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  • Introduction: Gallstones are hardened deposits of digestive fluid in the gallbladder.
  • What's wrong with me doc? I have severe pain in my back and upper right abdomen and I'm nauseous and vomiting! I'm also experiencing yellowing of my skin and high fever with chills.
  • You poor angel! To diagnose what you have, we can do an abdominal ultrasound and a computerized tomography scan to look at your gallbladder, or a special dye test to let us see blockage on your bile ducts, a HIDA, MRI, ERCP test, or a blood test.
  • The gallbladder is a pear-shaped hollow structure under the liver, and its main function is to store and concentrate bile, then release it into the small intestine.
  • Once the neck of the gallbladder or other bile ducts are blocked up, the gallbladder can no longer help properly digest fatty foods
  • The cause is that your bile contains too much cholesterol. Normally, your bile contains enough chemicals to dissolve the cholesterol excreted by your liver. But if your liver excretes more cholesterol than your bile can dissolve, the extra cholesterol may eventually form into stones.
  • yep, you have Gallstones alright!
  • Unfortunately, some complications that might develop are: A gallstone that becomes lodged in the neck of the gallbladder, causing inflammation, which causes severe pain and fever. Blockage of bile ducts from the gallbladder to the small intestine can also occur, resulting in severe abdominal pain.
  • Some risk factors include: advanced age, obesity, high fat diet, diabetes, liver disease, and a family history of gallstones.
  • Pancreatitis and gallbladder cancer can also result from a blockage of bile ducts in the pancreas and gallbladder.
  • A noninvasive treatment is dissolving gallstones through a bile salt medication, or reducing your intake of high-fat foods.
  • One treatment is surgery to remove the gallbladder entirely, which would allow bile to flow directly from the liver to the small intestine, eliminating the possibility of bile build up and alleviating virtually all symptoms.
  • 90% of gallstones cases cause no symptoms and won't need treatment. The other ten percent of people will either need surgery to remove the gallbladder or medication to treat it. Surgery is extremely low risk and will result in your liver passing bile directly to the small intestine, sometimes causing diarrhea.
  • 2% of the U.S pop. have gallstones. It occurs more commonly in Native Americans and Mexicans.
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