Gallbladder stones are an extremely common disorder and are usually asymptomatic. Some patients experience biliary colic, intermittent and often severe pain in the epigastrium or right upper quadrant, and at times between the scapula because of temporary obstruction of the cystic duct with a gallstone. If the cystic duct obstruction persists, the gallbladder becomes inflamed and the patient develops cholecystitis, acute inflammation, and infection of the gallbladder. The vast majority of patients with gallstones are asymptomatic. Symptomatic gallstones typically manifest with right upper quadrant abdominal pain, often accompanied by nausea and vomiting. The pain is often severe, may abate over several hours (biliary colic), or may progress to cholecystitis, with persistent pain and fever. On examination, there is a pain to palpation in the right upper quadrant (Murphy's sign). The primary treatment for symptomatic gallstone disease is cholecystectomy. Prophylactic cholecystectomy for silent gallstones is not warranted. Most cholecystectomies in the United States are done laparoscopically. A patient with an acute episode that resolves should see a surgeon within a few weeks and elective cholecystectomy should be considered. Patients who have persistent right upper quadrant tenderness and develop fever or an elevated white blood cell count should be seen more urgently.
Biliary Tract Disease Treatment in Indirapuram
Biliary Tract Disease Doctor in Indirapuram
Biliary Tract Disease Clinic in Indirapuram
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