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Asymptomatic gallstone surgery
Hello Doctor,
I am a 25-year-old female. I was diagnosed with appendicitis 50 days ago and remained untreated for 15 days. One month ago, I was admitted to the hospital with walled-off appendicitis and was treated with IV antibiotics.
I was scheduled for surgery today to remove the appendix. During preparation, my doctor also suggested removing my gallbladder, as I have asymptomatic gallstones (accidentally found) and a family history (my mother had symptomatic gallstones).
I have no symptoms related to gallstones — no pain, nausea after meals, or digestive issues.
I am worried about long-term side effects of gallbladder removal and would like to know:
1. Is it necessary to remove my gallbladder now, even if it's asymptomatic?
2. Can I safely delay gallbladder surgery and remove it later only if symptoms develop?
Please advise based on your experience. Thank you.
Answers (6)
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So asymptomatic gallstones can be removed if their is any positive history or any associated polyp,size >2.5cm
Or multiple small calculi which might dislodge and cause jaundice.
It is a daycare surgery.or u can be discharged the next day if no complications.hope this helps
Next Steps
usg abdomen
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If gallbladder stones are asymptomatic then you can opt to get it removed later in life if symptoms develop.
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You can do serial follow up scans every 6 months
Health Tips
Avoid fatty meals.
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If u have asymptomatic gallstones then u can delay the surgery, it’s not necessary at this time and do it later when symptomatic / electively.
But always remember, Only treatment for gallstones is surgery.
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Lap Cholecystectomy Not necessarily to be done with Appendectomy now
It's safe to delay
Even if symptoms develop you should consult before going for surgery, considering your young age
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Gall bladder surgery depends on the size of the stones even though u are not symptomatic smaller stones can migrate to duct and cause problems.
i would suggest discuss with ur surgeon before u take any decision
Anyways u will need an emergency laparoscopic appendectomy
Female 22 yrs is a very young age
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Dr. Mohammed Rehan Khan
Urologist
12 yrs exp
Bangalore
Don't go for gall bladder surgery at present
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.