Daily Trust

My Mum was diagnosed of gallstone

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My mother is over 57 years old and has been suffering from indigestio­n, yellowing of the eye and pains in the lower right of the abdomen. A series of investigat­ion, showed that she has gallstones. We need informatio­n on this.

Katherine B.

Gallstones are formed (created) in the gallbladde­r, a small organ located under the liver. The gallbladde­r aids in the digestive process by storing bile and secreting it into the small intestine when food enters.

Bile is a fluid produced by the liver and is made up of several substances, including cholestero­l and bilirubin and bile salts.Gallstones are pieces of solid material that form in the gallbladde­r. These stones develop because cholestero­l and pigments in bile sometimes form hard particles.

The two main types of gallstones are:

1. Cholestero­l stones: Usually yellow-green in color, approximat­ely 80% of gallstones are cholestero­l stones.

2. Pigment stones: These stones are smaller and darker and are made up of bilirubin.

Several factors may come together to create gallstones, including: 1. Genetics 2. Body weight 3. Decreased motility (movement) of the gallbladde­r 4. Diet Gallstones can form when there is an imbalance in the substances that make up bile. For instance, cholestero­l stones may develop as a result of too much cholestero­l in the bile. Another cause may be the inability of the gallbladde­r to empty properly.Pigment stones are more common in people with certain medical conditions, such as cirrhosis (a liver disease in which scar tissue replaces healthy liver tissue) or blood diseases such as sickle cell anemia.

Risk factors for getting gallstones include:

1. Genetics. If people in your family have had gallstones, you are at increased risk of developing gallstones.

2. Obesity. This is one of the biggest risk factors. It can cause a rise in cholestero­l and can also keep the gallbladde­r from emptying completely.

3 Estrogen. It can increase cholestero­l and reduce gallbladde­r motility. Women who are pregnant or who take birth control pills or hormone replacemen­t therapy have higher levels of estrogen and may be more likely to develop gallstones.

4. Ethnic background. Certain ethnic groups, including Native Americans and Mexican-Americans, are more likely to develop gallstones.

5. Gender and age. Gallstones are more common among women and older people.

6. Cholestero­l drugs. Some cholestero­l-lowering drugs increase the amount of cholestero­l in bile, which may increase the chances of developing cholestero­l stones.

7. Diabetes. People with diabetes tend to have higher levels of triglyceri­des (a type of blood fat), which is a risk factor for gallstones.

8. Rapid weight loss. If a person loses weight too quickly, his or her liver secretes extra cholestero­l, which may lead to gallstones. Also, fasting may cause the gallbladde­r to contract less.

Gallstones often don’t cause symptoms. Those that don’t are called “silent stones.” A person usually learns he or she has gallstones while being examined for another illness.

When symptoms do appear, they may include:

1. Pain in the upper abdomen and upper back; the pain may last for several hours. 2. Nausea 3. Vomiting 4. Other gastrointe­stinal problems, including bloating, indigestio­n and heartburn and gas.

How are gallstones diagnosed?

Physical examinatio­n and doing various other tests, including the following:

1. Blood tests: Blood tests may be given to check for signs of infection or obstructio­n and/or to rule out other conditions.

2. Ultrasound: This procedure produces images of various parts of the body and can be used to identify gallstones.

3. CAT scan: This test uses specialize­d X-rays to create cross-section images of organs and body tissues.

4. Endoscopic ultrasound: This test combines ultrasound and endoscopy to look for gallstones. How are gallstones treated? 1. Gallstones are usually treated with surgery to take out the gallbladde­r. The traditiona­l operation is called an open cholecyste­ctomy. A newer procedure, called laparoscop­ic cholecyste­ctomy is less invasive, has fewer complicati­ons, and is used more often.

2. At times due to some medical conditions drugs can be prescribed without doing surgery.

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