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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Abdominal Ultrasound Test Result While Having Gall Bladder Stone Indicate?

I am 65 and active, in regular engineering maintenance job. No diabetic, no BP, wear glasses, Family with two married daughters. During a recent health examination, following were noticed : 1. Gall bladder stone , detected in Nov 2014- no problems , but during last weeks , felt bloating and mild pain in upper abdomein, disappeared after 2 hrs after taking antacid etc. no pain killer used. Todays Ultrasound reports - Gall Bladder- is contracted and lumen is obliterated & filled with multiple calculi and wall is thickened all over- chronic cholecystitis with cholelithiasis Liver - mildly Fatty. Prostate - mildly enlarged, Post void urine 10 ml. Others OK 2. Total cholesterol - 238, HDL 44, LDL-165, Triglyceride 227, Echo - OK, TMT - OK, ECG OK, can work 12 hrs a day, 7 days a week Advice- Need for GB removal and immediate or wait ? Need to start cholestrol reducing drug , side effect
posted on Mon, 4 Jul 2016
Twitter Sat, 2 Nov 2019 Answered on
Twitter Thu, 7 Nov 2019 Last reviewed on
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General Surgeon,  's  Response
Hello,

* As per my surgical experience, the presence of multiple gall bladder stones pose a threat of dislodgement of any of the stone in the cystic duct and common bile duct causing obstructive jaundice and surgical emergency.

* As there are no medications to cure the condition, I would quote the best way to get rid of it for lifetime via laparoscopic cholecystectomy.

* As per the data of cholesterol profile, it is definitely high and must be considered for statin group of drugs or else as per the consultant advise ( there are many anti-lipid drugs which will alter bile acid concentration and pause more chances of drug-induced gall stones such as fibrate drugs or else.

* It is the best way to discuss the medicine part with your GP for further details.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Does This Abdominal Ultrasound Test Result While Having Gall Bladder Stone Indicate?

Hello, * As per my surgical experience, the presence of multiple gall bladder stones pose a threat of dislodgement of any of the stone in the cystic duct and common bile duct causing obstructive jaundice and surgical emergency. * As there are no medications to cure the condition, I would quote the best way to get rid of it for lifetime via laparoscopic cholecystectomy. * As per the data of cholesterol profile, it is definitely high and must be considered for statin group of drugs or else as per the consultant advise ( there are many anti-lipid drugs which will alter bile acid concentration and pause more chances of drug-induced gall stones such as fibrate drugs or else. * It is the best way to discuss the medicine part with your GP for further details. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon