Thursday 23 April 2020

Gallstones: Meaning, Causes, Types, and Symptoms

The gallbladder is an organ of the shape of a small pouch that is situated below the liver. The function of the gallbladder is to help in digestion by storing and releasing the bile produced by the liver. When it collects and hardens inside the gallbladder gallstones are formed. A gallstone can be as small as a grain of sand and as big as a golf ball. 

Causes of Gallstones


  • When an excess amount of cholesterol is present in the bile

Under normal circumstances, bile has enough chemicals to dissolve the cholesterol that is secreted by our liver. However, if the amount of cholesterol secreted by the liver larger than the amount that chemicals in bile can dissolve, it can lead the formation gallstones.

  • When an excess amount of bilirubin is present in the bile

Bilirubin is a chemical that is produced when the red blood cells in our body break down. Conditions like cirrhosis, biliary tract infection and blood disorders causes the liver to produce bilirubin in excess amount. The overproduction of bilirubin by the liver contributes to the formation of gallstones.

  • When some amount of bile is retained in the gallbladder

Gallbladder usually becomes empty after we consume food as it helps indigestion. While digestion if the gallbladder doesn’t become empty and a certain amount of bile is retained inside gallbladder every time, the bile becomes concentrated and leads to the formation of gallstones. 

Types of gallstones

  • Cholesterol Gallstones

As we read above that sometimes liver secretes cholesterol more than than the amount that chemicals in bile can dissolve. Gallstones formed due to this cholesterol are called cholesterol gallstones. These gallstones are yellowish-green in colour. 

  • Pigment gallstones

It has been explained above that sometimes gallstones are formed due to excessive production of bilirubin. These gallstones are called pigment gallstones. They are dark brown or black. 

Symptoms of gallstones


  • Pain in the right-hand side of the upper abdomen, just below the ribs
  • Pain in the right shoulder and back
  • Vomiting
  • Indigestion
  • Heartburn
  • Gas
  • Diarrhoea

See the best hepatologist in Delhi or anywhere else if you experience following signs of severe infection or inflammation:

  • Fever
  • Feeling of cold
  • Yellow skin or eyes
  • Dark urine
  • Clay-coloured poop

Gallstones can be troublesome if not treated on time. Under severe condition, you might have to undergo surgery to get rid of gallstones.

Thursday 16 April 2020

Things You Need to Know about Endoscopy

An endoscopy is a nonsurgical medical procedure that involves putting in a long tube with a tiny camera on the top directly into the body of an individual to find out problems in internal organs or tissues. It is used to examine the upper part of the digestive system. A specialised physician or endoscopist carries out this process to detect and cure issues that may cause problems in the esophagus, stomach, and duodenum, the opening of the small intestine. The upper endoscopy is also known as an esophagogastroduodenoscopy. It is also used to perform minor surgeries and capturing the internal organs.

Why endoscopy is prescribed?

Investigate signs and symptoms

The procedure can help doctors to detect the causes and signs of digestive problems such as vomiting, abdominal pain, nausea, difficulty swallowing, and gastrointestinal bleeding. It is also prescribed by doctors in case a person is suffering from stomach pain, digestive tract bleeding, diarrhoea or chronic constipation, growths or polyps in the colon, and ulcers. 

Diagnose and collect samples

The doctors often perform an endoscopy to collect tissue samples (biopsy) to assess them for specific conditions such as problems like bleeding, diarrhoea, anaemia, inflammation, or cancers in the digestive tract.

Treatment 

The doctors can use some special tools through the endoscope or tube to treat problems in the digestive tract system, these may include widening a contracted esophagus, removing an odd object, and clipping off a polyp. 

Risks involved with endoscopy

Endoscopy is a safe procedure, however, there may be a few risks such as:

  • Over-sedation
  • Mild cramping
  • Persistent pain in endoscopy part
  • Internal bleeding, usually minor and often treatable by endoscopic operation
  • Complications related to previous health conditions

People who are prescribed endoscopy will be asked to keep fast for 8 to 12 hours before the procedure to ensure that the stomach is clear. To make them comfortable and relaxed during the procedure, they are given sedatives. People might feel that they are mentally alert, but their memory and reaction times may be impaired due to sedatives. It is highly recommended to get this procedure done from a reputed endoscopist. For instance, if you live in Delhi, you can find the best endoscopist in Gangaram hospital.