There is no knowing when Gallbladder Disease can occur. You could already be having it but will not know it as the symptoms will not be visible. By the time you learn of it, the disease will have become serious. A gallbladder surgery at the best hospital for gallbladder stone surgery in Bangalore, MH Surgery, can result in quick recovery with minimal or no long-term side effects from the surgery.

1. All About Your Gall Bladder: Functions,
Diseases, Prevention, And Treatments
According to reports, there is a very high prevalence of Empyema of
Gallbladder in Indians. Furthermore, Indians have increased chances of
contracting Cholelithiasis and Cholecystitis.
Empyema of the Gallbladder occurs when the cystic duct is obstructed by a
malignant mass like a Cholangiocarcinoma, resulting in the build-up of
infected fluid. They generally occur with recurrent hiccups and then
develop in the presence of bacteria that contain bile. Then they can evolve
into suppurative infection which causes the gallbladder to fill with purulent
material, termed empyema of gallbladder.
If detected early on time, they can be successfully treated by Percutaneous
Transhepatic Tholecystoduodenal Self-Expandable Covered Metal Stent
(SECMS) insertion, at the best gastroenterology hospital in Bangalore, M H
Surgery. ELSE, the doctor at the best hospital for gallbladder stone surgery
in Bangalore, M H Surgery may recommend a mix of systemic antibiotics
and urgent drainage or resection. This will help to reduce complications of
empyema and also avoid or treat associated sepsis.
Gallbladder

2. Also called Chioecyst, Gallbladder is a hollow and small organ situated
below the right lobe of the liver, in the digestive system. Measuring
approximately 7-10 cm in length and 4 cm in diameter when fully bloated,
it is bluish-grey in color.
HOW DOES A GALLBLADDER WORK?
Gallbladder
 Stores bile produced by the liver in its pouch after it flows through
the small vessels. Later it sends it to the small intestine to help break
down food.
 Contracts rhythmically in response to signals, when food containing
cholesterol and fats is eaten.
 Concentrates the bile 3-10 times through the removal of some
amount of electrolytes and water.
 Releases gallbladder juice into the small intestine through a series of
tubes (or pipes) called ducts.
Gallbladder Disease
Gallbladder disease indicates a health condition that primarily affects the
health of the gallbladder.
The disease starts in the gallbladder or in the bile ducts that are connected
to the gallbladder. In the event of any infection or blockage in the ducts,
they can affect the gallbladder. Furthermore, as the bile ducts connect the
gallbladder to other organs in the digestive system, they can affect them as
well.
Diseases Of Gallbladder
There are several types of Gallbladder diseases. They include
Gallstones
Also called Cholelithiasis, Gallstones are regarded as the most common
cause of gallbladder health problems.

3. They occur when there is an accumulation of excess bile products, that’s
usually cholesterol in the gallbladder, into lumps. This can continue to
grow and add to the accumulation if preventive action is not initiated.
Gallstones can happen without symptoms. However, they can form and get
trapped in an opening or duct inside the gallbladder. This will cause
sudden pain in the abdomen, especially in the region between the belly
button just below the right ribs, and rib cage. If not treated on time, the
pain can spread to the shoulder blade or its sides.
There are some symptoms like
 Abdominal pain can last for several hours.
 Heavy Sweating.
 Itchy Skin.
 Yellow tinge to the skin; and white in the eyes.
 Fever with chills.
 Dark-colored urine or pale stools.
 Nausea, vomiting, and loss of appetite.
 Contractions when the gallbladder tries to expel a gallstone.
Aside from the above, eating foods that contain a lot of fat also causes
gallbladder issues. They can trigger discomfort called biliary colic. Finally, a
person experiencing pain must see a doctor else complications can lead to
severe health issues and turn fatal later on.
This means you can have gallstones without knowing that they are already
present in your system. Either way, they can cause problems when they
block the normal flow of bile in the bile ducts or gallbladder.
Gallbladder Cancer
Also called Cancer of the Gallbladder or Bile Ducts, Gallbladder cancer is
rare, but when it happens it can be extremely serious.
Like Gallstones, the symptoms of Gallbladder Cancer too will not be visible
until the very late stages. Additionally, most types of gallbladder polyps
(called as tumors or growths) are harmless, but if they are larger than the
average size then they need to be removed else they can turn lethal which
can eventually prove to be fatal resulting in death.

4. If gallbladder cancer is diagnosed in its early stages like all other forms of
cancer, it can be prevented from proceeding further and can even be cured.
But the problem is in most cases it cannot be diagnosed properly as it will
not be visible from the start.
Early diagnosis can be successful if the symptoms are detected promptly.
These symptoms include abdominal pain and bloating; loss of appetite and
sudden loss of weight; high body temperature; white eyes called jaundice
and yellow fever; and a lump in the belly.
Cholangiopathy
It refers to the disease of the Bile Ducts that begins typically with the
inflammation of the bile ducts resulting from a temporary infection; or
blockage; or a progressive autoimmune disorder like primary biliary
cholangitis which can lead to the narrowing and scarring of the bile ducts
(biliary structure). This can eventually compel the bile to back up in the
gallbladder and liver.
Gangreous Cholecystitis
Most commonly prevalent among diabetics and patients who delay
consulting a medical specialist for treatment, it results from severe
abdominal pain. If left untreated, it can lead to the death of the tissue in
the gallbladder and even cause the gallbladder to burst.
Gallbladder Empyema
A severe form of Cholecystitis, it results from the accumulation of pus in
the gallbladder.
Its symptoms range from right-side abdominal pain to chills, and fever. If
left uncared for and untreated, it can turn lethal leading to death. Hence, it
must be immediately treated, when pus in gallbladder forms.
Gallstone Pancreatitis
It refers to a Gallbladder disease where gallstones form in the gallbladder
in a way that will block the pancreatic duct, resulting in the inflammation of
pancreatitis culminating in severe pain.
The cause for this is the gallbladder stone which travels from the
gallbladder. Then there it blocks the opening to the first part of the small

5. intestine (called the duodenum). This causes a backup of fluid that is
capable of traveling up the bile duct as well as the pancreatic duct.
Common symptoms of this disease include chills, fever, nausea, jaundice,
pain in the upper left abdomen, and vomiting. In case, the symptoms are
mild, the problem can be treated by just avoiding eating and drinking for a
specific number of days as advised by the doctor.
On the other hand, in more severe cases, surgery needs to be done to
remove the gallstones else it can prove to be lethal later resulting in even
death. To prevent the issue from snowballing into a severe form, it is better
to take preventive steps like a diagnosis with the help of blood tests or
varied types of body scans like CT Scans or MRIs, or Ultrasounds.
Gangrene
Termed as one of the more serious complications of Chronic Cholecystitis,
it results in sustained swelling and distension of the gallbladder caused by
chronic inflammation of the gallbladder. This can eventually lead to what’s
called as ‘Tissue Death’.
If these tissue deaths are left to fester, they can burst or tear. Any tear or
burst in the gallbladder wall can risk exposing the rest of the abdominal
cavity to an infection called as Peritonitis.
Chronic Cholecystitis
It occurs as a result of inflammation in the gallbladder that festers for the
long-term. This results in gallbladder not draining properly.
The cause of this problem can be attributed to gallbladders blocking a duct;
or gallbladder not able to empty properly; or prevalence of high
concentration of bile salt and calcium; or sickle cell anemia.
The symptoms of this gallbladder disease include continual occurrence of
sudden inflammation; and sudden pain in the body. When compared to
the pain caused by acute cholecystitis, the pain will be relatively milder; and
also the person suffering from it will usually not be having a fever.
Acute Cholecystitis
It occurs as a result of the prevalence of gallstones; or other causes like
after-effects of a major surgery; or after-effects of a critical illness; or

6. infection or a weak immune system. In case, the inflammation turns severe,
it can lead to the rupture of the gallbladder and the patient can become
very ill.
The symptoms of this disease include sudden, intense pain which can last
for six to twelve hours; or nausea and vomiting; or skin color turning into
mild yellow; or swelling in the abdomen.
Symptoms Of Gallbladder Diseases
The symptoms of gallbladder disease can vary from person to person
based on the type and condition of the disease. The most common
symptom is pain in the upper abdominal area in the upper right area or
middle area.
Other symptoms include Chills; Chest Pain; Clay-colored stool; Stomach
fullness feeling; Heartburn or indigestion or excessive pain; Vomiting and
Nausea; Jaundice – yellowing of the eyes and skin; Tender feeling in the
abdomen, especially the right upper quadrant; and pain that stretches
below the right shoulder blade or the back (worsens after eating a meal
that contains fatty or greasy foods; or pain that increases when the patient
breathes in deeply).
Treatment
Treatment of gallbladder disease depends upon the type of gallbladder
disease you have.
Gallbladder Surgery
There are different types of gallbladder surgery for different types of
gallbladder diseases and issues.
CHOLECYSTECTOMY
Regarded as the most common surgical gallbladder surgery, it relates to
gallstones in gallbladder resulting in severe pain; and facilitates its removal.
Aside from this, there are two popular surgeries that are performed to
remove gallbladder.
 LAPAROSCOPIC SURGERY: Considered to be the most preferred
method of surgery, it involves several small incisions in the

7. gallbladder through which a tiny video camera and surgical tools are
inserted.
 OPEN SURGERY: It involves a large incision in the gallbladder whose
infection has become hard and needs to be immediately removed.
This kind of situation generally occurs in five to ten percent of
laparoscopic gallbladder surgeries. However, when the gallbladder
disease becomes very severe, then an open surgery becomes
inevitable.
 MINIMALLY INVASIVE SURGERY: Also called as
Laparoscopic Cholecystectomy, a Minimally Invasive Surgery is
considered to be the most effective surgery for removing
gallbladder. What makes it so is it uses small incisions which results
in less pain, fewer post-operative complications, shorter hospital
stay, and faster recovery time. Additionally, it is performed by only a
highly experienced and well-trained surgical team; and the patient
can return to normal life within months.
Apart from the above two surgeries, there is Endoscopic Intervention.
ENDOSCOPIC INTERVENTION
Your gastroenterology doctor at the best hospital gallbladder stone
surgery in Bangalore, M H Surgery, will perform endoscopic intervention to
fix minor gallbladder issues with the help of an endoscope. If successfully
done, then the doctor will resort to surgery.
An endoscopic intervention involves an ERCP and/or EUS examination.
This will help to detect the presence of any blockages or tumors or stones
that could be causing problems. If detected, the doctor will either remove
gallstones, or place stents to open-up bile ducts, or just take tissue samples
required for biopsy, with the help of instruments on the end of the
endoscope.
Medication
Appropriate medication as recommended by a gastroenterology specialist
at the best gastroenterology hospital in Bangalore, MH Surgery, will help to
reverse further growth of gallstones or occurrence of gallstones. But it is

8. generally resorted to as a last option and that too when gallbladder
surgery is not an option.
The medication in the form of a drug called ‘Ursodiol’, when taken helps to
dissolve the cholesterol in gallstones slowly. However, it can take months
to deliver positive results but can return back if the medication intake is
stopped.
Pain medication is generally recommended by the doctor for acute cases
of biliary colic or gallbladder attacks (they require a prescription pain
medication to manage them), based on the patient’s medical history and
symptoms of the disease.
Aside from medication, antibiotics are recommended if you have a
gallbladder infection; but it will be taken only a precursor to a surgical
treatment. Also, this must be strictly taken only if advised by the
gastroenterology doctor at the best gastroenterology hospital in Bangalore,
MH Surgery.
Other Therapies
DIETARY CHANGES
When the gallbladder is removed, the body will no longer be in a position
to store bile there. As a result of this, the liver will need to adapt to the
release of bile into the small intestines directly. This will help to facilitate
effective digestion.
They are recommended after a gallbladder surgery. To adapt to the new
dietary changes, it is advisable to take hard-to-digest foods slowly; and
also eat smaller meals at frequent intervals. They will help to reduce the
small intestine’s demand for bile at any particular time.
NOTE:
 If a gallstone is blocking your common bile duct, your doctor could
recommend an Endoscopic Retrograde Cholangiopancreatography
(ERCP). This will help to diagnose your gallbladder disease condition
and based on findings, steps taken to treat it immediately.
 If you are suffering from gallbladder cancer, in addition to having
the gallbladder removed, the doctor will recommend additional
treatments like chemotherapy or radiation therapy.

9. Prevention Of Gallbladder Diseases And
Issues
There is a popular saying that tells – Prevention Is Better Than Cure. It
applies very well to the prevention of gallbladder diseases and issues.
Although not all risk factors can be managed and prevented altogether,
you can at the least keep the occurrence of the gallbladder disease at bay
by maintaining a proper and healthy diet; and leading a healthy lifestyle.
 Eat balanced meals three times in a day.
 Avoid a diet that is high in cholesterol and fats; and low in fiber. This
helps to clear excess of fats from the body.
 Reduce intake of fatty processed foods. Instead, eat more of fiber-
rich vegetables and fruits.
 Adhere to a regular exercise schedule. This will not just drastically
cut down the risk factors but also increase your mobility which is
vital for the contraction of the digestive organs but also will help to
maintain a healthy weight.
 Drink alcohol in moderate dosage.
 Manage properly any health problems like diabetes and high
cholesterol that can otherwise lead to the formation of gallstones in
the gallbladder region.
The symptoms, even if mild in nature must be taken seriously. You could
be having mild biliary pain that you feel can resolve itself. But that’s false
assumption. The problem instead can turn serious, and evolve into a
persistent and growing problem. Hence, prevent this scenario from
occurring by getting yourself diagnosed by a specialist doctor at the best
gastroenterology hospital in Bangalore, M H Surgery. The doctor will not
only diagnose it effectively but will help to remove problematic gallstones
through simple out-patient testing procedures.
However, despite the best prevention steps undertaken, most gallbladder
diseases will eventually require surgery at the best Gastroenterology
Hospital in Bangalore, MH Surgery, primarily for the removal of gallstones.
A gallbladder surgery at the best hospital for gallbladder stone surgery in
Bangalore, MH Surgery, can result in quick recovery with minimal or no
long-term side effects from the surgery. There could be odd issues like

10. temporary digestive problems during the recovery process. Most people
who maintain a healthy lifestyle and stick to healthy diet sans fatty foods
will be able to resume normal activities after a few months.
There is no knowing when Gallbladder Disease can occur. You could
already be having it but will not know it as the symptoms will not be visible.
By the time you learn of it, the disease will have become serious.
Remember that Prevention is Better than Cure; a minimally-invasive
surgery at the best hospital for gallstone stone surgery in Bangalore, M H
Surgery, if undertaken on time can help to get rid of the disease.
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