgeries which are done by doctors/surgeons using the medical infrastructure of the affiliated hospitals.

DOKTORS always provide online consultations, patients can select a doctor based on their specialization from anywhere based on the available slots. Patients can talk to the doctor through online call or chat to share their health problem. The doctor identify the problem and suggest the tests and medications as they require.

DOKTORS doesn't provide any insurance. Insurance is based on the type of conditions given by insurance provider. Our insurance team gets maximum help to get benefits.

There is an option to get second medical check up by highly reputated doctors for all kinds of problems. The consulted doctor can check all the previous medications and reports and can guides the new treatment.

While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.

What happens if you delay the treatment/surgery?

Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of

Severe pain

Prolonged bleeding

Large haemorrhoids

Alteration in bowel movements

Alteration in bowel movements

Why Doctor Care ?

Expert surgeons

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Advanced Surgical Technologies

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Personal Care Assistants

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Financial aid and assistance

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Postoperative Care

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

FAQ

Will I have any digestive problems after a gallbladder removal surgery?

You can expect to live a perfectly normal life after gallbladder surgery but may experience temporary side effects related to the way your digestive system processes fatty foods. These symptoms may include loose stools or diarrhea, bloating, cramping, and excess gas in response to meals or certain foods.

What should I eat after a gallbladder removal surgery?
  1. Low-fat, 1%, or fat-free dairy products.
  2. Fat-free cheeses.
  3. Egg whites or egg substitutes.
  4. Veggie burgers.
  5. Beans, peas, lentils.
  6. Oatmeal.
  7. Whole grains.
  8. Brown rice.
Why does my poop smell so bad after gallbladder removal?

Some people may experience yellow diarrhea or smelly poop after gallbladder removal. The larger amounts of bile reaching the colon may cause irritation resulting in diarrhea with a yellow hue. The increased amounts of bile salt can also make one's bowel movements have a more potent smell as well

Does a gallbladder removal shorten life expectancy?

Gall bladder removal does not shorten your life expectancy. In fact, it may even increase it as your post-surgery habits make it necessary for you to make healthier dietary choices

Can I drink alcohol after removing my gallbladder?

Drink plenty of water, broth, and sports drinks. But again, avoid alcohol for at least 2 days after your surgery, especially if you're feeling the effects of anesthesia or pain meds. Low-fat foods. Low-fat foods will be easier for you to digest and are less likely to cause gas, bloating, or diarrhea

What is the fastest way to recover after a gallbladder surgery?
  1. Rest when you feel tired.
  2. Try to walk each day.
  3. For about 2 to 4 weeks, avoid lifting anything that would make you strain.
  4. Avoid strenuous activities, such as biking, jogging, weightlifting, and aerobic exercise, until your doctor says it is okay.
What does a blocked bile-duct feel like?

People with bile duct obstruction also often experience: itching. Abdominal pain, usually in the upper right side. Fever or night sweats.

Is it safe to drink coffee and tea after a gallbladder removal?

Caffeine and alcohol

This can lead to stomach pain and discomfort after having gallbladder removed. Limit or avoid these caffeinated foods and beverages: coffee. Tea.

Does gallbladder pain get worse while lying down?

That's because your liver and gallbladder are both located on the right side of your body. Sleeping on the right side can constrict your gallbladder and can make it harder for a gallbladder stone to pass. The added pressure of sleeping on your right side may even make gallbladder pain worse.

How to deal with sudden gallbladder pain at home?
  1. Exercise. Regular physical activity can reduce cholesterol levels and help prevent gallstones from forming.
  2. Dietary changes.
  3. Heated compress.
  4. Peppermint tea.
  5. Apple cider vinegar.
  6. Turmeric.
  7. Magnesium.
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Treatment Specialities Of Doktors

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Proctology – Laser Treatment for Piles, Fissure, Fistula, Pilonidal Sinus

Laparoscopic Surgery – Laparoscopic Treatment for Gallstone, Hernia

Vascular – Surgical and non-surgical treatments for Varicose veins, Spider Veins, Varicocele, Uterine Fibroids / DVT – Deep Vein Thrombosis, Diabetic Foot Ulcer

Urology – Phimosis, Hydrocele, Kidney stones, Urinary tract infections

Gynaecology & Obstetrics – Aesthetic Laser treatments / General Gynaecology Treatments / Cosmetic Gynecology Treatments / Surgical Gynecology Treatments, and Medical and Surgical Abortion

ENT – Surgical treatments for Sinusitis (FESS), Deviated Nasal Septum (Septoplasty), Perforated Eardrum (Tympanoplasty), Tonsillitis (Tonsillectomy), Adenoids (Adenoidectomy)

Aesthetics – Plastic Surgery for Gynecomastia, Hair Transplantation, Liposuction, Breast Surgery (Breast Augmentation and Breast Reduction)

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