In medicine, gallstones (choleliths) are crystalline bodies formed within the body by accretion or concretion of normal or abnormal bile component.
Gallstones can occur anywhere within the biliary tree, including the gallbladder and the common bile duct. Obstruction of the common bile duct is choledocholithiasis; obstruction of the biliary tree can cause jaundice; obstruction of the outlet of the pancreatic exocrine system can cause pancreatitis. Cholelithiasis is the presence of stones in the gallbladder—chole- means “bile”, lithia means “stone”, and -sis means “process”.
The characteristics of gallstones are various. Independent of appearance, however, gallstones from animals are valuable on the market.
Characteristics of Gallstone
A gallstone’s size varies and may be as small as a sand grain or as large as a golf ball. The gallbladder may develop a single, often large, stone or many smaller ones. They may occur in any part of the biliary system.
Gallstones have different appearance, depending on their contents. On the basis of their contents, gallstones can be subdivided into the two following types:
- Cholesterol stones are usually green, but are sometimes white or yellow in color. They are made primarily of cholesterol.
- Pigment stones are small, dark stones made of bilirubin and calcium salts that are found in bile. They account for the other 20 percent of gallstones. Risk factors for pigment stones include hemolytic anemia, cirrhosis, biliary tract infections, and hereditary blood cell disorders, such as sickle cell anemia and spherocytosis.
Mixed stones account for the majority of stones. Most of these are a mixture of cholesterol and calcium salts. Because of their calcium content, they can often be visualized radiographically.
A.k.a., “Fake stone” Sludge-like gallbladder secretions that act like a stone.
Causes of Gallstone
Progress has been made in understanding the process of gallstone formation. Researchers believe that gallstones may be caused by a combination of factors, including inherited body chemistry, body weight, gallbladder motility (movement), and perhaps diet. Additionally, people with erythropoietic protoporphyria (EPP) are at increased risk to develop gallstones.
Cholesterol gallstones develop when bile contains too much cholesterol and not enough bile salts. Besides a high concentration of cholesterol, two other factors seem to be important in causing gallstones. The first is how often and how well the gallbladder contracts; incomplete and infrequent emptying of the gallbladder may cause the bile to become overconcentrated and contribute to gallstone formation. The second factor is the presence of proteins in the liver and bile that either promote or inhibit cholesterol crystallization into gallstones.
In addition, increased levels of the hormone estrogen as a result of pregnancy, hormone therapy, or the use of combined (estrogen-containing) forms of hormonal contraception, may increase cholesterol levels in bile and also decrease gallbladder movement, resulting in gallstone formation.
No clear relationship has been proven between diet and gallstone formation. However, low-fibre, high-cholesterol diets, and diets high in starchy foods have been suggested as contributing to gallstone formation. Other nutritional factors that may increase risk of gallstones include rapid weight loss, constipation, eating fewer meals per day, eating less fish, and low intakes of the nutrients folate, magnesium, calcium, and vitamin C. On the other hand, wine and whole grain bread may decrease the risk of gallstones.
It is most common for a person to have gall stones if (s)he falls under the four F’s: Fat, Female, (nearing) Forty, Fertile.  However, just because this is so, does not mean other people can get gall stones. While rare, even a male teenager can have gall stones.
Symptoms of Gallstone
Gall stones usually remain asymptomatic initially. They start developing symptoms once the stones reach a certain size (>8mm). A main symptom of gallstones is commonly referred to as a gallstone “attack”, also known as biliary colic, in which a person will experience intense pain in the upper abdominal region that steadily increases for approximately thirty minutes to several hours. A patient may also encounter pain in the back, ordinarily between the shoulder blades, or pain under the right shoulder. In some cases, the pain develops in the lower region of the abdomen, nearer to the pelvis, but this is less common. Nausea and vomiting may occur.
These attacks are sharp and intensely painful, similar to that of a kidney stone attack. One way to alleviate the abdominal pain is to drink a full glass of water at the start of an attack to regulate the bile in the gallbladder, but this does not work in all cases. Another way is to take magnesium followed by a bitter liquid such as coffee or swedish bitters an hour later. Bitter flavors stimulate bile flow. A study has found lower rates of gallstones in coffee drinkers.
Often, these attacks occur after a particularly fatty meal and almost always happen at night. Other symptoms include abdominal bloating, intolerance of fatty foods, belching, gas, and indigestion. If the above symptoms coincide with chills, lowgrade fever, yellowing of the skin or eyes, and/or clay-colored stool, a doctor should be consulted immediately.
Some people who have gallstones are asymptomatic and do not feel any pain or discomfort. These gallstones are called “silent stones” and do not affect the gallbladder or other internal organs. They do not need treatment.
Treatment of Gallstone
Cholesterol gallstones can sometimes be dissolved by oral ursodeoxycholic acid. Gallstones may recur however, once the drug is stopped. Obstruction of the common bile duct with gallstones can sometimes be relieved by endoscopic retrograde sphincterotomy (ERS) following endoscopic retrograde cholangiopancreatography (ERCP). A common misconception is that the use of ultrasound (Extracorporeal Shock Wave Lithotripsy) can be used to break up gallstones. Although this treatment is highly effective against kidney stones, it can only rarely be used to break up the softer and less brittle gallstones.
Cholecystectomy (gallbladder removal) has a 99% chance of eliminating the recurrence of cholelithiasis. Only symptomatic patients must be indicated to surgery. The lack of a gall bladder does not seem to have any negative consequences in many people. However, there is a significant proportion of the population, between 5-40%, who develop a condition called postcholecystectomy syndrome.Symptoms include gastrointestinal distress and persistent pain in the upper right abdomen. Twenty percent of patients develop chronic diarrhea.
There are two surgery options: open procedure and laparoscopic: see the cholecystectomy article for more details.
- Open cholecystectomy procedure: This involves a large incision into the abdomen (laparotomy) below the right lower ribs. A week of hospitalization, normal diet a week after release and normal activity a month after release.
- Laparoscopic cholecystectomy: Three to four small puncture holes for camera and instruments (available since the 1980s). Typically same-day release or one night hospital stay, followed by a week of home rest and pain medication. Can resume normal diet and light activity a week after release. (Decreased energy level and minor residual pain for a month or two.) Studies have shown that this procedure is as effective as the more invasive open cholecystectomy, provided the stones are accurately located by cholangiogram prior to the procedure so that they can all be removed. The procedure also has the benefit of reducing operative complications such as bowel perforation and vascular injury.
A regimen called a “gallbladder flush” or “liver flush” is a popular remedy in alternative medicine. In this treatment, often self-administered, the patient drinks four glasses of pure apple juice (not cider) and eats five apples (or applesauce) per day for five days, then fasts briefly, takes magnesium, and then drinks large quantities of lemon juice mixed with olive oil before bed. The next morning, they painlessly pass a number of green and brown pebbles purported to be stones flushed from the biliary system.
A New Zealand hospital analyzed stones from a typical gallbladder flush and found them to be composed of fatty acids similar to those in olive oil, with no detectable cholesterol or bile salts, demonstrating that they are little more than hardened olive oil. Despite the gallbladder flush, the patient still required surgical removal of multiple true gallstones. The note concluded: “The gallbladder flush may not be entirely worthless, however; there is one case report in which treatment with olive oil and lemon juice resulted in the passage of numerous gallstones, as demonstrated by ultrasound examination.”
In the case mentioned, ultrasound confirmed multiple gallstones, but after waiting months for a surgical option, the patient underwent a treatment with olive oil and lemon juice resulting in the passage of four 2.5 cm by 1.25 cm stones and twenty pea-sized stones. Two years later symptoms returned, and ultrasound showed a single large gallstone; the patient chose to have this removed surgically.
Gallstones are, oddly, a valuable by-product of meat processing, fetching up to US$32 per gram in their use as a purported antipyretic and antidote in the herbal medicine of some cultures, particularly in China. The finest gallstones tend to be sourced from old dairy cows, which are called Niu-Huang (yellow thing of oxen) in Chinese. Those got from dogs, called Gou-Bao (treasure of dogs) in Chinese, are also used today. Much as in the manner of diamond mines, slaughterhouses carefully scrutinize offal department workers for gallstone theft.
Homeopathy Treatment for Gallstone
Keywords: homeopathy, homeopathic, treatment, cure, remedy, remedies, medicine
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’. The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. To study any of the following remedies in more detail, please visit the Materia Medica section at www.kaisrani.com.
None of these medicines should be taken without professional advice and guidance.
Homeopathy Remedies for Gallstone :
Am-m., alum., ars., aur., bapt., bell., berb., bry., calc., card-m., cham., chel., chin., chion., chlf., chol., coloc., cupr., dig., dios., euon., fel., ferr-s., gels., hep., hydr., ip., iris., jug-c., kali-ar., kali-bi., kali-c., lach., laur., lept., lith., lyc., mag-p., mang., merc., merc-d., morg., myric., nat-s., nux-v., op., osm., phos., podo., ptel., puls., rhus-t., sang., sep., sulph., tab., tarax., ter., thuj., verat.
- ^ “Erythropoietic Protoporphyria“. Merck Manual. Retrieved on 2007-08-25.
- ^ R.M. Ortega; M. Fernandez-Azuela, A. Encinas-Sotillos, P. Andres, and A. M. Lopez-Sobaler (February 1997). “Differences in diet and food habits between patients with gallstones and controls”. Journal of the American College of Nutrition 16: 88–95. Retrieved on 2007-08-25.
- ^ “” (June 1995). European Journal Gastroenterology & Hepatology 6: 585–593. Retrieved on 2007-08-25.
- ^ Template:Http://health.msn.com/health-topics/slideshow.aspx?cp-documentid=100211511>1=31036
- ^ “Cholelithiasis“. emedicine from WebMD. Retrieved on 2007-08-25.
- ^ “Gallstones“. Medline Plus. Retrieved on 2007-08-25.
- ^ “A Prospective Study of Coffee Consumption and the Risk of Symptomatic Gallstone Disease in Men“. The Journal of the American Medical Association. Retrieved on 2007-08-25.
- ^ a b “Gallstones“. National Digestive Diseases Information Clearinghouse. Retrieved on 2007-08-25.
- ^ “Postcholecystectomy syndrome“. WebMD. Retrieved on 2007-08-25.
- ^ http://www.mayoclinic.com/health/gallbladder-removal/AN00067
- ^ Moritz, Andreas (1998). The Amazing Liver/Gallbladder Flush.
- ^ Alan R. Gaby. “The gallstone cure that wasn’t“. Townsend Letter for Doctors and Patients. Retrieved on 2007-02-10.
- ^ a b A. P. Savage; T. O’Brien and P. M. Lamont (February 1992). “Case report. Adjuvant herbal treatment for gallstones”. British Journal of Surgery 79 (2): 168. doi:10.1002/bjs.1800790224. Retrieved on 2007-08-25.
- ^ “Interview with Darren Wise. Transcript“. Sunday. Retrieved on 2007-08-25.
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