Gallbladder Disease

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Gallbladder Disease / Gallstones

The gallbladder is a small organ under the liver that stores bile. Bile is made in the liver
and stored in the gallbladder. Bile is used to help digest fats. Gallbladder disease is a disease
found more commonly in women than men. This disease is usually caused by gallstones which
are stones that form in the gallbladder from cholesterol, bile salts and calcium. They can vary in
size from a few millimeters to a few centimeters.(1) Gallstones are formed when the bile made
by the liver contains a high level of cholesterol, leaving the extra cholesterol to form crystals
which develop into gallstones.
Gallstones are found in people of all ages, but they are not as common in children. The
risk of gallstones forming increase along with age. Some of the following groups of people are
more likely to develop gallstones, people with relatives with gallstones, obese people, people
with high cholesterol levels, and women taking drugs containing estrogen.
The symptoms of gallstone have a large variety but they are usually shown in one of the
three following ways, chronic cholecystitis, acute cholecystitis, and jaundice. Patients with
chronic cholecystitis often have pain in the upper abdomen along with nausea and vomiting.
Meanwhile, patients with acute cholecystitis have pains under the ribcage toward the right.
Some signs of jaundice include, dry itchy skin, dark urine, yellow eyes and skin. These three
disorders are not guaranteed to be cause by gallstones but it is very common.

Some test doctors carry out in order to diagnose gallstones are , blood test, ultrasounds,
CT scans, and MRI scans. Most pains can be treated with over the counter painkillers. Placing a
warm object above the stomach is suggested to reduce pain. A low fat diet can also be very
effective in order to reduce the frequency of attacks. If symptoms worsen surgery can be done in
order to remove the gallstones. Patients are also offered alternatives, such as specific
medications that are able to help dissolve gallstones. Another method is lithotripsy which is
when single gallstones in the gall bladder or bile ducts can sometimes be 'shattered' by a
technique called lithotripsy, which uses a 'beam' of sound energy. This method is commonly used
for treating kidney stones but is only rarely useful for gallstones. The fragments of shattered
stone will still need to be removed by ERCP or dissolution therapy.(1)
Gallstones are removed through keyhole surgery. This involves making four small cuts
less than 1cm long in the abdomen and the use of a tiny camera inserted though one of these cuts
to see the gall bladder. Other instruments are placed in the abdomen through the other cuts. If
the operation is successful most patients are able to go home the day after surgery and return to
normal everyday activities within two weeks.(1) After gallbladder surgery most patients do not
find any difficulties adjust back to living normal lives. Patients will no longer feel pain, and no
long need to avoid fatty foods, which allow most patients to return to their normal lives before
developing gallstones.

Works Cited
Diggory, Robert. "Gallbladder Disease." Netdoctor. N.p., n.d. Web. 05 Feb. 2014.

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