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Suggest Treatment For Asymptomatic Gallstones

Posted on Thu, 5 Mar 2015

Question: I have done a Master Health Check up two weeks back and received my reports today.
Everything is in green except this statement
GALLBLADDER : Multiple calculi seen 13.4mm.

This is the first time i have seen this in my report and i don't have complications so far nor abdominal pain.

Answered by Dr. Dr.P.Ratnakar Kini (36 minutes later)

Brief Answer:
More information needed

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr. R. K and I am pleased to assist you.
You are having asymptomatic gallstones.
I need more information before I can give my opinion.
1. What is the gallbladder wall thickness?
2. What is the common bile duct diameter.?
These two you can find in the ultrasound scan report.
3. Upload your liver function test report?
4. Are you obese?
5. Are you a diabetic?
6. Do you have high cholesterol?

Regards,
Dr. R. K

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (29 minutes later)

Reports attached.

1. What is the gallbladder wall thickness?
2. What is the common bile duct diameter.?
These two you can find in the ultrasound scan report.

There is no ultrasound report except this one liner in the statement. They have attached a small passport size UV scan in black @ white and here the details in that.
two picture both reading as 140mm 3.5M F1234
BG 51 NG 0 FG 6.0 BG 51 NG 0 FG 6.0
DYN 2 ENH 2/2 SCC 1 DYN 2 ENH 2/2 SCC 1 POST-p:1

3. Upload your liver function test report? (there is some technical problem in website in uploading document. please find the extract of liver details from blood and urine samples)
Aspartate Aminotransferase(AST)21 U/L
ALT (AlanineTransaminase) 36 U/L
Total protein 7.1
Albumin 4.6
Alkaline Phosphatase 66
Globulin (Calculated) 2.5
Albumin/Globulin Ratio 1.8
Bilirubin Total 0.9 mg/dL
Bilirubin Direct 0.2
Bilirubin Indirect(Calculated)0.7

This statement from UV
LIVER: normal in seize and echo-pattern. hepatic veins and intrahepatic bilary radicals appear normal. no focal lesion. portal vein is normal in course and calibre. CBD is normal in course and calibre.

Spleen: normal in size and echo-pattern. no focal parenchymal lesions.
pancreas: normal to extent visualized.
right and left kidney: normal in size, position and echo-pattern. no calculi/hydronephrosis
urinary bladder: moderately distended. no cacluli/wall thickening
prostate: normal in size and echo-pattern.
others: no evidence of ascites/pleural effusion.
4. Are you obese?
No. im 6ft height and weigh 82kg

5. Are you a diabetic?
no

6. Do you have high cholesterol?
HDL : 33 mg/dl
LDL : 112 mg/dl

Answered by Dr. Dr.P.Ratnakar Kini (47 minutes later)

Brief Answer:
You have asymptomatic gallstones.

Detailed Answer:
Hi,
You have asymptomatic gallstones.
You have normal calibre CBD (common bile duct) and your liver function test is fine which indicate you do not have any stone in the CBD causing obstruction. This is one of the complications of gallstones and you DO NOT have this complication.

So there is no need to worry about your gallstones.
Surgical removal of gallbladder is the only definitive treatment for gallstones.
You do not require any surgery right now as you have only silent stones.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (4 minutes later)

Thank you doctor.
Is there any specific diet i should follow to reduce the side effects or reduce the stone level?

Answered by Dr. Dr.P.Ratnakar Kini (4 minutes later)

Brief Answer:
Take low fat diet.

Detailed Answer:
Hi,
Take low fat diet.
Regards,
Dr.R.K.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar