Contact Us
Mumbai : +91 22 6767 6767
Visakhapatnam : +91 891 2525757

Saturday, June 10, 2017

Understanding Gall Stones- Expert disease insight blog by Dr C Vasudev

In my gastroenterology practice, on an everyday basis, I come across at least one patient asking whether I need to have my gall bladder removed or not since gallstones were detected on ultrasonography done as a routine test. Well, this blog should answer this query with certainty. 

Gallstones are crystal-like deposits made from cholesterol and other substances found in the bile. They can be smaller than a grain of sand or as large as a golf ball and are stored in gall bladder a small, pear-shaped organ that stores bile, a digestive fluid produced by the liver. Stones form quite commonly in the gallbladder.

Of every 100 adults in India, stones will show up in the gallbladder in at least 5 of them if they are subjected to an ultrasound test. This figure goes up to around 15 in Western Europe and America. The highest prevalence of gallstones has been reported in a tribe of Pima Indians (Native Americans), 75% of whom are affected by the age of 35. 

6F’s define the risk of formation of gallstones:
1. Female, 
2. Forty, 
3. Fat, 
4. Fair, 
5. Fertile, 
6. Family history of gallstones. 
Diabetics, pregnancy, sudden weight loss, oral contraceptive pill usage are some other risk factors for developing gallbladder stones. 

There are 2 types of stones, the ones which cause pain and the silent ones which come to notice incidentally. The typical symptom is a severe upper abdominal pain occasionally accompanied by nausea, indigestion, or fever. 
The painful stones if left untreated, cause repeated pain episodes and can lead on to major complications like jaundice, swelling of the gall bladder(Cholecystitis) and swelling of the pancreas(pancreatitis) and gall bladder cancer.

Silent ones are best left alone as only 20% of them ever require removal of gall bladder in their lifetime. A simple guide is to undergo treatment/removal only when the presence of gallstones start to cause symptoms in a patient either in the form of pain or jaundice/pancreatitis/cholecystitis. Otherwise, you can comfortably choose to avoid surgery as in the majority of people they stay silent. 

Silent gallstones of >2cm require removal of the gall bladder to prevent gall bladder cancer occurrence. The only way to detect whether a person has gallstones or not is by sonography of abdomen. At least one consultation with a gastroenterologist needs to be sought for a patient with gallstones to know if it requires removal of the gallbladder or not. 

The only treatment available to get rid of gallstones is to undergo removal of gall bladder in toto (completely). This is done either by Laparoscopic cholecystectomy or by open cholecystectomy. 
Both the surgeries are by far simple, safe surgeries which don't require prolonged hospitalization and are mostly uncomplicated and tolerated well by most patients.Currently, there is no medical treatment available for gall stones.

The answer to the question which is raised in the discussion is that gall bladder removal as the treatment for gallstones is recommended only if the patient has symptoms due to stones It's not a vestigial organ and it does have some function in the digestion of nutrients. So, an unnecessary removal of gall bladder is best avoided. 

To conclude, you should consult a doctor if you have any of the following symptoms that worry you:-
• Upper abdominal pain so intense that you can't sit still or find a comfortable position 
• Yellowing of your skin and the whites of your eyes
• High fever with gall stones


  1. This post is so informative and makes a piece of very nice information on the topic in my mind. It is the first time I visit your blog, but I was extremely impressed. Keep posting as I am gonna come to read it every day. Speciality Exam SCE

  2. The article was up to the point and described the information very effectively. Thanks to blog author for wonderful and informative post.

  3. I was married at 32 and immediately tried to get pregnant. When I was unable to conceive I had blood tests for fertility and was told that I had an FSH (follicle stimulating hormone) of 54 and would not be able to have children. Even though the doctors knew that I had been diagnosed with Hashimoto’s thyroiditis since age 25, no one bothered to check my thyroid levels. my TSH was measured at .001. My Synthroid dosage was lowered. a friend advise me to contact a spiritualist who help with fertility with his medicine, i collected his contact and explain my situation to him he prepared for me a herbal medicine which i took as describe by him. became pregnant very quickly, I had a successful pregnancy. I have my baby august 2017. to get pregnant at age 35 with my 2nd child in september 2019, thank you sir , this is his email contact if you require his help or Facebook at priest.babaka

  4. Interesting to read your post. I can't wait to see your next post. Good luck for upcoming updates. This article is very interesting and effective. Thanks for sharing such a blog. bladder specialist


    Loan Offer Alert For Everyone! Are you financially down and you need an urgent credit/financial assistance? Or are you in need of a loan to start-up/increase your business or buy your dream house. GET YOUR INSTANT LOAN APPROVAL 100% GUARANTEED TODAY NO MATTER YOUR CREDIT SCORE. WhatsApp:+19292227023 Email:

  6. Wow, this is an awesome, very interesting article. I can imagine the energy and inspiration you have invested in this powerful combination of words. Many articles I come across these days do not really dive this deep to make it clear to their audience as you did. But believe me, the way you interact is literally 100% perfect. I will instantly grab your RSS feed to stay informed of any updates you make on your blog and as well take the advantage to demonstrate
    5 WAYS TO SPOT A FAKE DRIVERS LICENSE WITH NO DMV, DVLA RECORD which many people are ignorant of when ordering fake documents online. Not over demanding I will also take the advantage to ask for your permission to join our 179.3k members TELEGRAM GROUP
    to share with us your ideas or any latest update on your blog.
    Thanks, I am Scott from Globex, we are expecting you on our platform.

  7. I am so delighted I found your weblog, I really found you by accident,
    while I was researching on Bing for something else, Regardless I am here now and would just I saw this FAKE UK DRIVING LICENCE THAT WORKS FROM THE DVLA an will like to say thank you. (I also love the theme/design), I don’t have time to go through it all at the minute but I have bookmarked it and also added your RSS feeds, so when I have time I will be back to read a lot more, Please do keep up the excellent job.

  8. I really appreciate the way you people john dutton yellowstone jacket my plugin. Thanks!

  9. Your blog contains lots of valuable data. It is a factual and beneficial article for us. Thankful to you for sharing an article like this. handheld ultrasound machine

  10. Howdy! I could have sworn I’ve been to this site before but after browsing through some of the post I realized it’s new to me. I also fell on this
    ONE OF THE EASIEST WAY TO ACQUIRE REAL PASSPORTS ONLINE IN LESS THAN NO TIME Anyways, I’m definitely happy I found it and I’ll be bookmarking and
    checking back frequently!

  11. I had my endoscopy four days ago to find out about my throat infection. My doctor has told me to eat soft food for a few days and take steam three to four times a day. Can I get some advice from here so that I can recover quickly and start working on Cheap Essay Writing Services again?

  12. I really appreciate the detail of your forecasts. I share the same passion for snowstorms and now use you as my main source of information. You have also as you have proved most accurate. I continue to refer you to others who are equally impressed. Thank you for your blog! BUY REAL NCLEX CERTIFICATE ONLINE WITHOUT EXAMS

  13. Thank you so much for sharing such a great and monica dutton yellowstone cotton jacket knowledgeable blog. Thanks!

  14. This is quite a good blog.Are you also searching for BSN Writing Services. we are the best solution for you. We are best known for delivering nursing writing services to students without having to break the bank.

  15. It is a proficient article that you have shared here.Gastric Sleeve Miami I got some different kind of information from your article which I will be sharing with my friends who need this info. Thankful to you for sharing an article like this.

  16. You wrote this post very carefully. The amount of information is stunning and also a gainful article for us. Keep sharing this kind of articles, Thank you.

  17. You are sharing a piece of pleasant data here. The data you have given is really educational and critical for us. Gratitude for sharing an article like this.Outpatient programs in Bakersfield, CA


SevenHills Hospital