FAQ • Acalculous Cholecystitis

FAQ - Acalculous Cholecystitis
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Pre-operation preparation for a cholecystectomy (removal of gallstones and gallbladder)?

I am wondering what patients with chronic cholecystitis (recurring gallstones in the gallbladder) have to do before surgery. Is there a fasting period or something like that? I am just wondering what they have to do before the operation to get ready for it

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there is no preparations for gallbladder removal specifically.
you will be asked to reframe from eating or drinking after midnigt before you surgery but that is standard for any surgery. (+ info)

A patient presents sudden onset abdo pain,vomiting with diarrhoea,does having diarhoea exclude serious illness?

Failed my differential diagnosis for the presenting patient. I included appendix, cholecystitis, acute diverticulitis, peritonitis, petptic ulcer.
What I specificall want to know is does having diarrhoea at the onset of an illness (with the above symptoms as well) exclude the above condtions as part of your differential diagnosis?

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(+ info)

what are the risks of cholecystectomy in cardiac and diabetic patients.?

The patient is 67 years of age , male, diabetic and has had a myocardial infarction 12 years ago, recently he was detected with acute cholecystitis . What are the risks involved in laparoscopic and open surgery?

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Laproscopic surgery is much safer all round. Risks will included delayed healing and normal anaesthesia risks (+ info)

Can Irritable Bowel Syndrome present with severe right upper flank and side pain?

Severe enough to make the person cry and to break through 15mg of Lortab? Would it also have a gradual (over a month) onset at the age of 25? [Gallbladder is removed, so it's not cholecystitis.]
Appendix removed as well. Pain isn't mine, but thanks all the same! :)

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You need medical attention!

It IS possible to have biliary colic (related to the common bile duct or the liver) after gallbladder removal. You could also get stones after gallbladder removal. Another possibility is scarring in the area where the gallbladder was removed (either on the bile duct itself or the intestines).

The timing of the pain is important (i.e. is it immediately before or during a fatty meal?). Also, the presence/abscence of fever is also critical. Is the urine turning dark? Is there nausea/vomiting accompanying? Are you turning yellow? All of these are very worrisome and should be seen immediately.

Lortab is NOT a good medication for any type of bowel complaint. The main reason is that it causes constipation. If you have IBS (which is possible but a diagnosis of last choice) you could be making it worse with lortab. You should not be taking this medication for bowel pain, but if you must, you should buy some Colace or Magnesium Citrate at the drug store and include them in your daily regimen. If you get a fecal impaction, life will get very unpleasant.

Another possibility is a kidney stone. The kidneys are located in the flanks and so you could have right upper quadrant pain radiating through to the back, etc, with a right renal stone. Blood in the urine is a sign, but the abscence of blood does not mean you don't have one.

I recommend you get some lab tests: Liver function panel, urinalysis and a CBC. To get them, you will need to see a doc. Don't let this type of pain go, you could have a serious problem.

If you have scarring/obstruction of the common bile duct, you could be at risk of liver failure and death. I don't mean to be dramatic, but your history of prior cholecystectomy brings this up. (+ info)

A young woman with an unusual skin rash and joint pain should be tested for what?

1. autoimmune disease
2. congestive heart failure
3. cholecystitis
4. emphysema

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1. autoimmune (+ info)

When a person has their galbladder removed.....?

due to Cholecystitis do they have to take medicaltion for the rest of their life to help regulate body functions the galbladder preformed?
I was watching a medical show today where a lady had her galbladder removed but it never mentioned if she was had to take medication and ia was just curious?

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I had my gallbladder removed and I do not take any medications. The biggest thing is learning to adjust to not having the storage of bile to help break down foods. You will have to not eat as many fatty foods, or greasy ones. The only thing I do take medicine for, which NOT all patients do is for acid reflux. My doctor isn't quite sure whether or not it is related. (+ info)

does anybody knows about bile sand alternative treatment?

i am 47 years old male i had an acute cholecystitis few days ago. i have a sand with 7mm diameter in my sonography and some slug and littlethicknesss of bile duct. now i have no pain but little tenderness and wbc 8200@ ESR 40mm i am afraid surgery is there any sugesstion

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Generally laparoscopic surgery is the preferred treatment because it is low risk, relatively non invasive and definitive. There are however a couple of non surgical alternatives:

The use of medical therapy for the treatment of symptomatic gallstones has declined dramatically since the introduction of laparoscopic cholecystectomy. However, medical therapies for gallstones may be considered in patients with mild symptoms who prefer a nonsurgical approach and in those with symptomatic disease who have medical conditions which preclude surgery.

We suggest dissolution therapy with bile salts in patients with mild symptoms who have buoyant, poorly calcified small stones.
In patients with stones too large for dissolution therapy, we suggest lithotripsy (plus bile salts) provided that patients have fewer than three noncalcified stones.
The success of these techniques varies from 40 to 90 percent depending upon patient compliance, the stone characteristics, gallbladder function, and the experience of the center. Gallstone recurrence remains a significant problem, although only a small proportion of patients develop recurrent symptoms, at least in the short-term. Long-term bile acid therapy should be considered in patients who could not tolerate complicated stone recurrence and who are not surgical candidates.Bile salt tablets. Your doctor may have you take the medication ursodiol (Actigall), which dissolves cholesterol stones over a period of time. The treatment works best on small cholesterol stones, but is only effective about 50 percent of the time. To prevent a recurrence, most people need to take the medication for years or longer.
Sound wave therapy (extracorporeal shock wave lithotripsy). This treatment uses high-frequency sound waves to break up gallstones. You then take ursodiol tablets to dissolve the fragments. Sound wave therapy is appropriate for only a small percentage of people with gallstones. If you have more than one stone, your stone is large, or you have acute cholecystitis or cholangitis, you're probably not a good candidate for this treatment. And, as with other nonsurgical therapies, your gallstones are likely to return unless you take ursodiol indefinitely.
Percutaneous electrohydraulic lithotripsy. This procedure relies on a catheter that's inserted into the gallbladder several weeks prior to the treatment. A small probe is inserted into the catheter to deliver short bursts of energy to break up the stones. This is the only nonsurgical treatment option that can be used on any type of gallstone, including pigment stones. Because this procedure is time-consuming and isn't widely available, it's usually considered only for people with a high risk of surgical complications, such as people with heart disease.
Topical gallstone dissolution. In this procedure, a small catheter is inserted into the gallbladder. A solution that dissolves cholesterol gallstones is then delivered through the catheter into the gallbladder over a several hour period. This option has lower recurrence rates than medication, but it's still considered experimental and isn't widely available. (+ info)

what does a mobile1.4cm echogenic, "shadowing gallstone" mean?

Also what does Cholelithiasis without sonographic evidence of cholecystitis mean?

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In a nutshell.. you have little rocks forming in your organ accompanied by an infection.

Get an immediate treatment. (+ info)

I get alot of ....?

I get yeast infections once a month after my period. I also have had alot of bladder infections, 10 in one year. My boyfriend and I are sexually active. We have both been tested for STDs and they were negative. We use condoms cause he got the yeast infections. I am scared half to death that I might have HPV. I go see my OBGYN in April, earliest appointment. I have been tested for Kidney problems,stones,bladder problems. I was diagnosed with acalculous chloecysistis and need surgery. Could that be the reason. I also have high uric acid in the blood and have gout. I am a bit overweight. I am really scared and need some insignt on why I get so many infections. Please no poking fun as I am really stressed about this. My stomach hurts lots and I get alot of gas. Heartburn just started.
needed to add that sometimes it hurts to have sex and to urinate after. I also have a numbing sensation in my vagina opening, no sores. when I pee it hurts when I am almost done.
also had to add I am only 30 with two kids and this started last year!!

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have you been tested for intersititial cystitis? IC is only tested by doing a cystoscopy with hydrositention (you are knocked out for it). To me it sounds like IC. I have IC and was undiagnosed for a while. Do you take antibiotics for the bladder issues? If so can cause yeast infection. I also suggest eating yogert to help with the yeast infections. Adds back good bacteria into the body to help balance out the excess yeast. If it is IC eat a low acid diet (no coffee, pop, juices -except pear, no spicey foods etc), try the meds (elmiron - worked for me). Also try prelief - OTC drug you take before you eat to reduce acid. Most drug stores will order it for you if they don't carry it. Ask the doctor for some pyridium to help with the pain as well

Stess can cause the stomach and gas issues. I find pop can too so I cut it out.

I have hpv. In fact 80% of people have had hpv. there are over 100 strains but only a handful can lead to cervical cancer. i wouldn't worry about it as much as you are. Most cases of HPV resolve on their own within a year or you can get cryo surgery (burn it off) to help expedite the curing. I had it - no big deal. (+ info)

why do I get?

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Sounds like cystitis the burning sensation... (Sorry if that is spelt wrong) You can get an easy over the counter remedy to this which you put into water... it's rather nice actually... the drink. I got it once from drinking to much Orange juice... the acids in it aren't good for you in large doses, maybe you are the same or have a large quantity of somthing similar.
With the reast i think you really just need to wait to see you OBGYN and see you're doctor to ge the answer to many unanswered questions. (+ info)

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