Brief Answer:
Surgery is recommended by most surgeons but medical therapy is an option

Detailed Answer:
hi.
thank you for posting query at HCM.

i thoroughly read your query, saw reports and understood your concerns.

Gallstones are small stones that form inside the gallbladder.
Gallstones pain (Biliary colic) usually is usually experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.

1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied with fever.

2. Medical therapy is an option for symptomatic gallstones ( pain is usually in right upper abdomen be;ow right rib cage). However, a vast number of surgeons around the globe prefer removal of gall bladder- surgical intervention.

Medical therapy includes intake of ursodeoxyholic acid ( UDCA) for a period of 12 to 24 months. UDCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller in size ( <1cm) and CT shows low density stone with less calcification.

weight reduction and low-fat diet is also a part of medical therapy.

3. Surgery lasts for less than one hour ( usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time.

I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet ( or keep to minimum) after gall bladder surgery.

hope to answer your concern.
wish your wife good and sound health.

regards
Dr Tayyab Malik

---

Brief Answer:
diet Modification and observation for couple to few weeks maybe an option

Detailed Answer:
hi.
thanks for getting back to me.
i understand your concern and would reply accordingly.

1. i went through all reports and the medication prescribed.
2. Domstal and Ganaton are prescribed to relieve the symptoms such as nausea/vomiting and pain/bloating
3. complication are NOT common and maybe prevented if proper diet is followed and the symptoms subside
4. i advise your wife to
"cut off fat in the diet:,
AVOID junk food, soft drinks, deep fried food and red meat altogether",
take above medications for a week or so and STOP the drugs if the pain/bloating symptoms subside.
Walk daily for 20 to 30 minutes.
Lemon water/juice maybe used once daily.

5. strictly following above advise, after 3 to 4 weeks, recheck liver function test to monitor the liver enzyme values. if values are coming down and general health is improving , surgery is not mandatory.

hope to answer your concern.
any further questions are welcomed.
wish your wife good and sound health.

regards
Dr Tayyab Malik

---