Should I Go To Er For Gallbladder Pain – When abdominal pain persists, it may be a gallbladder attack or gallstone, which is common in people between the ages of 40 and 50 and may require surgery if left untreated.
PHILADELPHIA (WPVI) – A Frankford woman found a tough way to ignore her stomach pains. Shakina Hawkins said she was afraid to go to the hospital because of the outbreak, which made things worse.
Should I Go To Er For Gallbladder Pain
“I started having stomach pains that came and went sometimes sharp, sometimes dull,” Hawkins said.
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Hawkins said the pain started last May and continued for months. Because of the outbreak, she eventually tried telemedicine appointments.
“They advised me to go to the emergency room, I’m a bit skeptical about everything that’s happening now,” he said.
“Gallbladder attacks are usually caused by stones,” said Dr. Sanjiv Dewan, assistant professor of clinical surgery. “When the stone gets into the neck of the gallbladder, that’s what causes the pain.”
When the stone reaches the level of Hawkins, you need to have surgery to remove the organ. The doctor said that once the stones appear, they will keep coming back.
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“The liver and bile ducts are slightly larger and take over the function of the gallbladder,” said Dr. the hall
“It usually occurs in the age group between 40 and 50 years, more common in women, more common in people who are obese, who have had a diet high in fat and cholesterol,” said Dr. the hall
Gallstone symptoms include pain in the upper right side of the abdomen, pain in the back and right shoulder as well. There is also nausea, vomiting and indigestion.
“It was outpatient, which surprised me a lot. So it was in, boom, done and out the door,” he said.
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The doctor said that not everyone with gallstones will be symptomatic. And not everyone needs surgery because Hawkins is waiting, that’s his only option. “The pain is cutting like a knife,” is a common description of the excruciating pain that often comes with gallbladder attacks. WakeMed Physician Practices general surgeon Dr. Ian Villanueva says the most classic symptom he sees is “a sharp pain or cramp under the right rib and/or sternum 20 minutes or more after eating.”
This painful condition usually occurs when a small stone-like mass made of cholesterol becomes embedded in the gallbladder or bile duct (the tube that leads from the liver and gallbladder to the pancreas to the small intestine).
The pain is often severe enough to be mistaken for a heart attack. In most cases, the intensity of the pain makes it difficult to sit still, and it doesn’t change or gets worse when you move. Sometimes it will spread from your abdomen to your right shoulder and/or back between your shoulder blades. Other symptoms may include nausea, vomiting, fever, chills, dark urine, light-colored bowel movements, or yellow skin and/or eyes.
Patients with severe gallbladder attacks often end up in the emergency department. Although nothing can be done to stop a gallbladder attack, medications can help reduce the pain. It is important to be evaluated to rule out other potentially dangerous conditions, such as appendicitis, heart attack, or a perforated ulcer.
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Like gallstones, gallstones can sometimes go away on their own. However, when they don’t, they can cause complications such as infection or inflammation. Dr. Villanueva says that very small gallstones (under 0.5 cm) can be detected if they don’t cause symptoms, but patients with mild to moderate pain or those with larger stones should consider elective surgery.
For patients with severe inflammation or infection, or those with recurrent gallbladder attacks, surgery is usually indicated. The gallbladder can be removed by a general surgeon through a common surgery known as a cholecystectomy. This procedure is most often performed laparoscopically, where a fiber optic camera helps guide the surgeon through a small incision to remove the gallbladder. This minimally invasive approach leads to faster recovery, shorter hospital stays and less need for pain medication. However, most patients who have had their gallbladder removed will take 3-5 days off work, but return to full activity in two weeks or less. However, Dr. Villanueva said that this interval will vary depending on the amount of swelling. “Often, patients admitted through the emergency department will have a longer recovery due to severe inflammation, which can lead to longer and more difficult surgeries.”
Believe it or not, you can live a healthy life and digest food normally even without a gallbladder. Once released, the bile travels directly from your liver to your intestines. However, it is important to note that some patients will experience some short-term side effects, such as indigestion or diarrhea, as your body adjusts after surgery. Dr. Villanueva tells her patients to avoid oily/greasy foods for the first month, as these foods can cause diarrhea while the body adjusts to life without a gallbladder. After a short adaptation phase, most patients will be able to eat normally without restriction.
Patients with gallstone obstruction in the common bile duct require additional endoscopic procedures to clear the blockage. Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure most commonly performed by gastroenterologists that uses endoscopy and x-ray technology to open blocked ducts and break up or remove gallstones. This procedure may also be used to perform a biopsy, remove a tumor from a duct, insert a stent to keep a narrow duct open, or stop bile leakage that may occur after gallbladder surgery. In most cases, the procedure takes less than 2 hours and the patient is sent home after a short observation period. See your doctor if you have abdominal pain, fever, nausea, and vomiting. If the pain is so severe that you cannot sit or feel comfortable, go straight to the nearest hospital emergency room.
Sharp Abdominal Pain
Cholecystitis is inflammation of the gallbladder, often caused by gallstones. It can be very painful and usually requires immediate medical attention.
Your gallbladder is a small organ located below your liver in the upper right side of your abdomen. It stores a thick dark green liquid called bile, which is produced by the liver to aid digestion.
If you have pain, do not ignore it because cholecystitis is a serious condition that can cause complications. Infections in your stomach can be very serious.
CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need medical help. How does cholecystitis occur?
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Cholecystitis most commonly occurs when gallstones (“stones” that form in the bile that drains from your liver) block the duct leading from the gallbladder. This causes the accumulation of bile, which causes inflammation.
Rarely, cholecystitis can also be caused by other problems with your bile ducts, such as tumors, problems with the blood supply to the gallbladder, and infections.
If your doctor suspects that you have cholecystitis, he will examine you and ask about your medical history. They will usually order an ultrasound of your abdomen and order blood tests to look for signs of inflammation or infection in the liver. They may order further tests, such as a CT scan of your abdomen, if the diagnosis is not based on the ultrasound.
FIND HEALTHCARE SERVICES — Service Finder can help you find doctors, pharmacies, hospitals and other healthcare services. ASK YOUR DOCTOR — Ready for an appointment? Use the Question Generator to get general advice on what to ask your doctor or specialist. How is my cholecystitis treated?
Abdominal Health Emergencies
You’ll usually need to be treated in hospital with fasting, intravenous fluids, antibiotics and pain relievers. You may also need surgery to remove the gallbladder (cholecystectomy). Surgery is the standard treatment if you have acute cholecystitis caused by bile ducts.
Your gallbladder can be removed laparoscopically. This is a type of keyhole surgery that is performed in the abdominal (stomach) area. If there are complications with keyhole surgery, your doctor may need to switch to open surgery.
You can usually live a normal life without a gallbladder. After surgery, bile will flow directly from your liver into your small intestine.
If cholecystitis is not treated, it can lead to inflammation of the liver, serious infection, rupture of the gallbladder, or the death of some tissue in the gallbladder, all of which can be fatal.
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If you need to know more about gallstones, or what to do, call 1800 022 222 to speak to a registered nurse 24 hours a day, 7 days a week.
Cholecystitis (inflammation of the gall bladder) | Health Engine Blog Cholecystitis refers to inflammation of the gallbladder. It is a common complication of kidney stones, a condition that affects 10-20% of people. Read more at HealthEngine Gallbladder – Gallbladder and Surgery – Better Health Channel Medical treatment of gallbladder may not be necessary if the gallbladder is not causing symptoms. Read more at Better Health Channel Gallstones: Symptoms, Causes, Complications and Treatment The most common symptom of gallstones is upper abdominal pain attacks.
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