SlideShare a Scribd company logo
1 of 3
Download to read offline
Gallstone Disease
Introduction
Gallbladder is a small organ located under the liver. Its function is to aid in
digestion of food by storing and secreting bile (a digestive juice) into the small
intestine when food enters there. Bile is a digestive fluid that is produced by
the liver and is made up of several substances including cholesterol, bilirubin
and bile salts.
Gallstones are pieces of solid material that form in the gallbladder. Sometimes
the cholesterol and pigments present in bile result in formation of hard
particles. These stones range in size from tiny sand grains to large ones the
size of golf balls.
There are mainly two types of gallstones that can be formed inside gallbladder:
Cholesterol stones: these are the most common type of gallstones, often
appears yellow green in color. Almost 80% of the gallstones are cholesterol
stones.
Pigment Stones: it is usually formed due to the large amount of bilirubin
inside gallbladder. They are dark brown or black in color.
Signs & Symptoms
• Sudden and rapid pain in the upper abdomen and upper back lasting several
minutes to few hours
• Back pain between the shoulder blades
• Pain in the right shoulder
• Nausea & vomiting
• Other gastrointestinal problems like - Bloating, indigestion, heartburn, gas etc
Causes
Gallstone may develop when there is too much cholesterol or bilirubin inside
gallbladder secreted by the liver.
Bile usually dissolves or break down cholesterol however if the liver produces
more cholesterols than the bile can dissolve it results in formation of hard
stones called cholesterol gall stones.
Bilirubin is a chemical that is produced when the body breaks down old red
blood cells. In some cases such as cirrhosis of the liver and certain blood
disorders the liver produces too much bilirubin which contributes to the
gallstone formation.
If the gallbladder often fails to get empty completely the bile may becomes
overly concentrated leading to formation of gallstones.
Risk Factors
Following are the various risk factors of developing gallstones:
Age of above 40 years and female gender: gallstones are more common
among women and older people
Cirrhosis of liver: may cause liver to produce more cholesterol than bile can
dissolve which leads to formation of cholesterol gallstones
On low calorie diet that leads to rapid weight loss: if a person looses
weight too quickly the liver secretes extra cholesterol which may lead to
formation of gallstone. Fasting also cause the gallbladder to contract less
preventing the gallbladder from emptying completely which may leads to
concentrate the gallbladder content and ultimately gallstones
Diabetes: diabetic people tend to have higher level of triglycerides which is a
type of blood fat that increases the risk of gallstone formation
Obesity: this is one of the biggest risk factor. It can cause a rise in cholesterol
and also prevent gallbladder from preventing completely
Estrogen: it can increase cholesterol and reduce gallbladder motility. Women
who are pregnant or who take birth control pills or hormone replacement
therapy have higher levels of estrogen and are more likely to develop gallstone
Genetics: Having family history of gallstones increases your risk of developing
gallstone
Cholesterol lowering drugs: they increases the amount of cholesterol in bile
increasing the chances of developing gallstone
Complications
If the gallstone gets lodged in the neck of the gallbladder it can cause
inflammation of the gallbladder called cholecystitis which can cause severe
pain and fever.
Gallstones may get stuck in to any of the tubes that carries bile from
gallbladder to small intestine causing blockage of common bile duct. This
condition may lead to jaundice or bile duct infection.
Gallstone may put you at increased risk of developing gallbladder cancer
however the chances of gallbladder cancer are usually very small.
Diagnosis
Abdominal CT Scan: it is a digital imaging test that takes pictures of the liver
and abdominal region revealing the presence of gallstone if any.
Ultrasound: this test uses ultrasonic sound waves to create image of
abdominal organs which help find presence of any gallstone.
Blood tests: to look for amount of bilirubin in the blood and to determine the
functioning of liver.
Treatment
Surgery is often the first choice if there are profound symptoms of gallstone.
Laparoscopic gallbladder removal is the most common surgical technique
which involves insertion of two to three rod like instrument called laparoscope
through tiny holes on abdomen.
Drugs that dissolve gallstones caused by cholesterol can be used for those who
cannot undergo surgery however these drugs may take several years to
eliminate the gallstone.
The risk of developing gallstone can be reduced by adopting healthy lifestyle
strategies. Eat balanced diet. Avoid skipping meals. Drink sufficient amount of
water every day. Eat fiber rich diet. Maintain healthy weight etc.

More Related Content

What's hot (20)

Appendicitis
AppendicitisAppendicitis
Appendicitis
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitis
 
Cancer of Pancreas- Easy ppt for student nurses
Cancer of Pancreas- Easy ppt for student nursesCancer of Pancreas- Easy ppt for student nurses
Cancer of Pancreas- Easy ppt for student nurses
 
Surgical management of urolithiasis
Surgical management of urolithiasisSurgical management of urolithiasis
Surgical management of urolithiasis
 
Cancer of Pancreas
 Cancer of Pancreas Cancer of Pancreas
Cancer of Pancreas
 
Live abscess
Live abscessLive abscess
Live abscess
 
Cholecystitis and cholelithiasis
Cholecystitis and cholelithiasis Cholecystitis and cholelithiasis
Cholecystitis and cholelithiasis
 
Gallstones
GallstonesGallstones
Gallstones
 
Liver cancer
Liver cancerLiver cancer
Liver cancer
 
Haematuria
HaematuriaHaematuria
Haematuria
 
Colorectal Cancer
Colorectal CancerColorectal Cancer
Colorectal Cancer
 
ACUTE AND CHRONIC PANCREATITIS
ACUTE AND CHRONIC PANCREATITISACUTE AND CHRONIC PANCREATITIS
ACUTE AND CHRONIC PANCREATITIS
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitis
 
Peritonitis
PeritonitisPeritonitis
Peritonitis
 
Stoma care / for surgeons
Stoma care / for surgeonsStoma care / for surgeons
Stoma care / for surgeons
 
Tuberculosis Abdomen
Tuberculosis AbdomenTuberculosis Abdomen
Tuberculosis Abdomen
 
Urine Retention
Urine RetentionUrine Retention
Urine Retention
 
Urinary calculi
Urinary calculiUrinary calculi
Urinary calculi
 
Renal calculi
Renal calculiRenal calculi
Renal calculi
 
Gall Bladder Carcinoma
Gall Bladder CarcinomaGall Bladder Carcinoma
Gall Bladder Carcinoma
 

Viewers also liked

Viewers also liked (12)

Gallstone+disease
Gallstone+diseaseGallstone+disease
Gallstone+disease
 
Gallstone presentation
Gallstone presentation Gallstone presentation
Gallstone presentation
 
Gall bladder disease
Gall bladder diseaseGall bladder disease
Gall bladder disease
 
Crohn’s disease
Crohn’s diseaseCrohn’s disease
Crohn’s disease
 
Crohn’s disease
Crohn’s diseaseCrohn’s disease
Crohn’s disease
 
Gallstones
GallstonesGallstones
Gallstones
 
Crohns disease movie
Crohns disease movieCrohns disease movie
Crohns disease movie
 
Gall stones
Gall stonesGall stones
Gall stones
 
Gallstone
GallstoneGallstone
Gallstone
 
Cholelithiasis
CholelithiasisCholelithiasis
Cholelithiasis
 
Crohn\'s disease
Crohn\'s diseaseCrohn\'s disease
Crohn\'s disease
 
inflammatory bowel disease (Ulcerative colitis , crohn's disease)
 inflammatory bowel disease (Ulcerative colitis , crohn's disease)  inflammatory bowel disease (Ulcerative colitis , crohn's disease)
inflammatory bowel disease (Ulcerative colitis , crohn's disease)
 

Similar to Gallstone Disease

Gallbladder cancer treatment in india at low cost
Gallbladder cancer treatment in india at low costGallbladder cancer treatment in india at low cost
Gallbladder cancer treatment in india at low costpankaj nagpal
 
New Microsoft PowerPoint Presentation (1).pptx
New Microsoft PowerPoint Presentation (1).pptxNew Microsoft PowerPoint Presentation (1).pptx
New Microsoft PowerPoint Presentation (1).pptxabeerarajput
 
Cholelithiasis & Cholecystitis
Cholelithiasis & CholecystitisCholelithiasis & Cholecystitis
Cholelithiasis & CholecystitisAbhay Rajpoot
 
Cholelithiasis ( gallstones)
Cholelithiasis ( gallstones) Cholelithiasis ( gallstones)
Cholelithiasis ( gallstones) Shehnazkhan31
 
Dr. Sonali Gautam All About galballder .pdf
Dr. Sonali Gautam All About galballder .pdfDr. Sonali Gautam All About galballder .pdf
Dr. Sonali Gautam All About galballder .pdfsonaligautam19
 
Gallstones - Symptoms & Causes
Gallstones - Symptoms & CausesGallstones - Symptoms & Causes
Gallstones - Symptoms & Causeshmehra895
 
DISORDERS OF THE GALL BLADDER-paula.pdf
DISORDERS OF THE GALL BLADDER-paula.pdfDISORDERS OF THE GALL BLADDER-paula.pdf
DISORDERS OF THE GALL BLADDER-paula.pdfPaulineTembo3
 
Laparoscopic cholecystectomy
Laparoscopic cholecystectomyLaparoscopic cholecystectomy
Laparoscopic cholecystectomyAmit Chavan
 
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinics
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinicsGallstone gallbladder homeopathy treatment by anubhuti homeopathy clinics
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinicsPranav Pandya
 
cholelithiasis, by Baqir Naqvi.pptx
cholelithiasis, by Baqir Naqvi.pptxcholelithiasis, by Baqir Naqvi.pptx
cholelithiasis, by Baqir Naqvi.pptxDr. Baqir Raza Naqvi
 
cholilithiasis.pptx
cholilithiasis.pptxcholilithiasis.pptx
cholilithiasis.pptxTHaripriya1
 
Best GI Cancer Surgeon.pptx
Best GI Cancer Surgeon.pptxBest GI Cancer Surgeon.pptx
Best GI Cancer Surgeon.pptxSapnaJaiswal25
 
What is Gallbladder Stone , Causes and Treatment.pptx
What is Gallbladder Stone , Causes and Treatment.pptxWhat is Gallbladder Stone , Causes and Treatment.pptx
What is Gallbladder Stone , Causes and Treatment.pptxHLC Bangalore
 
GallStone Surgery_ Medfine Hospital (1).pptx
GallStone Surgery_ Medfine Hospital (1).pptxGallStone Surgery_ Medfine Hospital (1).pptx
GallStone Surgery_ Medfine Hospital (1).pptxMedfine Hospital
 
Gall bladder stone treatment by dr.shailesh phalle
Gall bladder stone treatment  by dr.shailesh phalleGall bladder stone treatment  by dr.shailesh phalle
Gall bladder stone treatment by dr.shailesh phalledr.shailesh phalle
 
Cholecystitis and cholelithiasis
Cholecystitis and cholelithiasisCholecystitis and cholelithiasis
Cholecystitis and cholelithiasisSulochanaGhimire
 

Similar to Gallstone Disease (20)

Cholelithiasis
CholelithiasisCholelithiasis
Cholelithiasis
 
Gallbladder cancer treatment in india at low cost
Gallbladder cancer treatment in india at low costGallbladder cancer treatment in india at low cost
Gallbladder cancer treatment in india at low cost
 
New Microsoft PowerPoint Presentation (1).pptx
New Microsoft PowerPoint Presentation (1).pptxNew Microsoft PowerPoint Presentation (1).pptx
New Microsoft PowerPoint Presentation (1).pptx
 
Cholelithiasis & Cholecystitis
Cholelithiasis & CholecystitisCholelithiasis & Cholecystitis
Cholelithiasis & Cholecystitis
 
Cholelithiasis ( gallstones)
Cholelithiasis ( gallstones) Cholelithiasis ( gallstones)
Cholelithiasis ( gallstones)
 
Dr. Sonali Gautam All About galballder .pdf
Dr. Sonali Gautam All About galballder .pdfDr. Sonali Gautam All About galballder .pdf
Dr. Sonali Gautam All About galballder .pdf
 
Gallstones - Symptoms & Causes
Gallstones - Symptoms & CausesGallstones - Symptoms & Causes
Gallstones - Symptoms & Causes
 
DISORDERS OF THE GALL BLADDER-paula.pdf
DISORDERS OF THE GALL BLADDER-paula.pdfDISORDERS OF THE GALL BLADDER-paula.pdf
DISORDERS OF THE GALL BLADDER-paula.pdf
 
Laparoscopic cholecystectomy
Laparoscopic cholecystectomyLaparoscopic cholecystectomy
Laparoscopic cholecystectomy
 
Biliary conditions
Biliary conditionsBiliary conditions
Biliary conditions
 
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinics
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinicsGallstone gallbladder homeopathy treatment by anubhuti homeopathy clinics
Gallstone gallbladder homeopathy treatment by anubhuti homeopathy clinics
 
cholelithiasis, by Baqir Naqvi.pptx
cholelithiasis, by Baqir Naqvi.pptxcholelithiasis, by Baqir Naqvi.pptx
cholelithiasis, by Baqir Naqvi.pptx
 
cholilithiasis.pptx
cholilithiasis.pptxcholilithiasis.pptx
cholilithiasis.pptx
 
Best GI Cancer Surgeon.pptx
Best GI Cancer Surgeon.pptxBest GI Cancer Surgeon.pptx
Best GI Cancer Surgeon.pptx
 
What is Gallbladder Stone , Causes and Treatment.pptx
What is Gallbladder Stone , Causes and Treatment.pptxWhat is Gallbladder Stone , Causes and Treatment.pptx
What is Gallbladder Stone , Causes and Treatment.pptx
 
All About Your Gall Bladder.pdf
All About Your Gall Bladder.pdfAll About Your Gall Bladder.pdf
All About Your Gall Bladder.pdf
 
GallStone Surgery_ Medfine Hospital (1).pptx
GallStone Surgery_ Medfine Hospital (1).pptxGallStone Surgery_ Medfine Hospital (1).pptx
GallStone Surgery_ Medfine Hospital (1).pptx
 
Gall bladder stone treatment by dr.shailesh phalle
Gall bladder stone treatment  by dr.shailesh phalleGall bladder stone treatment  by dr.shailesh phalle
Gall bladder stone treatment by dr.shailesh phalle
 
Renal & gi
Renal & giRenal & gi
Renal & gi
 
Cholecystitis and cholelithiasis
Cholecystitis and cholelithiasisCholecystitis and cholelithiasis
Cholecystitis and cholelithiasis
 

More from Sanjiv Haribhakti

Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaSanjiv Haribhakti
 
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiObesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiSanjiv Haribhakti
 
Lets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiLets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiSanjiv Haribhakti
 
Role of diet in lifestyle disorders
Role of diet in lifestyle disordersRole of diet in lifestyle disorders
Role of diet in lifestyle disordersSanjiv Haribhakti
 
Role of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgeryRole of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgerySanjiv Haribhakti
 
CBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisCBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisSanjiv Haribhakti
 
Core exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineCore exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineSanjiv Haribhakti
 
Osteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresOsteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresSanjiv Haribhakti
 
POSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoPOSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoSanjiv Haribhakti
 
Muscles of the Vertebral Column
Muscles of the Vertebral ColumnMuscles of the Vertebral Column
Muscles of the Vertebral ColumnSanjiv Haribhakti
 
Food Group Pyramid - Health Tips
Food Group Pyramid - Health TipsFood Group Pyramid - Health Tips
Food Group Pyramid - Health TipsSanjiv Haribhakti
 
Hypertension - Classification of HTN
Hypertension - Classification of HTNHypertension - Classification of HTN
Hypertension - Classification of HTNSanjiv Haribhakti
 
GERD (Gastro Esophageal Reflux Disease)
GERD (Gastro Esophageal Reflux Disease)GERD (Gastro Esophageal Reflux Disease)
GERD (Gastro Esophageal Reflux Disease)Sanjiv Haribhakti
 
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Sanjiv Haribhakti
 

More from Sanjiv Haribhakti (20)

Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall hernia
 
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiObesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
 
Lets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiLets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhakti
 
Lifestyle Disorders
Lifestyle DisordersLifestyle Disorders
Lifestyle Disorders
 
Role of diet in lifestyle disorders
Role of diet in lifestyle disordersRole of diet in lifestyle disorders
Role of diet in lifestyle disorders
 
Role of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgeryRole of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - Gisurgery
 
Intestinal Obstruction
Intestinal ObstructionIntestinal Obstruction
Intestinal Obstruction
 
CBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisCBD Stone / Choledocolithiasis
CBD Stone / Choledocolithiasis
 
Core exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineCore exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routine
 
Osteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresOsteoporosis - Preventive Measures
Osteoporosis - Preventive Measures
 
POSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoPOSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.info
 
Vertebral Column
Vertebral ColumnVertebral Column
Vertebral Column
 
Muscles of the Vertebral Column
Muscles of the Vertebral ColumnMuscles of the Vertebral Column
Muscles of the Vertebral Column
 
Acid Peptic Ulcer Diease
Acid Peptic Ulcer DieaseAcid Peptic Ulcer Diease
Acid Peptic Ulcer Diease
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
Food Group Pyramid - Health Tips
Food Group Pyramid - Health TipsFood Group Pyramid - Health Tips
Food Group Pyramid - Health Tips
 
Hypertension - Classification of HTN
Hypertension - Classification of HTNHypertension - Classification of HTN
Hypertension - Classification of HTN
 
GERD (Gastro Esophageal Reflux Disease)
GERD (Gastro Esophageal Reflux Disease)GERD (Gastro Esophageal Reflux Disease)
GERD (Gastro Esophageal Reflux Disease)
 
Indigestion
IndigestionIndigestion
Indigestion
 
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
 

Recently uploaded

Dehradun Call Girls Service 7017441440 Real Russian Girls Looking Models
Dehradun Call Girls Service 7017441440 Real Russian Girls Looking ModelsDehradun Call Girls Service 7017441440 Real Russian Girls Looking Models
Dehradun Call Girls Service 7017441440 Real Russian Girls Looking Modelsindiancallgirl4rent
 
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...Gfnyt.com
 
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meetpriyashah722354
 
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girls Service Chandigarh Ayushi
 
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...indiancallgirl4rent
 
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...delhimodelshub1
 
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girls Service Gurgaon
 
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsiindian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana TulsiHigh Profile Call Girls Chandigarh Aarushi
 
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Call Girls Service Chandigarh Ayushi
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591adityaroy0215
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Timedelhimodelshub1
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipurgragmanisha42
 
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in UdaipurUdaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipurseemahedar019
 
No Advance 9053900678 Chandigarh Call Girls , Indian Call Girls For Full Ni...
No Advance 9053900678 Chandigarh  Call Girls , Indian Call Girls  For Full Ni...No Advance 9053900678 Chandigarh  Call Girls , Indian Call Girls  For Full Ni...
No Advance 9053900678 Chandigarh Call Girls , Indian Call Girls For Full Ni...Vip call girls In Chandigarh
 

Recently uploaded (20)

Dehradun Call Girls Service 7017441440 Real Russian Girls Looking Models
Dehradun Call Girls Service 7017441440 Real Russian Girls Looking ModelsDehradun Call Girls Service 7017441440 Real Russian Girls Looking Models
Dehradun Call Girls Service 7017441440 Real Russian Girls Looking Models
 
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
 
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
 
Call Girls in Lucknow Esha 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
Call Girls in Lucknow Esha 🔝 8923113531  🔝 🎶 Independent Escort Service LucknowCall Girls in Lucknow Esha 🔝 8923113531  🔝 🎶 Independent Escort Service Lucknow
Call Girls in Lucknow Esha 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
 
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
 
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...
(Jessica) Call Girl in Jaipur- 09001626015 Escorts Service 50% Off with Cash ...
 
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
 
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
 
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
 
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsiindian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
 
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
 
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
 
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service LucknowCall Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
 
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Time
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
 
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in UdaipurUdaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
 
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
 
No Advance 9053900678 Chandigarh Call Girls , Indian Call Girls For Full Ni...
No Advance 9053900678 Chandigarh  Call Girls , Indian Call Girls  For Full Ni...No Advance 9053900678 Chandigarh  Call Girls , Indian Call Girls  For Full Ni...
No Advance 9053900678 Chandigarh Call Girls , Indian Call Girls For Full Ni...
 

Gallstone Disease

  • 1. Gallstone Disease Introduction Gallbladder is a small organ located under the liver. Its function is to aid in digestion of food by storing and secreting bile (a digestive juice) into the small intestine when food enters there. Bile is a digestive fluid that is produced by the liver and is made up of several substances including cholesterol, bilirubin and bile salts. Gallstones are pieces of solid material that form in the gallbladder. Sometimes the cholesterol and pigments present in bile result in formation of hard particles. These stones range in size from tiny sand grains to large ones the size of golf balls. There are mainly two types of gallstones that can be formed inside gallbladder: Cholesterol stones: these are the most common type of gallstones, often appears yellow green in color. Almost 80% of the gallstones are cholesterol stones. Pigment Stones: it is usually formed due to the large amount of bilirubin inside gallbladder. They are dark brown or black in color. Signs & Symptoms • Sudden and rapid pain in the upper abdomen and upper back lasting several minutes to few hours • Back pain between the shoulder blades • Pain in the right shoulder • Nausea & vomiting • Other gastrointestinal problems like - Bloating, indigestion, heartburn, gas etc Causes Gallstone may develop when there is too much cholesterol or bilirubin inside gallbladder secreted by the liver. Bile usually dissolves or break down cholesterol however if the liver produces more cholesterols than the bile can dissolve it results in formation of hard stones called cholesterol gall stones. Bilirubin is a chemical that is produced when the body breaks down old red blood cells. In some cases such as cirrhosis of the liver and certain blood disorders the liver produces too much bilirubin which contributes to the gallstone formation.
  • 2. If the gallbladder often fails to get empty completely the bile may becomes overly concentrated leading to formation of gallstones. Risk Factors Following are the various risk factors of developing gallstones: Age of above 40 years and female gender: gallstones are more common among women and older people Cirrhosis of liver: may cause liver to produce more cholesterol than bile can dissolve which leads to formation of cholesterol gallstones On low calorie diet that leads to rapid weight loss: if a person looses weight too quickly the liver secretes extra cholesterol which may lead to formation of gallstone. Fasting also cause the gallbladder to contract less preventing the gallbladder from emptying completely which may leads to concentrate the gallbladder content and ultimately gallstones Diabetes: diabetic people tend to have higher level of triglycerides which is a type of blood fat that increases the risk of gallstone formation Obesity: this is one of the biggest risk factor. It can cause a rise in cholesterol and also prevent gallbladder from preventing completely Estrogen: it can increase cholesterol and reduce gallbladder motility. Women who are pregnant or who take birth control pills or hormone replacement therapy have higher levels of estrogen and are more likely to develop gallstone Genetics: Having family history of gallstones increases your risk of developing gallstone Cholesterol lowering drugs: they increases the amount of cholesterol in bile increasing the chances of developing gallstone Complications If the gallstone gets lodged in the neck of the gallbladder it can cause inflammation of the gallbladder called cholecystitis which can cause severe pain and fever. Gallstones may get stuck in to any of the tubes that carries bile from gallbladder to small intestine causing blockage of common bile duct. This condition may lead to jaundice or bile duct infection. Gallstone may put you at increased risk of developing gallbladder cancer however the chances of gallbladder cancer are usually very small. Diagnosis Abdominal CT Scan: it is a digital imaging test that takes pictures of the liver and abdominal region revealing the presence of gallstone if any.
  • 3. Ultrasound: this test uses ultrasonic sound waves to create image of abdominal organs which help find presence of any gallstone. Blood tests: to look for amount of bilirubin in the blood and to determine the functioning of liver. Treatment Surgery is often the first choice if there are profound symptoms of gallstone. Laparoscopic gallbladder removal is the most common surgical technique which involves insertion of two to three rod like instrument called laparoscope through tiny holes on abdomen. Drugs that dissolve gallstones caused by cholesterol can be used for those who cannot undergo surgery however these drugs may take several years to eliminate the gallstone. The risk of developing gallstone can be reduced by adopting healthy lifestyle strategies. Eat balanced diet. Avoid skipping meals. Drink sufficient amount of water every day. Eat fiber rich diet. Maintain healthy weight etc.