A 30y/M Pt C/O Severe pain in epigastric region along with vomitting and nausea since 6 months. Not a K/C/O DM/HTN/Alcoholic/Other illness No significant family history. I would like get a opinion from u all regarding this case.

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? CHOLECYSTITIS .. WITH .. CHOLELITHIASIS.. AND.. GRADE I FATTY LIVER.. LEUKOCYTOSIS..AND .. ELEVATED.. DIRECT .. SR.. BILLIRUBIN LEVELS.. NEED'S.. CTCE STUDY ABDOMEN.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATIONS.. SURGEONS OPINION FOR CHOLECYSTITIS WITH CHOLELITHIASIS..

Case of cholelithiasis/cholecystitis with Fatty Liver Grade I GB sludge though can resolve with UDCA therapy, but the culprit here is 17mm stone and the young age of patient which probably indicates a surgical intervention and warrants a surgical opinion TLC is also on a higher side May be u can start on cefoperazone/Sulbactum 1.5gm 12 hourly, Ursetor 450 mg BD, Protera L OD BBF, Tab Levazeo 25 before dinner, Liv 52 DS twice daily, Voveron 75mg SR SOS and refer to a surgeon

30 YEARS MALE WITH SEVERE EPIGASTRIC PAIN NAUSES VOMITYING SINCE 6 MONTHS ADVISED USG ABDOMEN BLOOD FOR LFT DD D ULCER GASTRITIS PANCREATITIS

Take a opinion of interventional gastroenterologist regarding stenting or cholecystectomy.

cure for gall stone Ayurveda views gallstones as a kapha disorder of slow metabolism including underactive thyroid. .To help prevent gallstones,drink plenty of water-8 to 12 8-ounce glasses-everyday. Water dilutes the bile and helps flush it from the liver. .mix 3 tablespoons of olive oil with lemon or grapefruit juice and drink before breakfast and before bedtime. This treatment often helps eliminate stones in the stool. .dairy products,fried and fatty foods,and refined white sugar increase the risk of gallstone formation. Avoid coffee,as it contracts the gallbladder and constricts bile flow.

Sonography shows cholecystitis It is mostly the cause of her pain She needs surgery of cholecystectomy, preferably laparoscopic

CHOLICYSTITIS CHOLELITHIASIS FATTY. LIVER

आयुर्वेद के अनुसार रोगी पित्ताशयाश्मरी से पीड़ित है। चिकित्सा संबंधी योग,,,, संगेसरमाही 25 ग्राम, यवक्षार 25 ग्राम लेकर दोनों को खरल में पीसकर पिस्टि बनाकर 2 ग्राम सुबह-शाम गर्म पानी से सेवन कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

adv. cholecystectomy for gastric problem, Rx Abhaydi qwath BD Galo ghan tab 1bd Panchsakar powder hs for 2 to 3 week

Cholecystitis with cholelithiasis Rx symptomatic treatment Surgeon opinion for cholecystectomy

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