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Gallstones, Suggestions & Next Steps
My wife, 31F, has multiple gallstones (3–6 mm) with sludge, but no cholecystitis and normal CBD on USG. Grade 1 Fatty Liver. She has recurrent episodes of upper abdominal pain with back/right-sided back pain, nausea, and the latest episode lasted 2–3 hours with vomiting, after which she felt better.
Recent LFT: AST 88, ALT 114, direct bilirubin 0.88, with normal ALP, amylase and lipase.
Gastroenterologist diagnosed dyspepsia + cholelithiasis and has advised surgical opinion for cholecystectomy.
1. Do these symptoms sound like symptomatic gallstones/biliary colic?
2. How urgent is laparoscopic cholecystectomy in this situation? Can we safely wait and observe, or should we plan surgery soon?
3. Should any further tests (repeat LFT/MRCP/endoscopy) be done before deciding on surgery?
Yes definitely these are symptoms of gallstones.
You must go for cholecystectomy either robotic or laparoscopic by an expert surgeon in this specialty. Not very urgent but on moderate basis u should get it done.
Next Steps
Her enzymes are slightly raised need to be ruled out hepatitis or fibroscan to actually check fatty component of liver.
How much is the BMI
Health Tips
Avoid fatty fried and spicy meal
Small frequent meal
Plenty of fluid
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