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GallStones are a form of solids contained in the bag or bile duct, preventing the trip bile into the intestine. This solid form causes pain and nausea
DISEASE SYMPTOMS GALLSTONES
Gallstones generally do not cause disease. Symptoms only appear if the stone is clogged gallbladder or other digestive tract. The main symptom is usually experienced abdominal pain that comes suddenly or called biliary colic.
The pain can occur in some parts of the abdomen. Among these are the central part of the abdomen or in the top, right abdomen. The pain can also spread to the side of the body or scapula. Symptoms of abdominal pain also varies, for example:
- Can appear at any time.
- Can last for a few minutes to many hours.
- Will not be reduced despite the toilet, fart, or vomiting.
- Frequency of occurrence is rare, but can be triggered by foods with a high fat content.
If the gallstones cause a blockage in one of the digestive tract, the following symptoms may occur:
- Abdominal pain that persists or always come back.
- High fever.
- Jaundice
- Rapid heartbeat.
- Itching of the skin.
- Loss of appetite.
- Nausea and vomiting.
It is important for you to be aware of biliary colic symptoms despite feels trivial and inconsistent. Immediately consult your doctor if you experience severe abdominal pain that lasts more than eight hours, jaundice or fever.
CAUSE ILLNESS GALLSTONES
Major cause of gallstones allegedly caused by an imbalance between cholesterol and chemical compound in the bile. Flaky crystals formed will develop into stones and usually within years.
Stockpiling of chemical compounds commonly found in the gallbladder when the rock is formed of cholesterol and bilirubin (waste from the destruction of red blood cells). Almost 80 percent of gallstones made of cholesterol and about 20 percent made of bilirubin. Bilirubin is a pigment found in bile.
Size of gallstones are formed also vary. Some are as small as grains of sand, and there are as big as a ping-pong ball. So also with the amount. There are people who only have one piece of stone and nothing more.
The possibility of the emergence of gallstones varies in each person. Specifically, women are two times higher risk than men. Especially women who have been pregnant, taking birth control pills, hormone therapy or high doses.
Stockpiling of chemical compounds commonly found in the gallbladder when the rock is formed of cholesterol and bilirubin (waste from the destruction of red blood cells). Almost 80 percent of gallstones made of cholesterol and about 20 percent made of bilirubin. Bilirubin is a pigment found in bile.
Size of gallstones are formed also vary. Some are as small as grains of sand, and there are as big as a ping-pong ball. So also with the amount. There are people who only have one piece of stone and nothing more.
The possibility of the emergence of gallstones varies in each person. Specifically, women are two times higher risk than men. Especially women who have been pregnant, taking birth control pills, hormone therapy or high doses.
Here are other factors that increase the risk of developing gallstones:
Aged over 40 years.
Is pregnant.
Having a family member with the same disease.
Often eating fatty foods or high cholesterol.
Lack of fiber in the diet.
Diabetics.
Being overweight or obese.
Patients with cirrhosis.
Patients with gastrointestinal disorders, such as Crohn's disease and irritable bowel syndrome.
People who use ceftriaxone, which is an antibiotic that can be used to treat pneumonia, meningitis, and gonorrhea.
People who lost weight drastically.
PAIN MEDICINE GALLSTONES
The impact and the development of gallstones varies in each person. Therefore, there is a feeling and there are no symptoms. Step treatment will be tailored to how big influence on you.
Gallstones Early Stage
Increased vigilance and regular monitoring is often the main recommendations in dealing with this condition. If gallstones do not cause any symptoms in your life, doctors usually do not recommend medical intervention.
But if you have other illnesses that may increase the likelihood of complications, you will be advised to undergo treatment. Types of diseases that increase the risk of complications of gallstones is cirrhosis, diabetes, or portal hypertension (high blood pressure that occurs in the liver).
If you have gallstones, as well as a high level of calcium in the gallbladder, a step of treatment will be recommended. This is due to a combination of gallstones and high calcium can cause gallbladder cancer if left unchecked.
Gallstones Next Phase
The main symptom of this disease is the appearance of abdominal pain or biliary colic. Type of treatment also depends on the severity of the symptoms:
If you experience mild abdominal pain and rarely appear, the doctor will probably encourage the consumption of painkillers (analgesics) and a healthy diet to control symptoms.
If you experience severe abdominal pain and often appear, the doctor usually will recommend gallbladder removal procedure.
Operation step to Handle Gallstones
If your symptoms are very severe, the gallbladder may have to be removed through surgery. But you need not fear because the gallbladder does not include important organ that you must have to survive.
Laparoscopic cholecystectomy
Surgical removal of the gallbladder is the most commonly recommended through the operation of 'keyhole' or laparoscopic cholecystectomy. This operation is called operation 'keyhole' because of the size of the incision is made very small, about 1 cm. This operation is performed by the application of general anesthesia, so you will be asleep during the procedure so it will not feel pain. The patient's recovery period usually takes about 1-2 weeks.
With an open incision cholecystectomy
This operation would have been if the gallstones can not be removed by surgery 'keyhole' or the patient's condition does not allow it to undergo laparoscopic cholecystectomy. For example because:
Location of the gallbladder patients are difficult to reach.
Patient weight is high.
Patients are in the final months of pregnancy.
After undergoing cholecystectomy with an open incision, the patient needs to stay in the hospital for 5-6 days. The time needed for a full recovery is also longer than the operation 'keyhole', which is about 1.5 months. But the effectiveness of this operation is the same as laparoscopic cholecystectomy surgery.
Endoscopic Retrograde cholangiopancreatography (Endoscopic Retrograde Cholangiopancreatography / ERCP).
Blockage due to stones in the bile duct can be treated with endoscopic retrograde cholangiopancreatography procedures (endoscopic retrograde cholangiopancreatography / ERCP). This process can be done without lifting the gallbladder. This means that even if the blockage has been handled, the stones in the gallbladder will remain.
ERCP is usually done with the application of a local anesthetic and takes about 30-40 minutes. After undergoing the procedure, patients generally have to stay one night in the hospital for monitoring conditions.
Ursodeoxycholic acid
Gallstones are small that do not contain calcium can be treated with ursodeoxycholic acid. This drug is able to dissolve gallstones. But these drugs are rarely recommended to deal with gallstones because:
Low levels of effectiveness.
Patients must drink it for a long time (sometimes more than one year).
Gallstones can re-emerge when consumption is stopped.
Ursodeoxycholic acid is also not recommended for pregnant or lactating women. This drug may also affect the effectiveness of birth control pills. Therefore, women on birth control pills is recommended to replace it with a safety device such as a condom when taking these drugs.
Aside from being a treatment, ursodeoxycholic acid is also recommended to prevent the formation of gallstones for those at high risk.
The Effect of Diet
Changing your diet by simply eating a low-fat diet can not cure gallstones, but maintaining a healthy diet and balanced can help us to maintain health and reduce pain caused by gallstones.
ILLNESS PREVENTION GALLSTONES
Changing your diet and lose weight for those who are obese may help prevent the formation of gallstones.
Gallstones are formed due to the hardening of cholesterol allegedly buried in the bile. Therefore, we should implement a healthy diet and balanced and avoid the consumption of foods containing fat and high kolestrerol. Examples:
Bersantan food like rendang, compote, as well as the diamond vegetables.
Greasy foods such as fried foods.
Foods made from legumes such as peanut sauce or satay sauce.
Cake and snack chips.
Too much consuming alcohol also can increase your risk, so do not overdo it. Limit the recommended consumption per day is 2-2.5 cans of beer for men and up to 2 cans of beer for women. Beer alcohol content is usually as much as 4.7 percent.
Being overweight or obese is a risk factor that can lead to complications of gallstones. Therefore, maintaining a healthy weight is very important.
You are advised to avoid demanding strict diet to eat foods low in calories and fat only. Drastic weight loss in a short period of time can also increase the risk of gallstone formation.
Gallstones are formed due to the hardening of cholesterol allegedly buried in the bile. Therefore, we should implement a healthy diet and balanced and avoid the consumption of foods containing fat and high kolestrerol. Examples:
Bersantan food like rendang, compote, as well as the diamond vegetables.
Greasy foods such as fried foods.
Foods made from legumes such as peanut sauce or satay sauce.
Cake and snack chips.
Too much consuming alcohol also can increase your risk, so do not overdo it. Limit the recommended consumption per day is 2-2.5 cans of beer for men and up to 2 cans of beer for women. Beer alcohol content is usually as much as 4.7 percent.
Being overweight or obese is a risk factor that can lead to complications of gallstones. Therefore, maintaining a healthy weight is very important.
You are advised to avoid demanding strict diet to eat foods low in calories and fat only. Drastic weight loss in a short period of time can also increase the risk of gallstone formation.
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