The liver secretes about 1 liter of bile per day and takes part in the absorption of fats. This secretion produced by the liver is stored in the gallbladder and accumulates there. When the water is absorbed, bile becomes denser. While the gallbladder concentrates the bile, the structure resulting from the precipitation of cholesterol or pigments in certain proportions gallstones is called. The types and size of this disease, which is also known as cholelithiasis, can vary.
The gallbladder directs the bile fluid in the gallbladder to the small intestines, which contracts more after the introduction of particularly fatty foods. In the meantime, it intensifies and causes stones in the channel. Generally, stones formed in the gall bladder are cholesterol stones. Others are bilirubin are the stones formed by reason. This disease, which is more common in women than in men, is a disease that can be quite painful.
What are the Symptoms of Gallstones?
After the gallstones begin to form, it is usually silent. When gallstones are in their growth phase, they do not cause any complaints. These stones usually begin to show symptoms when they begin to move under the influence of gravity and when bile cannot be poured into the intestine. Its exterior is noticed during examinations for another ailment or during surgery.
In gallstones, felt in the upper right part of the abdomen and back often suddenly there are pain that arise. In addition, these pains become more severe when broth, chicken skin, cabbage, fried foods, raw foods and turnips are consumed.
More severe symptoms may occur if gallstones fall into the bile duct. In addition to abdominal pain, nausea, brown urine, fever, jaundice and infection can be seen. If there is an infection in the gallbladder other than pain gallstone complications can develop.
Patients with gallstones usually since early diagnosis is not made Nearly half of the patients may experience various complications (additional discomfort caused by the disease). These;
- Acute inflammation of the gallbladder
- Obstruction of the bile duct and jaundice
- Obstruction of the pancreatic duct
- Pancreatic infection
- Risks such as gallbladder cancer (usually seen in chronic gallstones in advanced stages).
Another rare complication of gallstones is that the stone passes into the small intestine by piercing the gallbladder. These stones can block the small intestine. Gallbladder cancers also occur as a result of this situation.
Who Has Gallstones?
Various groups are at risk of developing gallstones. These;
- Gender: The risk of developing gallstones in women is 3 times higher than in men.
- Cholesterol level increases as a result of changes in hormones in women who have more than one pregnancy and gallstones begin to form.
- Removal of an area of the stomach
- Small intestine diseases
- Excess weight
- Excessively fatty diet
- High cholesterol ratio
- A history of diabetes
- Family gallstones
- Causes such as cholesterol medications have a major impact on the formation of the gallbladder.
How Is Gallstone Diagnosed, How Is It Treatment?
The diagnosis of gallstones can be made by a specialist doctor using various imaging methods. The main diagnosis is made with the help of ultrasonography using sound waves. In some cases, this imaging method may not work and a procedure similar to an endoscopy called ERCP may be performed. In some cases, diagnosis can be made incidentally using different examinations such as tomography and MRI.
The main procedure in the treatment of gallstones is surgical removal of the gallbladder. In some patients surgery is very risky can be. In this case, non-surgical methods can be used. Stone dissolving drugs can be used by applying a long-term treatment in this treatment.
Short-term treatment programs can be applied to eliminate the symptoms and dissolve the stone in cases that have not yet progressed. However, in some patients at risk (diabetes vs. hormonal diseases) immediate surgical intervention may be required.
Things to Consider After Gall Bladder Surgery
Gall bladder surgery is generally mild and risk-free. Patients who come out of the surgery can come to themselves within a few hours and can perform vital activities such as eating. A drain can be placed in the area where the incision is made during the operation to drain fluid. This procedure is performed only in patients with the possibility of leakage in the early postoperative period and is usually removed within 1-2 days. Most of the patients who undergo surgery are discharged the next day. The dressings made on the incision site of the patient Following and necessary maintenance should be done in compliance with hygiene. It can be left open after the wound remains closed for 2-3 days. After the surgery, the patient should not consume foods such as meat, milk and cheese with high fat content, and should be fed little by little and often.
These surgeries general surgery doctors maintained by. You should consult your doctor in case of any negativity at the wound site.