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Pain Upper Mid-Abdomen-2

Posted by Dr.Prahallad Panda on 2nd September 2009

Opened :en:gall bladder containing numerous :e...
Opened Gall Bladder with Gal Stones

The tags attached to the disease are fat,fertile,fifty and female are not absolute.It is said for gall stone disease.This disease gives rise to pain in the upper mid-abdomen.Other tags attached to it are flatulent dyspepsia .Some other diseases may be associated with it namely a hiatus hernia , diverticulosis of colon or pancreatitis.

Typically pain comes after a fatty meal.Other symptoms are vomiting ,loss of appetite,jaundice and fever .If associated with other diseases their symptoms also manifest.Gall stones form in a diseased gall bladder,supersaturated bile and infected biliary system .It is prevalent in a areas prone for malaria  and haemolytic diseases such as sickle cell disease.It is said that “Every   gall tone is a tomb stone erected to the memory of bacteria living or dead within it”.

The stones  are of a few types namely a cholesterol stone,a pigment stone or a mixed stone.The inflammation of gall bladder is called cholecystitis.It may occur with a gall stone when it is called a cholelithiasis with cholecystitis . when cholecystitis occurs without a gall stone is called an acalculus chilecystitis.Complications do follow a long  standing cholecystitis.They are gangrene of gall  bladder,pancreatitis,perforation of gall bladder,stone migration  to common bile duct and it’s obstruction, stone obstruction of intestine and  pus in gall bladder to name  few.It  may become associated with a cancer of gall bladder  also.

X-ray of organs during a laprasopic cholecyste...
Laparoscopic Cholecystectomy

Medical treatment for small cholesterol stone may become effective.Nevertheless surgery is indicated for it’s cure.A laparoscopic approach is the gold standard treatment now-a-days.

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GALL STONE DISSOLUTION.

Posted by Dr.Prahallad Panda on 22nd May 2009

There are at least three types of gall bladder stones viz.cholesterol stones,mixed stones and pigment stones. Cholesterol stone formation may occur if these is mismatch between fat dissolving agents i.e. bile acids formed in liver and fat. Long term use of contraceptive pills may decrease the amount of bile acid synthesis. Dissolving agents are required because fat is insoluble in watery environment.Cholesterol stones are amenable to dissolution.
Basing on ultarsography report from an experienced sonologist one can guess the presence of cholesterol stones and
medical treatment can be tried with one of the dissolving agents, the bile acids, one of them widely used is synthetic ursodeoxycholic acid (this is naturally synthesized in the liver.).The status of dissulation can be monitored at least in 3 months interval .As documented dissolution can be possible in some cases but the medication has to be continued for longer period may be over a YEAR.

w:CholesterolCHOLESTEROL

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BREAKFAST/GALL BLADDER STONE AND OBESITY

Posted by Dr.Prahallad Panda on 19th May 2009

Accessory digestive system.Image via Wikipedia

In India many skip breakfast for various reasons.Ladies specially skip it with a plea that they are busy in household work.These persons many a times suffer from gall bladder stone,obesity and diabetes.
   After the over night fasting ,in the morning body needs energy to start the day’s work.The gall bladder stores and concentrates bile.Bile secretion is stimulated by intake of food and particularly mixed with fatty food.During the night as there  is a fasting state and it remains stored.When one takes breakfast it is empties to mix with the food to help in digestion of food particularity fats.Skipping breakfast keeps the stored bile for longer period of time and in the long run it may get infected to form particulates on the bacterias initiating stone formation.Also it is likely that the concentrated bile is prone for particle formation as such.That bile to fat ratio must remain within normal range.
   Skipping breakfast prompt the individual for interval eating which may fall to a habit ending up in excessive food intake as well as calorie. This in is tern reflected in making the individual obese and the chain reaction of diabetes,hypertension and the kidney diseases etc.

Silhouettes representing healthy, overweight, ...Image via Wikipedia

   So it is ideal to start the day with a good balanced breakfast.In our part it is told that ‘take the breakfast like a prince,lunch like a king and night meal like a beggar’.But here there is rise in incidence of gall bladder stone disease because the saying is seldom followed.

GOOD BREAKFAST MEANS GOOD HEALTH

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