Friday, 23 December 2016

Gallstones Treatment in Chennai

Gallstones are hardened deposits found in a small pear-shaped sac under the liver in the gallbladder fluid. The gallbladder fluid is a greenish brown liquid also known as bile. This bile is manufactured by the liver and includes cholesterol, fats, bile salts, proteins, and bilirubin (waste of red blood cells). This bile is very important in helping the small intestines to break down and emulsify fats that will be absorbed by the blood stream.

But sometimes this bile, based on its composition, becomes concentrated and develops as gallstones. If not disturbed, these gallstones can continue sitting in the gallbladder without causing any problems. But, if these gallstones move and block the cystic or the drainage duct from the gallbladder, then it can lead to inflammation and infections in the gallbladder or the bile ducts, causing severe pain.

Who is Likely to Develop Gallstones?

Gallstones can be found in any adult aged above 50, who has undergone any changes in the composition of bile leading to stagnation and thereby, the formation of stones. This change could have been due to higher levels of estrogen or triglycerides, diabetes or cholesterol lowering drugs. However, people who are obese or have a family history of gallstones are more likely to suffer. Gallstones are more common in women than men and among native Americans and Mexican Americans.

Types of Gallstones

Gallstones can be found in many shapes and sizes. It could be as small as a grain of sand or as big as a golf ball. There are three main types of Gallstones. Mixes stones, the most common one, occurs in batches and consists of cholesterol and salts.

Cholesterol stones, as the name suggests, is a fatty substance that is important for the overall metabolism of our body. These stones can grow in size and are even likely to block the bile duct. Pigment stones, as the name suggests, is made from bile pigment which is greenish brown in colour.

Symptoms of Gallstones

Generally, until the gallstones block the bile duct, no symptoms are experienced. But once the gallstones block the drainage duct, the following symptoms should not be ignored:

Biliary colic
: A sharp shooting pain on the right side of the upper abdomen or into the chest, that lasts anywhere between 30 minutes to a few hours. This sometimes also causes vomiting.

Acute cholecystitis: A very serious condition where the pain is similar to Biliary colic but more severe and lasts for many days. The pain is experienced around the neck, shoulder blade, breast bone or the entire left side.

Chronic cholecystitis: It is similar to acute cholecystitis but may take several months or years to become fully normal, causing mild inflammation, scarring, and stiffness in the gallbladder.

: When stones reach the bile duct, you will experience jaundice (due to built up bile in the ducts), fever, and chills with severe pain.

Pancreatitis: When Gallstones get stuck in the bile duct that passes through the pancreas, it discharges enzymes causing acute pancreatitis.

Diagnose of Gallstones

Gallstones are diagnosed after checking the medical history and physically examining the patient. These include blood tests, X-rays, endoscopic ultrasound, CAT scan, Magnetic Resonance Cholangio Pancreatigraphy (MRCP), HIDA scan, and Endoscopic Retrograde Cholangio Pancreatigraphy (ERCP).

Gallstones Treatment

The treatment of Gallstones depends on its size and severity. Sometimes, they can be dissolved using medicines, but even then, the chances of recurrence are high. The soft and small stones can be shattered using sound waves generated by a machine through Lithotripsy.

Generally, in about 80% of the cases, a surgery called gallbladder cholecystectomy must be performed. In acute cases, an open cholecystectomy must be done. In most cases, Laparoscopic Cholecystectomy is performed where the gallbladder is removed through a small incision in the abdomen. This type of surgery heals faster and leaves a smaller scar as compared to open surgery.

Vikram's Clinic is a well known multispecialty hospital, affiliated to the Harvard Medical School, Boston, USA. Known to provide best Treatment for Gallstone in Chennai with help of dedicated team of doctors and other staffs.

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