GB calculi

51 yr/F with complaints of colicky abdominal pain, vomiting, no fever, no pv bleed Adviced her for USG to rule out biliary/ renal calculi Reports are attached Do I need to advice her for surgical intervention or symptomatic treatment is enough as of now?

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Pt having symptoms like colicky pain with fever. USG gall bladder stone Treat conservatively with iv drip ,antibioticsand pt will settled then be planned for cholecystectomy after 4 weeks.

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? GALL STONE .. WITH .. UTERINE FIBROID .. NEED'S .. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION .. SURGEONS OPINION ..

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gn stone <1 cm can be managed conservatively if no recurrent episode of pain abdomen and if the stone size is note >3 cm USG 6 months Fat restricted diet Udiliv 300, bd pc 3 months,check status of gn stone by doing USG (if size increases,may need to undergo lap chole)

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UDCA. Low fat diet Conservative management. Sos stenting /surgical intervention .

Should I have to start UDCA now sir? Or only if jaundice is there
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Plan CT scan of abdomen and pelvis to look for cause of colicky pain in abdomen

Symtomatic at the moment may need surgical intervention later on

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Wait & watch Symptomatic treatment If no relief can go for surgery

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Mango raddish...rest... beetroot coriander juice sweet potato corn broccoli purple cabbage cabbage juice orange cauliflower lime juice pineapple with black pepper sprouts kalijeeri alkaline diet..... green leafy vegetables salads figs.. cold pressed coconut oil massage and in naval.. under strict supervision of Doctor

Symptomatic cholelithiasis is an indication for cholecystectomy. Can be planned for elective surgery

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Manage conservatively, if symptoms not relieve or relapse of symptoms go for cholecystectomy

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