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Hi Have 21 Mm Stone In Gallbladder In Lft Report
Posted on
Sat, 6 Apr 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 6 Apr 2019
Answered on
Last reviewed on
Question : Hi have 21 mm stone in gallbladder in lft report billirubin 2.88 sgpt 60 sgot 25 , loss appetite and fullness in upper abdomen from last 2 months, what the solution?
Brief Answer:
Repeat USG, Blood tests, post fresh reports
Detailed Answer:
Hi.
Thanks for your query.
Noted the history, one ultrasonography of abdomen report and understood the concerns.
The report dates back to 7/2/ 2019 and shows solitary 21 mm, XXXXXXX stone in gallbladder; liver is mildly enlarged with diffuse and slightly coarse texture.
Bilirubin and SGPT are increased as per your history. This is indicative of hepatitis and can cause loss of appetite and fullness in upper abdomen.
I would advise you the following in such a situation:
Get ultrasonography and full Liver function tests along with alkaline phosphatase and GGT.
Other blood tests for sugar, kidney function, to know type of hepatitis and as would be advised on clinical examination. Please post fresh reports.
May also need CT scan or MRCP for better understanding of liver, gall bladder, pancreas as ultrasonography may not reveal everything due to its limitations.
This will give better idea about a proper diagnosis and gives plan for further management.
Once the hepatitis part is cured you can surely go for Cholecystectomy.
Repeat USG, Blood tests, post fresh reports
Detailed Answer:
Hi.
Thanks for your query.
Noted the history, one ultrasonography of abdomen report and understood the concerns.
The report dates back to 7/2/ 2019 and shows solitary 21 mm, XXXXXXX stone in gallbladder; liver is mildly enlarged with diffuse and slightly coarse texture.
Bilirubin and SGPT are increased as per your history. This is indicative of hepatitis and can cause loss of appetite and fullness in upper abdomen.
I would advise you the following in such a situation:
Get ultrasonography and full Liver function tests along with alkaline phosphatase and GGT.
Other blood tests for sugar, kidney function, to know type of hepatitis and as would be advised on clinical examination. Please post fresh reports.
May also need CT scan or MRCP for better understanding of liver, gall bladder, pancreas as ultrasonography may not reveal everything due to its limitations.
This will give better idea about a proper diagnosis and gives plan for further management.
Once the hepatitis part is cured you can surely go for Cholecystectomy.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
All hepatitis reports are negative , my doc said poor appetite and upper abdomen fullness course of stone in gall bladder .. what's your say about in that
Brief Answer:
True.
Detailed Answer:
Gallbladder stones are known to cause upper abdomen fullness, gases, uncomfortable feeling and even increased acidity. All these things in turn can cause loss of appetite.
Go ahead with Surgery if medically fit.
Dr T Chandrakant.
General Surgeon.
True.
Detailed Answer:
Gallbladder stones are known to cause upper abdomen fullness, gases, uncomfortable feeling and even increased acidity. All these things in turn can cause loss of appetite.
Go ahead with Surgery if medically fit.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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