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Suggest Treatment For Infected Gall Bladder When On Treatment For Afib
Question: My mother is 88 and has afib for 5 years and is on xareltto. She now has an infected gall bladder and they are recommending surgery. Does this require a surgeon with specific skills as I am concerned she could bleed out. Is there no other option to heal the infected gall bladder than surgery?
today she is starting to turn jaundice and her white blood count is 20, 000
today she is starting to turn jaundice and her white blood count is 20, 000
Brief Answer:
General surgeons handle such situations
Detailed Answer:
Hello,
gall bladder problems are always handled by general surgeons. The surgeon will weigh the risks and the benefits of surgical intervention and decide accordingly. The usual strategy involves stopping xarelto 24 hours before the intervention and perhaps substituting it with a low molecular weight heparin like enoxaparin usually after the intervention.
I understand that your mother's situation is a rather difficult one. She's old, she has atrial fibrillation (and therefore a risk for thrombosis) and she has a severe cholecystitis (ICU admission and jaundice with very high white blood cells count).
In some cases conservative treatment with antibiotics and intravenous fluids is administered and surgery is postponed until the patient is more stable (with a normal blood pressure and heart rate) and "calm" (regarding abdominal inflammation).
In other cases a more aggressive strategy is adopted. It's up to the surgeon.
I hope I've helped!
If you'd like more information, please let me know.
I'll be glad to help more, if I can.
Kind Regards!
General surgeons handle such situations
Detailed Answer:
Hello,
gall bladder problems are always handled by general surgeons. The surgeon will weigh the risks and the benefits of surgical intervention and decide accordingly. The usual strategy involves stopping xarelto 24 hours before the intervention and perhaps substituting it with a low molecular weight heparin like enoxaparin usually after the intervention.
I understand that your mother's situation is a rather difficult one. She's old, she has atrial fibrillation (and therefore a risk for thrombosis) and she has a severe cholecystitis (ICU admission and jaundice with very high white blood cells count).
In some cases conservative treatment with antibiotics and intravenous fluids is administered and surgery is postponed until the patient is more stable (with a normal blood pressure and heart rate) and "calm" (regarding abdominal inflammation).
In other cases a more aggressive strategy is adopted. It's up to the surgeon.
I hope I've helped!
If you'd like more information, please let me know.
I'll be glad to help more, if I can.
Kind Regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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