Gallbladder Stones Causing Severe Pain | Answer by Dr. Raj

Understanding the USG Report

The ultrasound findings indicate the following:

• The gallbladder is adequately distended.
• Few hyperechoic foci (stones), the largest measuring 4.2 mm, are noted in the neck region of the gallbladder.
• No thickening of the gallbladder wall is observed.
• The common bile duct (CBD) is not dilated.
• Other abdominal organs, including the pancreas, spleen, kidneys, and liver, appear within normal parameters, except for mild fatty liver changes and a small non-obstructive kidney stone in the right kidney.
• There is mild enlargement of the prostate (Grade I prostatomegaly), which is a common finding in older males.

Expert Medical Advice

Dr. Raj, MBBS, DNB (General Surgery), FIAGES, Pondicherry, has provided the following insights:

• A gallstone in the neck of the gallbladder can obstruct bile flow, leading to pain and potential complications like cholecystitis (inflammation of the gallbladder) or jaundice.
• To determine the severity of the condition, additional blood tests are necessary to check for signs of infection and jaundice. These tests typically include:
  • Liver Function Test (LFT)
  • Complete Blood Count (CBC)
  • Bilirubin levels
  • Alkaline phosphatase levels
• If the patient does not have jaundice or an active infection, laparoscopic gallbladder removal (cholecystectomy) is a viable treatment option. This minimally invasive surgery is the standard treatment for symptomatic gallstones and prevents further complications.

Next Steps for Treatment

1. Blood Tests: These will help rule out infection or jaundice before proceeding with surgery.
2. Monitoring Symptoms: If pain becomes unbearable, temporary pain relief measures may be necessary, such as prescribed medications or dietary adjustments.
3. Surgical Intervention: If test results are clear, laparoscopic gallbladder removal is the preferred treatment. This procedure is relatively safe and offers quick recovery.