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Have KCO Of Sarcoidosis. Recently USG Of Abdomen Found Gall Stones Filling Gall Blaadder. Surgery Needed?

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Posted on Wed, 9 Oct 2013
Question: I am 55 years, female with K/C/O Sarcoidosis. Recently i had USG Abdomen & Pelvis under which I found Gallstones filling the GB. Is removal of GB required?

doctor
Answered by Dr. Ajit Naniksingh Kukreja (1 hour later)
Brief Answer:
If Symptomatic yes.....

Detailed Answer:
Hi

Thanks for writing in

Gall stones if silent and solitary may be kept as they are

If there are multiple small stones and signs of inflammation, along with symptoms like pain, nausea, vomiting then you should get it removed

If the USG does not show signs of thickening, go ahead with a complete blood profile and liver panel, then get back to me

Also if possible please attach the USG report

Hope this helps
Do write back in case of concern
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (24 minutes later)
Sir, Thanks for reply.

Recently I had done some path reports at Thyrocare:
Calcium : 9.87
Folic Acide: 24
Vitamin B-12: 507
25 OH Vitamin D : 13.49
TSH: 2.06

Also, find urine analysis copy. Since two days suffering from fever with temp - 104. Now, under control with medication - Calpol.

I am attaching USG report, film and Urine report for your reference.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (46 hours later)
Brief Answer:
Need antibiotics for urine infection

Detailed Answer:
Hi I have gone through your reports, unfortunately
You have developed a bad urinary tract infection

So the first priority should be to treat it

I would suggest ask the lab for a culture report and in the meammean time start with any quinolone

Wait for acute infection to resolve and then plan removal of gallbladder

Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastrointestinal Surgeon

Practicing since :1984

Answered : 924 Questions

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Have KCO Of Sarcoidosis. Recently USG Of Abdomen Found Gall Stones Filling Gall Blaadder. Surgery Needed?

Brief Answer:
If Symptomatic yes.....

Detailed Answer:
Hi

Thanks for writing in

Gall stones if silent and solitary may be kept as they are

If there are multiple small stones and signs of inflammation, along with symptoms like pain, nausea, vomiting then you should get it removed

If the USG does not show signs of thickening, go ahead with a complete blood profile and liver panel, then get back to me

Also if possible please attach the USG report

Hope this helps
Do write back in case of concern