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How is a gall bladder disorder treated? – Part 1

Acute pain from gallstones and gallbladder disease is usually treated in the hospital, where diagnostic procedures are performed.

Approaches to Gallstone Treatment:
– Expectant management (“wait and see”)
– Nonsurgical removal of the stones
– Surgical removal of the gallbladder

Expectant Management of Asymptomatic Gallstones
People whose cholangiography shows are at risk for complications from gallstones, including the following:
– Those at risk for gallbladder cancer.
– Pima Native Americans.
– Patients with stones larger than 3 cm.

– One study reported that very small gallstones increase the risk for acute pancreatitis.
– Gallstones smaller than 5 mm warrant immediate surgery.
– Gallstones almost never spontaneously disappear.
– At some point, the stones may cause pain, complications, or both, and require treatment.
– Some studies suggest the patient’s age at diagnosis may be a factor in the possibility of future surgery.

The probabilities are as follows:
– 15% likelihood of future surgery at age 70.
– 20% likelihood of future surgery at age 50.
– 30% likelihood of future surgery at age 30.

Symptomatic Patients
Results of diagnostic tests and the exam will guide the treatment, as follows:
– Normal Test Results and No Severe Pain or Complications:
Patients with no fever or serious medical problems who show no signs of severe pain may be discharged from the hospital with oral antibiotics and pain relievers.
– Gallstones and Presence of Pain (Biliary Colic) but No Infection:
Patients who have pain and tests that indicate gallstones, but do not show signs of inflammation or infection have the following options:
– Intravenous painkillers for severe pain.
– Such drugs include:
• Meperidine (Demerol) or the potent NSAID ketorolac (Toradol)
• Ketorolac should not be used for patients who are likely to need surgery.
• These drugs can cause nausea, vomiting, and drowsiness.
• Opioids such as morphine may have fewer adverse effects, but some doctors avoid them in gallbladder disease.

Other Treatment Options
– Elective gallbladder removal.
– Patients may electively choose to have their gallbladder removed (called cholecystectomy) at their convenience.
– A small number of patients may be candidates for a stone-breaking technique called lithotripsy.
– The treatment works best on solitary stones that are less than 2 cm in diameter.
– Drug therapy for gallstones is available for some patients who are unwilling to undergo surgery.
– Recurrence rates are high with nonsurgical options.
– The introduction of laparoscopic cholecystectomy has greatly reduced the use of nonsurgical therapies.

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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