Gallstones Causes and Treatment

Gallstones Causes and Treatment
Stones formed in a number of human organs such as kidney stones and bladder stones, prostate and salivary glands, as well as in the gallbladder
Gallstones are clusters of coarse solids may be very small size of a grain of corn may be as large as the gallbladder itself or other various sizes between these two Ahadjmin

How composed of gallstones?
Bile inside the bag bitterness a molten liquid in which a number of solid objects exactly like sugar or salt dissolved in water and solids are cholesterol, bile salts and bile pigments. If the concentration or amount of these solids they are deposited and accumulate composed completely when stones as you can see the beads of sugar had deposited at the bottom of a cup of tea when many quantitative. In the normal case, this does not precipitate or objects and stones but in the case of increasing the amount of these objects, it leads to the formation of gallstones.
What are the reasons that lead to increased concentration of these substances and thus the emergence of gallstones?
Lack of fluidity bile and increase the intensity because of a lack of drinking fluids or increase Ahtbasha in bitterness because of a slow or lack of systematic and rapid discharge of bitterness.Injury channels that carry bile from the liver to the intestines of some bacteria such as E. coli bacteria Acercia Escherichia coli, or certain parasites.Diseases, which increases the breakdown of red blood cells lead to increased incidence of gallbladder stones due to increased bile pigments, a substance produced by the breakdown of red blood cells.

Cofactors injury gall bladder stones

 

Infect gallstones usually more women than men.Increased incidence of gallbladder stones after the age of forty.Increasing emergence of gallstones when overweight compared to people with normal weight.Pill that increases the concentration of estrogen increases the chances of developing gall stones.
The prevalence of gallstones
Gallstones are common health problems spread example, in the United States are diagnosed with about a million cases a year and is subject about half that number a year for surgery to remove gallstones.
Signs and symptoms of gallstones
We can divide clinical picture of gallstones into four sections:
The absence of signs and symptoms
Many people may have bitter stones without causing them any health problems are not discovered its existence only during the scan ultrasonic waves or X-ray of the abdomen for other reasons, such as other abdominal diseases.
Signs and symptoms of mild
Dull pain between now and then in the right upper abdomen area with symptoms such as discomfort for foods with fat content and increased flatulence immediately after eating and early sense of satiety and mild nausea.
Case of acute cholecystitis
In this case Pebble bitterness leads to acute inflammation of bitterness will explain in detail the subject of acute cholecystitis, where there is severe pain and severe nausea and vomiting.
Chronic cholecystitis

 

It is very similar to water signs and symptoms in the second case, but the signs and symptoms are more prominent and there are signs of chronic inflammation of the gall bladder.

How is it diagnosed gallstones?

The ultrasound device over the appropriate device to diagnose gallstones because some gallstones may not appear normal X-ray.

Complications of gallstones

Acute cholecystitis and chronic

Pebble transition to the vas deferens yellow from the liver to the intestines, causing a blockage of this channel and thus emergence of obstructive yellowing or inflammation of the pancreas acute or chronic

  

Pebble bitterness may be a cause in a pool of pus in the gallbladder or blast wall.Acute cholecystitis
Meaning the occurrence of acute inflammation of the gall bladder and the walls is usually due to the presence of pebble led to duct obstruction hyphenation of bitterness and even tube biliary year is called inflammation bitterness gravel sharp and occurs in about 90% of cases of cholecystitis while the cause of the remaining 10% causes a rare Others, such as cholecystitis germ salmonella.
Cofactors for acute cholecystitis gravelDiabetesPregnancyWeight gain as well as the rapid loss of weightA person is exposed to surgeryInfect the body with acute bacterialHeart DiseaseSickle cell anemiaAIDSThe prevalence of acute cholecystitis gravel
Gets about one-third of patients with gallstones bouts of acute cholecystitis In America, for example, subject 500 thousand patients for gall bladder surgery.
Symptoms and signs
Severe acute pain in the right upper abdomen region up to the right shoulder joint. (What differentiates pain of acute cholecystitis biliary colic is persistent pain for more than 6 hours in the case of acute cholecystitis and severity of nausea and vomiting, fatigue)A small rise in temperature may be presentNausea and vomitingClinical examination of the patient shows pain when pressure in the right upper abdomen region and increase the temperature and increasing the heart rate.Yolk of the eyes and skin may be present in 15% of patients.And mean when the doctor put his hand in the right upper abdomen area and then ask the patient to take some deep breaths, the patient can not complete this inspiration because of the pain and this should be it is also present in the left upper abdomen area.

Foregoing signs and symptoms may not be present in the elderly or diabetic patients with acute inflammation of the gall bladder may only mild pain in the right area the upper abdomen so there warned special consideration must be performed by a doctor when the patient is too old.

 

Not all sharp pain in the right upper abdomen area means the presence of acute inflammation of the gall bladder
Difficulty usually faced doctor Batinah is whether this sharp pain in the right upper abdomen region caused by acute gallbladder inflammation or is it for many other reasons causing such pain which makes the need for a number of laboratory tests and clinical is very important. But what are the causes or other diseases that cause such pain?Of these reasons, the following diseases:
UlcersBiliary colicAcute viral hepatitisAcute pancreatitisRight kidney stone and acute renal colicLess common causes, such as amebic liver, heart stroke and stroke right colon and sickle cell anemia.Chronic cholecystitisCholecystitis chronic produces repeated bouts of mild acute gallbladder inflammation led to increased wall thickness bitterness which leads to a contraction of the gallbladder and its inability to led and function of constriction and unloading regular juice bile in response to entry of food in the intestines of flour and this leads to the pool this bile and do not benefit the digestive tract including in the digestion and absorption of fatty substances so we find the patient chronic inflammation of the gallbladder complains of having a number of symptoms when eating a fatty meal such as butter, fat and sweets Hadrami, Oman and grease. These symptoms are the symptoms of chronic cholecystitis.
Symptoms of chronic cholecystitis
The disease usually appears when more women than men and more than his appearance after the age of forty are gallbladder and gallstone patient's exposure to bouts of acute cholecystitis of factors to help the emergence of chronic cholecystitis, which of the following symptoms:Mild chronic pain and repeatedly in the right upper abdomen regionDifficulty and delay in digestionIncreased abdominal gasDiscomfort after eating foodDiscomfort to eat fatty substancesNausea after eating