What causes gallstones? When should you consider undergoing surgery? Dr. Ashit Sharma The bile in your body contains enough chemicals to dissolve cholesterol excreted by your liver. In case your liver starts excreting more cholesterol than your bile has the capability to dissolve, the excess cholesterol crystallizes and forms stones. Bile may become concentrated if the gallbladder doesn't empty in the time leading to the formation of gallstones. A number of factors can increase the risks of formation of gallstones like: high cholesterol sudden inflammation or infection in the gallbladder M. D. Hegde
MS, MBBS
General Surgeon • 27 Years experienceCONSULT
How and why are gallstones formed?
being obese/overweight
being an American Indian or Mexican American
being female
falling in the age group of 60 or above
a family history of gallstones
rapid weight loss
diabetes
consumption of cholesterol-lowering medications
When should you consider undergoing surgery?
In some cases gallstones that are detected during ct scan or ultrasound (without any symptoms) don't require surgery. If you do not feel aggravating pain in your upper right abdomen or other signs and symptoms, then one can postpone the surgical process according to the need. In few instances, it has been seen that small and solitary gallstones can be dissolved with oral medication like ursodiol and chenodiol. However, you need to opt for surgery to remove the gallbladder necessarily in the following cases-
if you experience recurring instances of intense pain due to the gallstones
certain growths known as polyps develop in your gallbladder which is larger than 1 cm in size and begin to give rise to numerous symptoms.
if you have pancreatitis, which is a condition involving inflammation of pancreas due to gallstones
if the wall of your gallbladder gets calcified
your immune system is damaged
you are experiencing symptoms and your gallbladder has ceased to function
MANGALORE
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