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Gallstone

Also known as Cholelithiasis, Gallstone Disease, and Calculus Of Gallbladder

A gallstone is a crystalline concretion formed within the gallbladder by accretion of bile components. These calculi are formed in the gallbladder but may distally pass into other parts of the biliary tract such as the cystic duct, common bile duct, pancreatic duct, or the ampulla of Vater. Rarely, in cases of severe inflammation, gallstones may erode through the gallbladder into adherent bowel potentially causing an obstruction termed gallstone ileus.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with gallstone, 87% report having sharp abdominal pain, 68% report having upper abdominal pain, and 58% report having nausea. The symptoms that are highly suggestive of gallstone are upper abdominal pain, although you may still have gallstone without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with gallstone often receive hematologic tests, complete blood count, radiographic imaging procedure, urinalysis, kidney function tests, intravenous fluid replacement, glucose measurement and electrolytes panel .

Common Medications

The most commonly prescribed drugs for patients with gallstone include dicyclomine, atropine / hyoscyamine / phenobarbital / scopolamine, glycopyrrolate, rocuronium, sevoflurane, acetaminophen / aspirin / caffeine, neostigmine, arnica topical, cefotetan, deferasirox (exjade), nitrous oxide, meperidine / promethazine and dexlansoprazole (dexilant) .

Who is at risk?

Groups of people at highest risk for gallstone include . On the other hand, age 1-4 years and age < 1 years almost never get gallstone.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
1.4x
30-44 years
1.3x
45-59 years
1.3x
60-74 years
1.1x
75+ years
0.7x

Sex

Male
0.6x
Female
1.3x

Race/Ethnicity

Black
0.7x
Hispanic
1.4x
White
1.0x
Other
1.4x
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