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Gall Bladder stone
Hi
My Dad Age is 70.
He has the gall bladder stone of 2cm. Attached report.
Let me know medicine for it.
Is surgery required.
Answers (17)
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Surgery is required because of size. Even patient is asymptomatic
Consult in surgery
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Surgery is the choice of treatment
Because if the stones move to CBD - that is common bile duct … it will leads to obstructive jaundice… and leads to furthur complications… so meet a general surgeon and get it removed by laparoscopic surgery
Next Steps
Till than take ursocol 600 mg po BD
Health Tips
For further opinion kindly consult me on practo
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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If he’s symptomatic surgery is required
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Based on the report, actually no treatment is indicated. Gallstones are seen in more than 25% people over the age of 50.
By the way the stones are 2mm and not 20mm(2cm) as you thought they were.
All the best.
J G S R clinic.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Stone size is very less its 3mm not cm you can start medication for dissolution and also keep a watch on prostate volume,
Next Steps
Consult general surgeon for management of cholelithiasis
Health Tips
Usg at a 6 months intervals
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Please consult a gen surgeon physically.
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Remove it.
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Need some more details kindly consult
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You need a surgical removal for stone...if you don't have any symptoms than you can avoid it..but if you have pain in abdomen, vomiting then you need a medication and surgery
Consult for better and further management
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A 2 cm gall bladder stone usually does not dissolve with medicine. If he has pain, vomiting, fever, or repeated attacks, surgery (laparoscopic removal) is generally advised.
Next Steps
If he has no symptoms, it can sometimes be monitored. Please consult me for proper diagnosis and treatment plan.
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Report seen.
No medicine for stone.
Till no complaints follow healthy light diet if it bothers go for laproscopic surgery.
No fried items, least spicy diet
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Your father’s ultrasound shows multiple gallstones (cholelithiasis) in the gallbladder, with the largest around 2 cm (mentioned as 2–3 mm in some parts, but the impression and your description confirm a significant stone, likely ~2 cm). He also has grade 1 fatty liver, hepatomegaly (liver mildly enlarged at 16 cm), small umbilical hernia (7 mm with reducible omentum), and grade 1 prostatomegaly (prostate enlarged but no focal lesion).
The main issue is the gallbladder stones. At 70 years old with stones this size, the risk of complications (acute cholecystitis, biliary colic, pancreatitis, cholangitis) is high — especially with stones >1.5–2 cm, which often do not pass spontaneously and can block the cystic duct or CBD.
Medicine alone cannot dissolve or remove gallstones of this size — there is no reliable oral medicine (ursodeoxycholic acid like Udiliv works only for very small cholesterol stones
Next Steps
1. Consult a Gastrointestinal Surgeon / General Surgeon (preferably one experienced in laparoscopic cholecystectomy) within 7–14 days (sooner if any pain/fever/jaundice appears).
• In India, this is a very common & safe surgery (day-care or 1–2 days hospital stay).
• Laparoscopic removal is standard — small scars, quick recovery (1–2 weeks full activity).
2. Do NOT try home remedies / ayurvedic medicines to “dissolve” the stone — large stones do not dissolve reliably, and delaying can lead to emergency (acute cholecystitis or pancreatitis).
Health Tips
• Diet till surgery:
• Strictly low-fat — no ghee, oil, fried food, red meat, full-cream milk, cheese
• Small frequent meals — avoid large meals
• Plenty of vegetables, dal, rice, curd (low-fat), fruits (apple, papaya)
• No spicy, sour, or gas-forming food (cabbage, beans in excess)
• If pain/fever/jaundice starts: Go to hospital immediately (emergency) — do not wait.
• After surgery:
• Normal life — no dietary restrictions long-term (gallbladder removal does not cause major digestive issues in most people)
• Recovery: 1 week bed rest/light activity, full recovery 2–4 weeks
Surgery is safe, routine, and curative for gallstones at this age — most 70-year-olds tolerate it very well (laparoscopic has low complication rate
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Surgeon consultant required
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Surgery is needed in this size of stone
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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