It would appear advantageous to promote weight loss in obesity, which would reduce the predisposition to gallstone formation. Despite the potential health benefits of weight reduction, very-low-calorie diets appear to increase the risk for cholesterol crystal and gallstone formation.
The incidence of gallstone formation seems to be dependent on the degree of caloric restriction, the rate of weight loss, and the duration of the dietary intervention. Thus, faster rates of weight loss for longer periods of time are associated with increased risk. A procedure that involves inserting an endoscope viewing tube through the stomach and into the small intestine. A special dye injected during this procedure shows the ducts in the biliary system.
Opening the muscle sphincter, a ring of muscle around a natural opening that acts like a valve, wide enough so stones can pass into the intestine. If the gallstones cause no symptoms, treatment is usually not necessary.
However, if pain persists, treatment may include:. Gallbladder removal cholecystectomy. Once removed, the bile flows directly from the liver to the small intestine. Side effects of this may include diarrhea because the bile is no longer stored in the gallbladder. Oral dissolution therapy. Drugs made from bile acid are used to dissolve the stones. Methyl-tert-butyl ether. A solution injected into the gallbladder to dissolve stones. Extracorporeal shockwave lithotripsy ESWL.
A procedure that uses shock waves to break stones up into tiny pieces that can pass through the bile ducts without causing blockages. Contact dissolution therapy. An experimental procedure that involves injecting a drug directly into the gallbladder to dissolve the stones.
Health Home Conditions and Diseases. What causes gallstones? What are the symptoms of gallstones? Symptoms may include: Steady, severe pain in the upper abdomen that increases rapidly and may last from 30 minutes to several hours Pain in the back between the shoulder blades Pain in the right shoulder Nausea Vomiting Fever Chills Jaundice.
A yellowing of the skin or eyes. Abdominal bloating Intolerance of fatty foods Belching or gas Indigestion People who experience the following symptoms should consult their doctor immediately: Sweating Chills Low-grade fever Yellowish color of the skin or whites of the eyes Clay-colored stools Some people with gallstones do not have any symptoms. Who is affected by gallstones? I put it down to indigestion but by 9pm I was in agony: it felt like being in labour, with waves of intense pain'.
He explained that there can be a direct correlation between rapid weight loss and gallstones. I was stunned. About one in four women and one in eight men will develop gallstones at some stage, according to the British Liver Trust.
And the numbers are rising. Gall bladder removal has increased by nearly 34 per cent from to , according to NHS statistics. Doctors are also seeing the condition in much younger women than before, even teenagers. This may be due to changes in our diet over the past two generations. Slow and steady: The best way to lose weight to avoid other health problems posed by model. Gallstones are lumps of cholesterol that form in the gall bladder, ranging in size from fine gravel to a golf ball. The gall bladder is a pear-shaped bag that lies under the liver.
It acts as a reservoir for bile, a liquid produced by the liver which helps digest food and, in particular, fat. When we eat, the gall bladder empties bile through the bile duct into the intestine. Bile has three main components: bile salts that act like detergent, removing fats , pigments and cholesterol. Crash dieting upsets the balance between bile salts and the cholesterol the body produces as opposed to the cholesterol we consume , says Simon Bramhall, liver transplant surgeon at Queen Elizabeth Hospital, Birmingham.
Skipping meals may also stop the gall bladder emptying regularly, making bile more concentrated. Combine these factors and you have the optimum conditions for gallstones to develop. The major symptom is abdominal pain, often triggered by fatty food. The gall bladder contracts in response to the fat and may move a gallstone to block the bile duct, causing inflammation and pain. Some people feel nauseous or have pain between the shoulder blades.
In order to lessen your risk of gallstones, you should lose weight, but not too quickly. But how much weight, how fast? Many studies have looked at the threshold at which gallstones develop and, according to an overview in the journal Obesity, anyone losing over 3. Units of alcohol a day may reduce your risk of developing gallstones. The report pinpoints very low-fat diets as a risk factor — we need a certain amount of healthy fat for our digestion to work properly.
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