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How is a gall bladder disorder diagnosed? – Part 1

– The gallbladder is a sac located under the liver.
– It stores and concentrates bile produced in the liver.
– Bile aids in the digestion of fats.
– Then it is released from the gallbladder into the upper small intestine (duodenum) in response to food, especially fats.

– The challenge in diagnosing gallstones is to verify that abdominal pain is caused by stones and not by some other condition.
– Ultrasound or other imaging techniques can usually detect gallstones.
– Since gallstones are common and most cause no symptoms, simply finding stones does not necessarily explain the pain
– This pain may be caused by any number of ailments.

Ruling out Other Disorders
If the pain lasts less than 15 minutes, frequently comes and goes, or is not severe enough to limit activities then this condition can be left out for gallstones.

Irritable Bowel Syndrome:
– Irritable bowel syndrome (IBS) has some of the same symptoms as gallbladder disease.
– This includes difficulty digesting fatty foods.
– But, the pain of IBS usually occurs in the lower abdomen.

– It is sometimes difficult to differentiate between pancreatitis and acute cholecystitis.
– About 40% of pancreatitis cases are associated with gallstones.
– The risk for gallstone-associated pancreatitis is highest in older Caucasian and Hispanic women.
– About 25% of pancreatitis cases are severe.
– The rate is much higher in people who are obese.
– Blood tests showing high levels of pancreatic enzymes (amylase and lipase) usually indicate a diagnosis of pancreatitis.
– Elevated levels of the liver enzyme alanine aminotransferase (ALT) are very specific in identifying gallstone pancreatitis.

Imaging techniques that are useful in confirming a diagnosis:
– Ultrasound is often used.
– A computed tomography (CT) scan, along with a number of laboratory tests, can determine the severity of the condition.

Other Conditions with Similar Symptoms:
– Acute appendicitis
– Inflammatory bowel disease (Crohn’s disease or ulcerative colitis),
– Pneumonia,
– Stomach ulcers,
– Gastroesophageal reflux
– Hiatal hernia
– Viral hepatitis
– Kidney stones
– Urinary tract infections
– Diverticulosis or diverticulitis
– Pregnancy complications
– Even a heart attack can potentially mimic a gallbladder attack.

Physical Examination
– The doctor can often diagnose acute cholecystitis (gallbladder inflammation) based on classic symptoms (constant and severe pain in the upper right part of the abdomen).
– Imaging techniques are necessary to confirm the diagnosis.
– There is usually no tenderness in chronic cholecystitis.

Laboratory Tests
– Blood tests are usually normal in people with simple biliary colic or chronic cholecystitis.
The following abnormalities may indicate gallstones or complications:
– Bilirubin and the enzyme alkaline phosphatase are usually elevated in acute cholecystitis especially in choledocholithiasis (common bile duct stones).
– Bilirubin is the orange-yellow pigment found in bile.
– High levels of bilirubin cause jaundice, which gives the skin a yellowish tone.
– Levels of liver enzymes known as aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are elevated when common bile duct stones are present.
– A high white blood cell count is a common finding in many (but not all) patients with cholecystitis.

The Liver and Gallbladder Miracle Cleanse Healthy Digestion the Natural Way 3B Scientific VE315 Liver with Gall Bladder, Pancreas and Duodenum Model

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