Hello. I have reviewed the details regarding your husband's 17 mm gallbladder stone.
A stone of this size (17 mm) is considered large. More importantly, the symptoms you described-pain on the right side below the chest and back pain-are classic signs of Biliary Colic (pain caused by the gallbladder attempting to pass or move around a stone).
Here is the medical perspective on his current situation:
1. Is Medication or Survival Without Surgery Possible?
Effectiveness of Medication: While there are medicines to help with "gastric" symptoms, stones larger than 10 mm rarely dissolve with medication alone.
Symptomatic Status: Because he is already experiencing pain, the gallbladder is essentially "struggling." When a stone is symptomatic, the standard medical recommendation is usually a Cholecystectomy (surgical removal of the gallbladder), typically performed laparoscopically.
Risks of Waiting: If left untreated, large symptomatic stones can lead to complications such as inflammation (cholecystitis), jaundice, or pancreatitis if the stone blocks the bile duct.
2. Lifestyle and Dietary Recommendations
Until he can see a surgeon, he should follow these strict guidelines to prevent a painful "attack":
Avoid High-Fat Foods: Stay away from fried foods, butter, ghee, heavy cream, and fatty meats. Fat triggers the gallbladder to contract, which causes pain when a stone is present.
Small Meals: Eat smaller, more frequent portions rather than three large meals to reduce the workload on the digestive system.
Hydration: Drink plenty of water and avoid heavy, spicy "gastric-inducing" irritants.
3. Immediate Next Steps
Consult a General Surgeon: Since he is in pain, he needs a surgical consultation to discuss a planned (elective) removal before it becomes an emergency.
Liver Function Test (
LFT): I recommend a blood test to check his liver enzymes and bilirubin levels to ensure the stone is not causing an obstruction.
Warning Signs: If he develops a fever, yellowing of the eyes (jaundice), or unbearable pain with vomiting, please take him to the Emergency Room immediately.