Watch And Wait Approach
For people with asymptomatic gallstones, a “watch and wait” approach is taken, meaning surgery to remove their gallbladder is only done if and when their gallstones begin causing symptoms.
Only about 50% of people with asymptomatic gallstones will go on to develop symptoms, whereas surgery does carry some risks. A low-fat diet can be beneficial in preventing gallstone formation, as 80% or more of gallstones are made of cholesterol.
Pain In Right Shoulder And Down Arm With Gall Stones Anyone Have The Same
I’ve been recently diagnosed with gall stones. I’ve had scans etc done and told that I have “hundreds of small stones” and that my gall bladder is “packed”. I have been in hospital with jaundice a few months ago, and was very poorly.
Since then I have cut all fatty foods out, I don’t eat any dairy or meat, and live on fresh fruit and veg, brown rice, bread and soya and quorn products.
I’ve now lost nearly 3 stone in just over 3 months and have felt so much better for this weight loss, but in the past 2 months I have been having terrible pain in my right arm, sometimes in the shoulder, just behind, and down to the elbow and it feels like a tight band around the top of my arm sometimes.. But it’s constant pain and makes me feel very tearful, it’s worse at night and the pain relief I was taking, cocodamol,gabapentin, and ibuprofen weren’t enough to take the pain away, it’s now keeping me awake at night, my arm hurts all the time. I’ve been back to the Drs today and they have given me a pain killer that I need to take once a day, 24 hr lasting,.. The thing I’m asking is…. I’ve heard people say they get pain in the ribs, stomach and back with gallstones but does anyone get this pain in the arm? I would be so grateful for any replies!…. I’m on a 3 month wait for the op to remove my gall bladder, and having a key hole method,.. I’m petrified I really am xxxx
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Upper Abdominal Pain: Gall Bladder
Gall stones are common but often do not give rise to symptoms. Pain arising from the gall bladder may be typical of biliary colic, but a wide variety of atypical presentations can make the diagnosis challenging. After a period of uncertainty in the 1980s, when operative techniques were challenged by drug treatment and lithotripsy, it is now widely accepted that symptomatic gallbladder stones should be treated by laparoscopic cholecystectomy. Clinical judgment and local expertise will greatly influence the management of bile duct stones, particularly if cholecystectomy is also required.
Asymptomatic gall stones are common and require no treatmentTypical symptoms include biliary colicright upper quadrant pain, radiating to the back, and lasting less than 12 hoursSymptomatic gall stones are usually treated by laparoscopic cholecystectomy
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Can Gallbladder Hurt On Left Side
Moreover, where is gallbladder pain felt left side?
The symptoms are similar to regular gallstone symptoms, but with a few extras thrown in: Sharp, squeezing pain in your upper left abdomen. Similar pain in your back.
Also, where do you feel gallbladder pain? The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid- to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain can begin to radiate to other areas of the body, including the back and chest.
Keeping this in view, what does a gallbladder attack feel like?
A gallbladder attack is characterized by pain in the upper right portion of the abdomen. The pain comes on as a squeezing feeling that progresses to intense pain that may radiate to the middle of the abdomen, the back, or the chest. Pain may also be felt in the right shoulder blade.
Can gallbladder cause chest pain on left side?
Symptoms of gallbladder problems include: Pain in the mid- or upper-right section of the abdomen: Most of the time, gallbladder pain comes and goes. However, pain from gallbladder problems ranges from mild and irregular to very severe, frequent pain. Gallbladder pain often causes pain in the chest and back.
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Why Does My Gallbladder Need To Be Removed
When your gallbladder is causing uncomfortable symptoms and side effects, theres a good chance that you will need to have your gallbladder removed.
Gallbladder removal surgery, also known as a cholecystectomy, is a fairly common procedure. There are several potential reasons why your gallbladder may need to be removed.
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Risk Factors Suggesting Presence Of Bile Duct Stones At Cholecystectomy For Symptomatic Gallbladder Stones
Common bile duct dilated
Recent abnormal levels of liver enzymes or bilirubin
History of acute pancreatitis
History of obstructive jaundice
Occasionally, biliary colic seems to be associated with a high pressure sphincter of Oddi, and symptoms may resolve after endoscopic sphincterotomy. Alternative explanations for so called acalculous biliary pain include irritable bowel syndrome with upper gastrointestinal manifestations . Chronic pancreatitis must also be carefully excluded. Any decision to carry out a cholecystectomy for this condition should be made by a hepatobiliary specialist.
Benefits Of Laparoscopic Gallbladder Removal
LC surgery is a safe and effective way to remove a problematic gallbladder. After LC surgery, you can usually resume your normal activities after one or two weeks, depending on how quickly you recover.
Benefits of LC Surgery Include:
- Shorter recovery time
- Shorter hospital stay
- Less postoperative pain
- Less scarring
- Fewer complications
Open cholecystectomy is a more invasive procedure than LC, and requires more recovery time and a longer hospital stay.
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If Youre Unsure Find Your Way To A Doctor Asap
Because of all of the possible causes, its important totread carefully when it comes to abdominal pain.
If the pain is severe, gets worse or is accompanied by sweating, shortness of breath, or bloody vomit or stool, its worth a trip to the ER.
It can be a difficult call with all the abdominal pain thatwe see as to whether the gallbladder is responsible or theres some othercause, Dr. Kirsch says. It takes experience and judgment.
What Are The Causes Of Gallbladder Attacks And Gallstones
There are many factors that can cause gallstones to form. For example, high levels of cholesterol in the bile can lead to the formation of gallstones. High levels of bile salts, bilirubin, and calcium also contribute to the build-up of gallstones.
Additional risk factors include:
- Being over the age of 60
- A family history of gallbladder disease
- Crohns Disease
Other risk factors include taking medications containing estrogen as well as having a disease that affects how your body absorbs nutrients. If you have any one of these risk factors, talk to your doctor about what you can do to mitigate these risks.
How Long Does a Gallbladder Attack Last?
Usually, a gallbladder attack will last anywhere from 15 minutes to a few hours. The length of a flare-up largely depends on the size of the gallstone.
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Signs And Symptoms Of Gallbladder Infection
Recognizing symptoms that may indicate a gallbladder infection is important, as this condition requires urgent medical treatment.
- Fever. Fever is a characteristic symptom of gallbladder infection. Fever generally does not occur with a typical gallbladder attack, the presence of fever is an important distinguishing characteristic that points to an infection. A sudden temperature spike in someone with gallbladder-related symptoms could indicate the development of gallbladder gangrene or rupture, or the development of a bloodstream infection.
- Gallbladder Pain. Gallbladder infection almost always causes severe pain, which usually begins in the right or middle upper abdomen. Over time, the pain increases in intensity and becomes more generalized, a characteristic that helps distinguish a gallbladder infection from a gallbladder attack. Gallbladder pain that lasts more than 6 hours points to the possibility of a gallbladder infection.
- Gastrointestinal Disturbances. Abdominal distension due to decreased intestinal activity in response to a gallbladder infection or inflammation may also occur.
- Heart Palpitations, Rapid Breathing and Confusion. A racing heartbeat, rapid breathing and confusion are typical symptoms of shock, which may develop if a gallbladder infection spreads to the bloodstream.
When To See A Healthcare Provider
If you are experiencing gallbladder pain, you should inform your healthcare provider as soon as possible, even if your symptoms have gone away. Your healthcare provider will want to make sure that you are not experiencing a problem that will put you at risk for a more severe disease in the future.
You should get immediate medical attention if you experience any of the following symptoms:
- Severe, intense pain that prevents you from getting comfortable
- Pain that increases when you take a breath
- Pain that lasts for more than five hours
- Yellow skin or yellow around the whites of your eyes
- Fever and chills
- Persistent lack of appetite or unexplained weight loss
- Cola or tea-colored urine
- Clay-colored stools
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Recovery Tips After Gallbladder Removal Surgery
Its normal for you to feel sick, bloated, or tired immediately after your surgery. Caring for your wounds and taking care of your health will speed along your recovery.
- Dress your stitches properly, cleaning the area, replacing dressings regularly, and applying any medication your doctor prescribes.
- Get plenty of sleep!
- Eat small, light meals immediately after the surgery, and build up to normal intake over the next few days.
- Exercise but choose gentle activities such as walking.
- Do not drink alcohol for at least 24 hours after surgery.
If you experience fever, jaundice, pain, persistent nausea, or a return of your original symptoms, contact your doctor immediately as these could be signs of complications.
Avoid Eating Too Fast
You are about to hit the road for work and need to get a bite. So, you try to eat quickly. By doing so, you risk swallowing air along with your food. It will make you asking can gas cause right and left shoulder pain later.
When you eat, whether it is a meal or just a snack, always consume the food slowly. Make time for your lunch. Sit down when having breakfast. When you chew your food properly and eat slowly, then you have a lower risk of swallowing air.
Make sure you are not on the move when having a meal. If you move around while eating, then you are also more likely to take in air with the food. Thus, try to sit down when you eat otherwise get ready to feel left and right shoulder pain after eating.
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Can You Avoid Gallstone With Diet
Gallstones usually occur when the substances which make up bile are out of balance. Too much bilirubin or cholesterol can cause gallstones to form. Insufficient bile salts can also lead to gallstone formation. There is no surefire way to avoid gallstones. However, you can help reduce your risk with your diet.
- Choose low fat or nonfat foods
- Choose diets high in fiber and whole grains
- Be sure to include plenty of fruits and vegetables in your diet
- Avoid foods high in cholesterol
- Avoid fatty meats, and opt for lean cuts and fish
- Dont skip meals, if possible
Keeping active and maintaining a healthy weight are other ways to reduce your risk of developing gallstones. Exercise is a natural way to reduce cholesterol. Even better, exercise is great for your overall well-being!
How Do I Know If Pain Is Caused By My Gallbladder Or Heartburn
Tuesday, September 6th, 2016 | Written by Premier Surgical Staff
The causes of heartburn and abdominal pain are often bewildering for many patients of Premier Surgical Associates in Knoxville. The leading symptoms of both heartburn and gallbladder disease are upper abdominal pain and heartburn, which understandably sends peoples minds racing.
Adding to the confusion is the fact that what typically causes heartburn can also trigger a gallbladder attack a diet of fatty or spicy foods, lying down after eating, being overweight, and genetics.
If the symptoms and the sources of both heartburn and gallbladder are so overlapping, how do you know which you may be experiencing? Upper abdominal pain can be caused by a variety of disorders, including acid reflux and gallbladder disease, and even medical professionals may have difficulty distinguishing among these causes. However, the location, nature, and timing of your symptoms may help clarify a diagnosis.
The gallbladder is a sac that sits in the upper right abdomen that stores bile produced by the liver. The bile aids in the digestion of the food you eat. Most of the time, the gallbladder functions normally, but when it becomes blocked or infected it can become a painful and potentially dangerous medical condition.
Heartburn, or GERD
When to stop guessing and seek immediate help
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How Long Does It Take To Heal Internally After Gallbladder Surgery
Recovering from laparoscopic cholecystectomy will take up to 6 weeks for most people. You may be back to most normal activities in a week or two, but it can take several weeks to return to your normal energy level. You may have some of these symptoms as you recover: Pain in your belly.
Signs You Need Gallbladder Surgery
Since gallstones are the most common issue affecting the gallbladder, signs of these generally indicate youll be a candidate for surgery. As many as 80% of those with gallstones eventually require surgery, even though they may have had gallstones for years before their first attack. Some of the common signs of gallstones include:
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What You Can Do
Lifestyle changes can help keep your gallbladder shipshape.
Load up on fiber and cut back on sugar and carbs. Problems with your gallbladder often can be traced back to too much cholesterol — a fat from meat, dairy, and other animal sources. But donât be afraid of good unsaturated fats from foods like olive and canola oil, salmon and other fatty fish, and nuts.
What Are The Chances Of Having A Gallbladder Attack
While anyone with a gallbladder can develop gallstones, there are many known risk factors for developing them. Here are some common ones, per the NIDDK:
- Being a woman: This is because estrogen can boost biles cholesterol levels and make your gallbladder contract less.
- Being over 40: As you age, the chance of developing gallstones increases.
- Losing weight too quickly: Losing a lot of weight very quickly is hazardous because it makes your liver excrete more cholesterol into your bile, raising your risk of gallstones.
- Obesity and diabetes: Obesity can increase the cholesterol in your bile, so its also a risk factor, as are type 1 and type 2 diabetes.
- Having certain health conditions: Conditions like Crohns disease that screw up your bodys absorption of nutrients can also lead to gallstone formation. Additionally, people with hemolytic anemias, which are conditions where red blood cells continuously break down , are at increased risk. Thats because of how those damaged red cells can increase bilirubin, the chemical we mentioned that can raise your risk of pigment gallstones.
- Having a family history of gallstones: If members of your immediate family have had gallstones, youre at a higher risk of having them, too.
- Being of a certain cultural descent: Indigeneous people have the highest rate of gallstones. The reason: Certain genetic factors can increase the cholesterol in this populations bile. Mexican Americans also have a high risk of developing gallstones.
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What Does It Mean When You Get A Sharp Pain Under Your Ribs
Rib cage pain can be caused by a variety of things, ranging from pulled muscles to a rib fracture. The pain may occur immediately upon injury or develop slowly over time. It can also be a sign of an underlying medical condition. You should report any instance of unexplainable rib cage pain to your doctor immediately.
Should Blade Pain Symptoms
If you have shoulder blade pain that persists beyond a few days it is important to make an appointment to see your doctoreven if you have participated in activities that you suspect has caused your pain. Which shoulder blade is affected is an important question, as some conditions are more likely to affect the left shoulder blade, and others more likely to affect the right.
If your pain is severe or is accompanied by symptoms of chest pain, shortness of breath, or if you simply have a sense that something serious is wrong, call 911 or your doctor immediately.
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Disorders Of The Gallbladder
Though there are several problems that can affect the gallbladder, the most common by far is the formation of gallstones. These are hard particles that are made of bile, cholesterol, calcium, and several other components which have a tendency to get lodged in the bile ducts, effectively blocking the passage of bile out of the gallbladder.
When this occurs it can cause severe pain. The classic presentation is a sharp, stabbing pain in the right upper part of the abdomen that starts about 30 minutes after eating a meal with a high-fat content. In reality, however, gallstones can cause symptoms anytime regardless of what your diet consists of.
Gallstones, in addition to causing pain, can also cause other problems as a result of their obstructing the bile ducts. Depending on where the obstruction occurs, gallstones can cause pancreatitis as well as making you jaundiced. When gallstones get lodged in what is called the neck of the gallbladder, it can lead to the gallbladder becoming infected and eventually turning gangrenous. When any of these conditions occur, admission to the hospital for urgent surgery is indicated.