Pain Below Rib Cage, Passing Black Stools. Prescribed Providac For Gall Stones. Frequent Bowel Motions Now. Help
 
                                    
                                    
                                                
                                                Wed, 5 Sep 2012
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Tue, 25 Sep 2012
                                                
                                                
                                                Last reviewed on
                                             
                                            please suggest if surgery is necassary for gall stones. I had gall bladder sludge and latter stone. please advise permanent remedy for this problem.
Thanks for posting your query.
Let me explain your query one by one.
Do you have abdominal pain increasing after meals?
Do you have spasmodic abdominal pain/ vomiting/ fever?
Do you have yellow discoloration of sclera & urine/ itching in body/ fever/ vomiting? If any of the above symptoms are present then you may have acute cholecystitis. Presence of pain below right rib cage suggest this diagnosis.
Do you have acidic belching/ abdominal heaviness/ abdominal bloating/ excessive flatulence/ vomiting? If these symptoms are present then there is chances of gastritis or in severe form peptic ulcer disease. Presence of black color stool suggest this diagnosis.
You should consult with physician / gastro-physician and should go for endoscopy for clarification.
For gall stones, treatment is very strategic. You should first go for x XXXXXXX abdomen and if stone is visible then there is no role of udihep as such type of stones contain calcium. If stone is not visible then you can take udihep.
Rate of decrement of size of stone is 0.6mm/ month. This treatmen tis followed for 6 months. If the size is decreasing then you should continue udihep and if size is not decreasing then there is no role of udihep.
For diarrhea, you may have acute gastroenteritis and you should take complete antibiotic course, antispasmodic and probiotics.
Surgery for gall stones are performed only when it is symptomatic i.e. cholecystitis.
If asymptomatic then you should wait for coming years.
Gall bladder is an important organ of our body and don't get aggressive regarding its removal.
Put your query if you have.
Best regards,
Dr. Mayank Bhargava
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