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Gallstones Involvements

When liquid stored in the gall bladderbeen indentified as cholesterol stones.
hardens into pieces of stone-likeIt is believed that obesity is a mojor
material the discussion is about therisk factor for gallstones, especially
gallstones. The bile is used to help thein women. obesity tents to reduce the
body digest fats. The same bile which isamount of bile salts in bile resulting
made in the liver is stored in thein more cholesterol. Obesity may also
gallbladder until the body needs todecrease the empty of the gallbladder.
digest fat. The gallbladder contractsThe cholesterol level in bile may appear
and pushes the bile into a tube-thein cases of excess estrogen from
common bile duct-that carries it to thepregnancy, hormone replacement therapy,
small intestine, where it helps withor birth control pills.
digestion.The presence of estrogen decreases
Bile is made of water, cholesterol,gallbladder movement which can lead to
fats, bile salts, proteins andgallstones. The Americans have a genetic
bilirubin. The bilirubin gives bile apredisposition to secrete high levels to
yellowish color and the bile salts breakcholesterol in bile. A mojority of
up fat. there are two types ofNative American men have gallstones by
gallstones: cholesterol stones andage 60. Amoung the Indians of Arizona,
pigment stones. Cholesterol stones are70 per cent of women have gallstones by
yellow-green and they are made ofage 30. Women and Mexican American men
hardened cholesterol. They are in anof all ages have high rates of
account of 80 per cent of gallstones.gallstones. Women between 20 and 60
Pigment stones are small, dark stonesyears are predisposed to develop
made of bilirubin. Gallstones may lookgallstones as men. The elder people are
like of grain of sand or as large as amore likely to develop gallstones than
golf ball.younger people. The risk of gallstones
Any combination of gallstones maycan increase because drugs that lower
develop for example one large stone,cholesterol levels in blood and at the
hundreds of tiny stones. The biliarysometime increase the amount of
system shows the following range: thecholesterol secreted in bile.
gallbladder and the ducts that carryHigh levels of fatty acids called
bile and other digestive enzymes fromtriglycerides are present in people with
the liver, gallbladder, pancreas to thediabetes. In a case of a rapid weight
small intestine. The normal flow of bileloss the liver secrete extra cholesterol
in any of the ducts that carry bile frominto bile, which can cause gallstones.
the liver to the small intestine can beThe bile can become over concentrate
blocked by some gallstones. The hepaticwith cholesterol, which can lead to
ducts, the cystic duct and the commongallstones due to the fasting decreases
bile duct involves the bile whichgallbladder movement. The symptoms of
trapped in these ducts and can causegallstones are often named gallstone
inflammation in the gallbladder."attack" because they appear suddenly. A
Other ducts open into the common biletypical attack can cause: steady pain in
including the pancreating duct whichthe upper abdomen, pain in the back
carries digestive enzyme out of thebetween the shoulder blades, pain under
pancreas. The opening of a duct may bethe right shoulder, nausea or vomiting.
blocked by a present gallstone which canGallstone attacks often occur after
cause an extremly painful inflammationfatty meals and they may appear during
called gallstone pancreatitis. If one ofthe night. Other gallstones symptoms
these ducts remain blocks infectionsare: abdominal bloating, recccuring
affecting the gallbladder liver orintolerance of fatty foods, colic,
pancreas can occur. There are somebelching, gas and indigestion.
serious problems considered as warningPatients who have the above and any of
size: fever, jaundice and persistentthe following symptoms should consult a
pain. The cholesterol stones form whendoctor right away: chills, low-grade
bile contains too much cholesterol, toofever, yellowish color of the skin or
much bilirubin or not enough bile salts,whites of the eyes, clay-colored stools.
or when the gallbladder does not emptyUnfortunately there are asymptomatic
as it should for some other reason.patients with no symptoms and their
The cause of pigment stones isstones are called "silent stones". They
undefined. They develop in people whodo not interract with gallbladder, liver
have cirrhosis, biliary tract infectionsor pancreas function and do not need
and hereditary blood disorders, such astreatment.
sickle cell anemia, in which too muchThere are many causes of gallstones but
bilirubin is formed. The gallstones havedoctors discovered many currying ways.



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