Gallstones are the most common and costly digestive disease in the United States, causing more than 800,000 hospitalizations annually at estimated cost of over five billion dollars. More than 20 million Americans have gallstones and approximately one million new cases are diagnosed each year. Women are twice as likely as men to develop gallstones; the higher prevalence of gallstones in women is thought to be caused by multiple pregnancies, obesity, and rapid weight loss. Well over half a million people undergo cholecystectomy (surgical removal of the gallbladder) each year.
The normal function of the gallbladder is to store bile produced by the liver, and to aid in the digestion and absorption of fats in the duodenum (the first portion of the small intestine).
Gallstones compose a solid formation of cholesterol and bile salts. However, research shows that approximately 80 to 90 percent of all gallstones are cholesterol gallstones which form when the liver begins secreting bile that is abnormally saturated with cholesterol. The excess cholesterol crystallizes and then forms stones which are stored in the gallbladder or the cystic duct. Gallstones can also form due to low levels of bile acids and bile lecithin.
When the symptoms of gallstones occur they are often called an "attack" because they occur suddenly. The typical gallstone attack includes:
Steady, severe pain in the upper abdomen that increases rapidly and lasts from 30 minutes to several hours.
Pain in the back between the shoulder blades.
Pain under the right shoulder.
Nausea or vomiting.
Gallstone attacks often follow fatty meals, and they may occur during the night. Although I was lucky not to have too much nausea and vomiting with my gallstones, one of my most vivid childhood memories is of my mother up at night, in the bathroom, vomiting.
Other symptoms of gallstones include:
Abdominal bloating.
Recurring intolerance of fatty foods.
Colic.
Belching.
Gas.
Indigestion.
The following symptoms are indication that you should seek immediate medical attention:
Sweating.
Chills.
Low-grade fever.
Yellowish color of the skin or whites of the eyes.
Clay-colored stools.
Many people have gallstones with no symptoms, these people are called asymptomatic. Gallstones that cause no symptoms are called "silent stones." Silent stones do not interfere in gallbladder, liver, or pancreas function and do not require treatment.
2006-10-18 10:24:16
·
answer #1
·
answered by swomedicineman 4
·
0⤊
0⤋
Gall bladder disease is caused by the presence of a calculi (or more) inside the gall bladder, the most of people is asymptomatic but in a small percentage this "stone" ocludes the exit of the gall bladder when it comes constricted by the digestive stimuli, this gall bladder´s wall contraction comes with certain foods, particularly with high fat and proteins food. The presence of fat and proteins in the duodenum (the part of intestine next to the stomach) release a molecule named colecystokinine, this molecule cause the muscular wall of the gall bladder to contract and to let the bilis to make it way through the intestine to break the complex fats, when a stone is there the bilis do not come out and it causes that the fat do not break in the intestine and continue to stimulate the gall bladder with colecystokinine, the increase in the inside of the gall bladder is painful and comes more or less 20 to 30 minutes after ingestion of fats and proteines. it could be pain in the upper and right side of the abdomen just behind the last 2 palpable right ribs or under them, is a sharp pain that may increase with inspiration and is increased by pressing the zone just under the last right rib. The definitive diagnosis is made by ultrasonography of liver and the gall bladder after 8 hours of no food, the treatment is surgery, most of them are planned surgery by laparoscopy; a cam guided minimal invasive surgery, it takes around 2 hours. you can consult a surgeon general to take a professional advise.
2006-10-18 10:20:08
·
answer #2
·
answered by Luis Navarro 1
·
1⤊
0⤋
Major pain in the right side of your body, below your right nipple! It comes and goes in the early stages and gets worse and stays longer as you go on. It gets worse with foods high in fat. Slow down on the fats and get to the doctor. The surgery is a piece of cake. Most are done laprasopically(small minimally invasive incisions) and on an outpatient basis.
2006-10-18 08:31:55
·
answer #3
·
answered by Anonymous
·
0⤊
0⤋
My mom had this. I'm not sure exactly about the pains, but she stopped eating almost all fats. Butter, fried food etc. Check with your doctor. Surgery is common, but now days it's not that big of a deal. (At least not to the doctor, it's always a big deal to me!) But it's a pretty routine surgery and the recuperation time isn't too bad.
2006-10-18 08:14:31
·
answer #4
·
answered by kat 7
·
0⤊
0⤋
As far as I know, you get a sharp pain in your right abdomen/side which may come and go. Pain and bloating after you eat fried food, and dairy. You may be vomiting. Overall, a feeling as though you cant digest any food you eat.
2006-10-18 08:13:16
·
answer #5
·
answered by BellaRia 2
·
0⤊
0⤋