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What are the symptoms of Gallstones?

The most common symptom of gallstones is pain in the stomach area or in the upper right part of the belly, under the ribs.

The pain may:

• Start suddenly in the center of the upper belly and spread to the right upper back or shoulder blade area. It is usually hard to get comfortable. Moving around does not make the pain go away.
• Prevent you from taking normal or deep breaths.
• Last 15 minutes to 24 hours. Continuous pain for 1 to 5 hours is common.
• Begin at night and be severe enough to wake you.
• Occur after meals.

Gallstone pain can cause vomiting, which may relieve some of the belly (abdominal) pain and pressure. Pain that occurs with a fever, nausea, and vomiting or loss of appetite may be a sign of inflammation or infection of the gallbladder(acute cholecystitis). Symptoms that may mean that a gallstone is blocking the common bile duct include:

• Yellowing of the skin and the white part of the eyes(jaundice).
• Dark urine.
• Light-colored stools.
• A fever and chills.

There are many other conditions that cause similar symptoms, including heartburn, pain caused by a heart attack, and liver problems. Stomach flu (gastroenteritis) and food poisoning also can cause symptoms similar to gallstones. Diarrhea and vomiting occur with the flu and food poisoning, but the pain tends to come and go rather than be constant. Also, pain with these conditions may be felt all over the belly, rather than in one spot.

Belly pain that comes and goes (rather than being constant) and that occurs with nausea and vomiting and possibly a mild fever is more likely to be caused by stomach flu or food poisoning than by gallstones.

What Are the Stages of Gallbladder Disease?

Stages of Gallbladder Disease:

Extreme gallstone pain is known as a “gallbladder attack.” This extreme pain lasts more than one to two hours. Gallstones themselves don’t cause this pain. It occurs when the gallstones block the movement of bile from the gallbladder. This doesn’t usually happen overnight. Instead, there are three stages that lead to the attack.

• In stage 1, gallstones form in the gallbladder. Usually, there’s no pain in this stage.
• In stage 2, you start to experience gallbladder pain from time to time. You may notice this when you eat foods that are high in fat, such as fried foods. The pain doesn’t usually extend past a few hours. Other symptoms can include stomach pain, burping, vomiting,diarrhea, nausea, and indigestion.
• In stage 3, a gallstone blocks the duct where bile moves from the gallbladder, a gallbladder attack occurs. This stage is a medical emergency. Symptoms can include intense stomach or back pain, fever, chills, or appetite loss.

The risk of silent gallstones causing a gallbladder attack is 1 percent annually. For every 100 people that have silent gallstones, 10 of those people will have an attack within a decade.

How to Get Rid of Gallstones Naturally ?

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

1.    Beetroot And Carrot Juice

If you are suffering from gallbladder discomfort, it is ideal for you to cut down on the consumption of food and turn to healthy and nutritious diet for a couple of days.
•    Extract beet-root juice from raw beet-root by grinding it in a blender. Do the same with cucumber and carrot.
•    Now take equal portions of carrot, beet-root and cucumber juice and mix them well.
•    Drink this juice twice a day for three to four days to effective remove gallbladder discomfort.
•    Drinking this at least once a day will help in preventing gallstones.

2.    Apple Cider Vinegar And Apple Juice

Apple cider vinegar is known to have a lot of health properties and apple as they say will keep the doctor away.
•    In a glass of fresh apple juice add one tablespoon of apple cider vinegar.
•    Mix this well and then drinks it one time everyday.
•    This will help to prevent gallbladder infections and treat gallstone problems.

3.    High Fibre Cereal

It is ideal for you to eat high fiber rich foods to reduce gallstone problems.
•    Make sure that you cut off the sugery and high fat diet from your diet chart.
•    Add high fiber cereal every day in your morning diet to help you to stay healthy and prevent gallstones.
•    Make it a point never to skip your breakfast.

4.    Turmeric

Turmeric is found to be very effective in treating gallstones. It has anti-inflammatory and antioxidant properties and it has one main ingredient called cur cumin.
•    Turmeric helps in easily solubility of bile and will also help in easier dissolution of bile and its compounds.
•    It is ideal for you to take half a teaspoon of turmeric everyday as it has the powers to dissolve 80% of the gallstones.

5.    Diet Low In Fat And Cholesterol

It is suggested and researched that a healthy diet that is devoid of fat and cholesterol will help in effectively reducing the gallstones.
•    Fiber rich foods are ideal as it will help in keeping the digestive system from functioning properly.
•    A low fat diet will help in preventing the build up of cholesterol in the gall bladder.
•    You should combine healthy diet with a good exercise regime to see quick and faster results.

6.    Blackseed Oil

•    Grind 250 grams of blackseed and make it into a fine powder form.
•    Mix this powder with 250 grams of pure honey.
•    Add a teaspoon of blackseed oil to this mixture and mix well.
•    Now, pour this mixture in half a cup of hot water.
•    You need to consume this mixture with water everyday in the morning on empty stomach for three to five days to reduce gallstones effectively.

7.    Milk Thistle

Milk thistle is known for ages as a cure for gallstones. The seeds of milk thistle contain silymarin which is effective to cure gallstones.
•    Silymarin is a flavinoid helps in the production of bile in the gallbladder and this breaks down the components in the gall bladder.
•    It will also help in helping out with proper liver functioning.

8.    Lecithin

Lecithin granules or its liquid will help in dissolving gallstones.
•    You need to consume two to three tablespoons of lecithin with a molasses or milk every day to reduce gallstones effectively.
•    If you find lecithin liquid difficult to consume, you can also think of going for lecithin granules.

9.    Artichoke Compounds

The herbal compounds found in the artichoke leaf and heart will help in increasing the production of bile salts in your body.
•    Cyanarin is a compound found in artichoke that helps in improving the production of bile and salts.
•    This will help in proper functioning of the body even if the gallstones block the bile ducts.
•    An increase in the bile salts will eliminate and dissolve the gallstones.

10.     Proper Hydration

It is very important for you to keep your body hydrated and to flush out all the toxins in your body through urine.
•    Drink at least 10 to 12 glasses of water every day.
•    By doing so, you are making your body to flush all the toxins out of the body through  sweat.
•    This will help you to keep gallstones at bay.

11.    Avoid Refined Foods

If you need to prevent gallstones, then it is highly important for you to totally avoid refined foods. Some of the foods to avoid are:
•    Eggs
•    Ice cream
•    Red Meat
•    White flour products
•    Artificial sweeteners
•    Poultry and processed products

12.    Vegetables

It is ideal for you to replace your fatty diet into something that is very healthy and rich in fiber.
•    Make sure that you replace one meal of the day with only high fiber vegetable diet.
•    This will help you to do away with gallstones problems.

 

 

How to Treat Gallbladder Problems ?

Treating Gallbladder Probloems :

Gallbladder problems are usually caused by gallstones, which are small hard masses that form in the gallbladder or in the bile duct. These stones may block the flow of bile, a digestive agent produced by the liver. As a result, the gallbladder may swell, causing sharp abdominal pain, vomiting, and indigestion.

Some gallstones can be treated with drugs or managed by changing one’s diet, particularly by eliminating fat. When these options fail, however, removing the gallbladder becomes necessary. After removal, bile will continue to flow from the liver to the small intestine, but it will no longer be stored in the gallbladder.

 

Biliary Tract : Hyderabad

Biliary Tract 

The gallbladder is a small, pear-shaped, muscular storage sac that holds bile. Bile is a greenish yellow, thick, sticky fluid. It consists of bile salts, electrolytes (dissolved charged particles, such as sodium and bicarbonate), bile pigments, cholesterol, and other fats (lipids). Bile has two main functions: aiding in digestion and eliminating certain waste products (mainly hemoglobin and excess cholesterol) from the body. Bile salts aid in digestion by making cholesterol, fats, and fat-soluble vitamins easier to absorb from the intestine. The main pigment in bile, bilirubin, is a waste product that is formed from hemoglobin (the protein that carries oxygen in the blood) and is excreted in bile. Hemoglobin is released when old or damaged red blood cells are destroyed.

The biliary tract consists of the gallbladder and the bile ducts. The bile ducts carry bile and other digestive enzymes from the liver and pancreas to the duodenum—the first part of the small intestine.

The liver produces bile—a fluid that carries toxins and waste products out of the body and helps the body digest fats and the fat-soluble vitamins A, D, E, and K. Bile mostly consists of cholesterol, bile salts, and bilirubin. Bilirubin, a reddish-yellow substance, forms when hemoglobin from red blood cells breaks down. Most bilirubin is excreted through bile.

The bile ducts of the biliary tract include the hepatic ducts, the common bile duct, the pancreatic duct, and the cystic duct. The gallbladder stores bile. Eating signals the gallbladder to contract and empty bile through the cystic duct and common bile duct into the duodenum to mix with food.

 

How to have a healthy liver and good digestion without a gallbladder ?

First of all it’s important to realise that you developed a gallbladder problem in the first place because you had an unhealthy liver. If your liver is not healthy, it will make poor quality bile. The bile will be prone to forming sludge and stones. Just whipping the gallbladder out doesn’t solve that problem, and in fact sludge and stones can form within the liver, compromising its function.

Here are some tips to follow:

• Keep your intake of dairy products and grains to a minimum or avoid them altogether. Dairy products (milk, cheese, ice-cream, yoghurt) worsen all cases of gallbladder disease, liver disease and they are very difficult to digest. Food intolerance is a common cause of gallbladder problems, and there is research that links gluten intolerance with gallstones. A good reason to keep your intake of grains low is to reduce the risk of developing a fatty liver.

• Take a good quality liver tonic such as Livatone. The herbs St Mary’s thistle, dandelion root and globe artichoke leaves all increase bile production and bile flow. Taurine is an amino acid necessary for bile production. This should help to make you feel more comfortable after a meal, and should reduce the risk of stones forming inside your liver.

• Eat some good fats and avoid the bad fats. Your doctor may have recommended you follow a low fat diet after having your gallbladder removed. This is not necessary and in fact it is harmful. Your body desperately needs good fats and I recommend you include moderate quantities of extra virgin olive oil, avocados, coconut milk and oil, nuts and seeds in your diet.

• Take a good quality digestive enzyme supplement. The natural bile salts in this product will help you digest fats and fat soluble vitamins more thoroughly.

• You may need a vitamin D3 supplement. People with compromised liver or digestive function are often vitamin D deficient. Exposure of your skin to the sun’s UVB rays enables your body to manufacture vitamin D. However, this process occurs in your liver and kidneys. People with a sluggish liver often do not manufacture vitamin D adequately. Therefore it’s a good idea to get a blood test and take a supplement. 5000 IU of vitamin D3 is a safe and effective dose for most people, but it’s best to be guided by your own doctor.

• Include some bitter and sour foods in your diet. They should help to improve your digestion and make it easier to tolerate good fats in your diet. Suitable bitter and sour foods include lemons, limes, radicchio lettuce, chicory, endive and dandelion leaves. These leaves are fairly easy to grow at home if you are lucky enough to have your own veggie patch.

How are gallstones treated?

If gallstones are not causing symptoms, treatment is usually not needed. However, if a person has a gallbladder attack or other symptoms, a health care provider will usually recommend treatment. A person may be referred to a gastroenterologist—a doctor who specializes in digestive diseases—for treatment. If a person has had one gallbladder attack, more episodes will likely follow.

The usual treatment for gallstones is surgery to remove the gallbladder. If a person cannot undergo surgery, nonsurgical treatments may be used to dissolve cholesterol gallstones. A health care provider may use ERCP to remove stones in people who cannot undergo surgery or to remove stones from the common bile duct in people who are about to have gallbladder removal surgery.

Surgery

Surgery to remove the gallbladder, called cholecystectomy, is one of the most common operations performed on adults.

The gallbladder is not an essential organ, which means a person can live normally without a gallbladder. Once the gallbladder is removed, bile flows out of the liver through the hepatic and common bile ducts and directly into the duodenum, instead of being stored in the gallbladder.

Surgeons perform two types of cholecystectomy:

Laparoscopic cholecystectomy: In a laparoscopic cholecystectomy, the surgeon makes several tiny incisions in the abdomen and inserts a laparoscope a thin tube with a tiny video camera attached. The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of organs and tissues. While watching the monitor, the surgeon uses instruments to carefully separate the gallbladder from the liver, bile ducts, and other structures. Then the surgeon removes the gallbladder through one of the small incisions. Patients usually receive general anesthesia.

Most cholecystectomies are performed with laparoscopy. Many laparoscopic cholecystectomies are performed on an outpatient basis, meaning the person is able to go home the same day. Normal physical activity can usually be resumed in about a week.

Open cholecystectomy: An open cholecystectomy is performed when the gallbladder is severely inflamed, infected, or scarred from other operations. In most of these cases, open cholecystectomy is planned from the start. However, a surgeon may perform an open cholecystectomy when problems occur during a laparoscopic cholecystectomy. In these cases, the surgeon must switch to open cholecystectomy as a safety measure for the patient.

To perform an open cholecystectomy, the surgeon creates an incision about 4 to 6 inches long in the abdomen to remove the gallbladder. Patients usually receive general anesthesia. Recovery from open cholecystectomy may require some people to stay in the hospital for up to a week. Normal physical activity can usually be resumed after about a month.

A small number of people have softer and more frequent stools after gallbladder removal because bile flows into the duodenum more often. Changes in bowel habits are usually temporary; however, they should be discussed with a health care provider.

Though complications from gallbladder surgery are rare, the most common complication is injury to the bile ducts. An injured common bile duct can leak bile and cause a painful and possibly dangerous infection. One or more additional operations may be needed to repair the bile ducts. Bile duct injuries occur in less than 1 percent of cholecystectomies.

Nonsurgical Treatments for Cholesterol Gallstones

Nonsurgical treatments are used only in special situations, such as when a person with cholesterol stones has a serious medical condition that prevents surgery. Gallstones often recur within 5 years after nonsurgical treatment.

Two types of nonsurgical treatments can be used to dissolve cholesterol gallstones:

Oral dissolution therapy:Ursodiol (Actigall) and chenodiol (Chenix) are medications that contain bile acids that can dissolve gallstones. These medications are most effective in dissolving small cholesterol stones. Months or years of treatment may be needed to dissolve all stones.
Shock wave lithotripsy: A machine called a lithotripter is used to crush the gallstone. The lithotripter generates shock waves that pass through the person’s body to break the gallstone into smaller pieces. This procedure is used only rarely and may be used along with ursodiol.

What lifestyle factors contribute to gallstones?

Family risk factors do contribute to gallstone formation. This means that if your mother and your father both needed gallbladder surgery during their lives then it is more likely that at some point in your future, you may also need a gallbladder operation. Some medications may possibly contribute to gallstone formation including cholesterol lowering drugs and hormone replacement therapy. Gallstones are more common in women.

Obesity, the diet associated with being over-weight as well as weight-loss also causes gallstones to develop. Therefore if you have an operation such as a gastric bypass, gastric sleeve or the Lap-Band and lose the excess weight that you are hoping to lose, then there is a good chance you may require gallbladder surgery in the future. This increased risk does not mean that you must have your gallbladder removed during a weight-loss operation. Typically gallbladder surgery is only performed at the same time as weight-loss surgery if you already have both gallstones and a history of being bothered by them.