Thank you for sharing your USG report â Iâm sorry youâre worried. Iâll explain what the report means, what the realistic options are (including the limits of non-surgical treatment), what immediate steps I would recommend, and why an individual consultation with me is important.
You have multiple gallstones inside the gallbladder; the largest measures about 1.85 cm.
The gallbladder wall is thickened, and the impression mentions calculus cholecystitis (gallbladder inflammation caused by stones).
There is fatty
liver grade I as an additional, commonly reversible finding.
A thickened gallbladder wall together with stones is an important ultrasound sign and often indicates gallbladder inflammation that needs careful evaluation.
PMC
+1
2. What the usual (evidence-based) options are
A. Surgery (cholecystectomy) â this is the most widely recommended treatment for symptomatic gallstones or gallbladder inflammation because it definitively removes the source of pain and complications. Laparoscopic cholecystectomy is the usual approach in experienced centres.
Mayo Clinic
+1
B. Medical (non-surgical) dissolution â there are bile-acid tablets that can dissolve certain types of gallstones (cholesterol, non-calcified, usually small stones). This treatment:
Works only for cholesterol (radiolucent) stones, not calcified stones.
Is most successful with small stones and with a well-functioning gallbladder. Success falls sharply as stone size increases. Historically, dissolution is rare for stones larger than ~1 cm and much less likely with big stones; evidence and practice vary and some protocols consider up to ~20 mm in selected patients but success is not guaranteed. Dissolution, if it occurs, usually takes many months, and stones commonly recur later.
C. Combined strategies (stone fragmentation + medicine) â in very select solitary stones some centres combine shock-wave techniques with medicine, but that is not routine and is chosen case-by-case.
gastrojournal.org
3. What your stone size (1.85 cm) practically implies
A stone of ~1.85 cm (18â19 mm) is borderline to large for dissolution therapy. Many studies and guidelines note that the chance of complete medical dissolution drops sharply with increasing stone diameter. In practical terms: medical dissolution is unlikely to reliably dissolve stones of this size and may take a long time; surgery is often recommended for symptomatic or inflamed gallbladders of this nature.
PubMed
4. Why the âthickened wall / calculus cholecystitisâ is important
Wall thickening often reflects inflammation (acute or chronic). If the gallbladder is inflamed now, the safest path is to address the inflammation promptly because complications can occur (worsening pain, infection, blockage of bile ducts, or rarely pancreatitis). That is why a careful clinical assessment is required before choosing a conservative plan.
5. Possible complications you must watch for (seek urgent care if any occur)
If you develop any of these, go to the emergency department immediately:
High fever, chills, or rigors
Worsening right-upper-abdominal pain, especially if severe and constant
Jaundice (yellowing of eyes/skin) or dark urine/pale stools
Persistent vomiting or inability to eat
These can mean acute cholecystitis, blocked bile ducts, cholangitis or pancreatitis â conditions that need urgent hospital care.
6. Role of homeopathy / complementary care (realistic expectations)
What homeopathy can offer (reasonable): individualized symptom relief (nausea, pain flares), supportive care to improve digestion and overall resilience, and a personalised plan that may reduce the frequency/severity of biliary colic while you are being monitored. This is especially helpful for patients who prefer a gentle, whole-person approach.
7. Tests I would request and why (if you consult me)
To make a safe plan I need to review your USG images and order baseline tests:
Liver function tests (AST, ALT, ALP, GGT, total and direct bilirubin) â to check for obstruction or hepatitis.
Complete blood count and
CRP â to check for infection/inflammation.
Fasting glucose /
HbA1c and
lipid profile â because insulin resistance and metabolic factors are linked with gallstones and fatty liver.
Repeat abdominal ultrasound (if the images are not available) to confirm stone size, number, and look for pericholecystic fluid.
i have treated many cases of gall bladdr stones, including gall bladder wall thickening and gall bladder sludge, you can check my google reviews, if you are intrested we can have online consultation.
Regards
Dr Jyoti Kadkol
www.healhglobalclinics.com
Health Global Homoeopathy, Vijaynagar, Bangalore