An usg of the whole abdomen. The report shows calculus cholecystitis with adenomyomatosis and a gallbladder stone measuring about 14.2 mm. It also mentions Grade I fatty liver, while pancreas, CBD and kidneys appear normal.
For the past few months I have been experiencing upper abdominal burning/pain, especially near the chest-bone area, sometimes after meals and at night.
Is surgery (laparoscopic cholecystectomy) necessary now or can it be managed with atleast one month.
What complications can occur if delayed?
What precautions and foods should I strictly follow?
Any medicine for such a month.
Answers (9)
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It looks like you have had recurrent gallbladder inflammation and hence the findings on the scan. In the context of gallstones, best course of action (provided there are no gallstones stuck in the main bile ducts- which you will know from a combination of LFT blood test and MRCP scan) is lap cholecystectomy.
All the best.
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Gall bladder stone .surgery is mandatory in your case.but you need to delay for one month.so you need to take some extra medicine like bile binder , inhibit cholesterol synthesis drug.also dietary habits play an important role like less intake oily food.consult me on practo for further management and evaluation.
You have a gallbladder stone with inflammation, which can cause recurrent pain after meals. Surgery is usually advised if symptoms are frequent, but it may be planned electively if stable.
Next Steps
Avoid oily, fried, and heavy meals, and please consult me so I can assess you properly and guide the best timing and treatment plan.
Dear Patient,
Your ultrasound report shows gallbladder stone (14.2 mm) with chronic cholecystitis and adenomyomatosis, along with Grade I fatty liver. Your symptoms of upper abdominal burning/pain, especially after meals or at night, are consistent with gallbladder irritation.
Surgery vs Conservative Management
- Laparoscopic cholecystectomy is usually recommended for gallstones with symptoms, especially stones >1 cm, as they have a higher risk of complications like acute cholecystitis, pancreatitis, or obstruction.
- Conservative management may be attempted short-term (few weeks) if pain is mild, but stones of this size can still cause complications.
Precautions & Diet
- Avoid fried, fatty, oily, spicy foods
- Eat small, frequent meals instead of heavy meals
- Avoid late-night meals and lying down immediately after eating
- Stay hydrated and maintain light physical activity
Medicines (short-term relief, under doctor supervision)
- Antispasmodics (e.g., hyoscine butylbromide) for pain
- Acid reducers/antacids (e.g., pantoprazole, rabeprazole) for burning sensation
- Bile salts or ursodeoxycholic acid may be considered to improve bile flow and reduce irritation (effect on stone size is limited)
Possible complications if delayed
- Acute cholecystitis (infection and inflammation of gallbladder)
- Gallstone pancreatitis
- Obstruction of bile ducts (jaundice)
- Recurrent biliary colic
consult me urgently
- Severe abdominal pain, fever, vomiting
- Yellowing of eyes or urine (jaundice)
- Persistent vomiting or inability to eat/drink
For further guidance and personalized treatment you may consult me on Practo anytime.
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.
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.
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