Dr Ajesh Bansal

GALL BLADDER DISEASE

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GALL BLADDER STONE

GALL BLADDER STONE:- Gallstones (commonly misspelled gall stones or gall stone) are solid particles that form from bile cholesterol and bilirubin in the gallbladder.

  • The gallbladder is a small saclike organ in the upper right part of the abdomen. It is located under the liver, just below the front rib cage on the right side.
  • The gallbladder is part of the biliary system, which includes the liver and the pancreas.
  • The biliary system, among other functions, transports bile and digestive enzymes.
Symptoms

Attacks may occur every few days, weeks, or months; they may even be separated by years.

  • pain usually starts within 30 minutes after a fatty or greasy meal.
  • The pain is usually severe, dull, and constant, and can last from one to five hours.
  • It may radiate to the right shoulder or back.
  • It occurs frequently at night and may awaken the person from sleep.
  • The pain may make the person want to move around to seek relief, but many patients prefer to lay still and wait for the attack to subside.
common symptoms of gallstones include the following:
  • nausea and vomiting,
  • fever
  • indigestion, belching, bloating,
  • intolerance for fatty or greasy foods, and
  • jaundice (yellowing of the skin or the whites of the eyes).
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GALL BLADDER CANCER

Choledocholithiasis (also called bile duct stones or gallstones in the bile duct) is the presence of a gallstone in the common bile duct. Gallstones usually form in your gallbladder. The bile duct is the small tube that carries bile from the gallbladder to the intestine. The gallbladder is a pear-shaped organ below your liver in the upper right side of your abdomen. These stones usually remain in the gallbladder or pass through the common bile duct unobstructed.

Symptoms

Gallstones in the bile duct may not cause symptoms for months or even years. But if a stone becomes lodged in the duct and obstructs it, you may experience the following:

  • Abdominal pain in the right upper or middle upper abdomen
  • Fever
  • Jaundice (yellowing of the skin and eyes)
  • Loss of appetite
  • Nausea and vomiting
  • Clay-colored stools
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COMMON BILE DUCT STONE

Choledocholithiasis (also called bile duct stones or gallstones in the bile duct) is the presence of a gallstone in the common bile duct. Gallstones usually form in your gallbladder. The bile duct is the small tube that carries bile from the gallbladder to the intestine. The gallbladder is a pear-shaped organ below your liver in the upper right side of your abdomen. These stones usually remain in the gallbladder or pass through the common bile duct unobstructed.

Symptoms
  • Abdominal pain in the right upper or middle upper abdomen
  • Fever
  • Jaundice (yellowing of the skin and eyes)
  • Loss of appetite
  • Nausea and vomiting
  • Clay-colored stools
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CHOLANGIOCARCINOMA

Cholangiocarcinoma is cancer that forms in the slender tubes (bile ducts) that carry the digestive fluid bile. Bile ducts connect your liver to your gallbladder and to your small intestine. This condition, also known as bile duct cancer, is an uncommon form of cancer that occurs mostly in people older than age 50, though it can occur at any age.

Doctors divide cholangiocarcinoma into different types based on where the cancer occurs in the bile ducts:

Symptoms
  • Intrahepatic cholangiocarcinoma occurs in the parts of the bile ducts within the liver and is sometimes classified as a type of liver cancer.
  • Hilar cholangiocarcinoma occurs in the bile ducts just outside of the liver. This type is also called perihilar cholangiocarcinoma.
  • Distal cholangiocarcinoma occurs in the portion of the bile duct nearest the small intestine
Symptoms of cholangiocarcinoma include
  • Yellowing of your skin and the whites of your eyes (jaundice)
  • Intensely itchy skin
  • White-colored stools
  • Fatigue
  • Abdominal pain
  • Unintended weight loss