Hello,
Thank you for your medical query at DoctorSpring.com
I understand your concern and have reviewed your reports.
Yes, gallstones can be treated with medicines provided they are less than 5 mm, and there are not more than 2-3 small stones. There are medicines like choledeoxycholic and urosodeoxycholic acid tablets that can be taken.
But when a patient present with symptoms of cholelithiasis, surgery is the only modality, like in her case. She also has multiple stones, and her GB wall is thickened, so, this needs surgery. Your surgeon has given a good analysis and you should follow his suggestions.
She has to avoid too much fatty or spicy food, and apart from that there are no long term side effects of GB removal. It is becoming very common nowadays, due to the change in diet, hence, you should not worry. And yes, seizure is not a contraindication for the surgery.
Hope this was helpful,
Please update me following the surgery.
Regards.
Patient replied :
Dear Sir,
Good morning doctor!
The laparoscopy was conducted on 1/5/2015. Now we are informed that endoscopy has to be performed to remove the 4 mm stone. Kindly advise whether this procedure is required or will is pass on its own or can this be treated with medicine. Looking at her health condition and cost aspect involved, your suggestion in this regard will be highly appreciated.
Thanking you,
P Pradeep Kumar
Mobile: 98428 31340
Yes...endoscopic procedure is definitely required to remove 4mm cbd stone
It may pass on its own but patient may have complications. ..please go ahead with endoscopic procedure
Regards.
Patient replied :
Dear Doctor,
I refer the consult given for Consult ID CS050120150193.
The patient underwent removal of the gallbladder, but the stone that slipped was not removed and the doctor advised that it will go on its own. Now after more than 1-1/2 months, the patient is experiencing slight pain in the abdominal area and she has lost lot of weight. At the time of operation, she was 55 kg, but now she is only 43 kg and she feels very weak.
Actually, we are from a remote village and reporting to the doctor where we took treatment will take minimum of 2 days, and taking into consideration our hectic travel up and down, we would request your opinion with regard to the above and also suggest a remedy.
Thanking you.
P Pratheep Kumar
Mobile: 98428 31340
Hello,
Unfortunately, this consult is over a month old, and you have to initiate a new query to consult the same specialist.
Our consults are open for a month from the date of initiation or till 3 follow-ups have been utilised. This is nearly 2 months old now, so kindly initiate a new consult and we will request the same specialist to review this case.
Best Regards,
InHouse Physician.