
What Causes Back Pain And Nausea When Diagnosed With Gall Bladder?

the surgeon has to be consulted...
Detailed Answer:
Hello,
regarding conservative treatment there are not many things to consider. Low fat diet and painkillers are the only conservative treatment for biliary colic which lasts for minutes (definitely less than one hour each time). If the pain lasts for more then it's either due to another cause or it's cholecystitis. Ursodeoxycholic acid is another (not very well documented) approach.
Sludge is not an indication for surgical treatment. Repeated attacks are. If your doctor believes that it's your gallbladder the source of your pain then consultation with a surgeon is warranted. The sludge may evolve into stones and the stones may cause problems to the pancreas (pancreatitis) which is a dreaded complication. Helpful tests during pain would include the liver function tests (AST, ALT, ALP, gamma-GT and bilirubin).
So in conclusion, there is not much more to do. Since the attacks are frequent, you should visit a surgeon. The surgeon may decide to proceed with surgical removal of the gallbladder (or not). A conservative (but not well documented) approach may include using ursodeoxycholic acid or ursodiol to help prevent stone formation. Ursodiol dosage is 300mg twice a day.
I hope it helps!
Kind Regards!

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