Dr.M.K.Mishra ( Consult For Homeopathic Treatment)

GALL STONE



Colic isdefined as a severe abdominal pain caused by spasm, obstruction, or distentionof any of the hollow viscera. And when it occurs due to gallstones that are presentin gall bladder or bile duct then it is known as gall stone colic. It is alsoknown as biliary colic. It is the most common symptoms of gallstones.

Causes of formation of gallstones:
Gallstones are stones that form in the bile. There are several types ofgallstones and each type has a different cause.

Cholesterol gallstones
Cholesterol gallstones are made primarily of cholesterol. They are the mostcommon type of gallstone. Cholesterol is the substance that liver cells secreteinto bile. Cholesterol is a fat and it do not dissolve in the bile in order todissolve it liver secrete bile acids and lecithin in the bile. If the liversecretes too much cholesterol for the amount of bile acids and lecithin itsecretes, some of the cholesterol does not dissolve. Similarly, if the liverdoes not secrete enough bile acids and lecithin, some of the cholesterol alsodoes not dissolve. In either case, the undissolved cholesterol sticks togetherand forms particles of cholesterol that grow in size and eventually form largergallstones.

Pigment gallstones
Pigment gallstones are the second most common type of gallstone. There are twotypes of pigment gallstones.
1)Black pigment gallstones, and
2)Brown pigment gallstones.

Black pigment gallstones: If there is too much bilirubin that do not dissolvein bile, and combines with calcium, to form pigment gallstones (so-calledbecause it is dark brown in color). And in this manner black pigment gallstonesformed because they are black and hard.
Brown pigment gallstones: If there is reduced contraction of the gallbladder orobstruction to the flow of bile through the ducts, bacteria may ascend from theduodenum into the bile ducts and gallbladder. The bacteria alter the bilirubinin the ducts and gallbladder, and the altered bilirubin then combines withcalcium to form pigment. The pigment then combines with fats in bile(cholesterol and fatty acids from lecithin) to form particles that grow intogallstones. This type of gallstone is called a brown pigment gallstone becauseit is more brown than black. It also is softer than black pigment gallstones.
Other types of gallstones: Other types of gallstones are rare. Perhaps the mostinteresting type of gallstone is the gallstone that forms in patients takingthe antibiotic, ceftriaxone (Rocephin). Ceftriaxone is unusual in that it iseliminated from the body in bile in high concentrations. It combines withcalcium in bile and becomes insoluble. Like cholesterol and pigment, theinsoluble ceftriaxone and calcium form particles that grow into gallstones.Fortunately, most of these gallstones disappear once the antibiotic isdiscontinued; however, they still may cause problems until they disappear.Another rare type of gallstone is formed from calcium carbonate.

Risk factors:
Cholesterol Stones:
1.Gender- More common in females then males.
2.Age- its prevalence is increases with age.
3.Obesity
4.Pregnancy
5.Birth control pills and hormone therapy
6.Rapid weight loss
7.Inflammatory bowel diseases- Crohn's disease, ulcerative colitis.
8.Increase blood triglycerides.

Pigment Stones-
Black pigment gallstones form whenever there is an increased load of bilirubinthat reaches the liver. This occurs whenever there is increased destruction ofred blood cells, as there is in sickle cell disease and thalassemia. Blackpigment gallstones also are more common among patients with cirrhosis of theliver. Brown pigment gallstones form when there is stasis of bile (decreasedflow), for example, when there are narrow, obstructed bile ducts.

Symptom:
Characteristically, biliary colic comes on suddenly or builds rapidly to a peakover a few minutes.

Biliary colic is a recurring symptom. Once the first episode occurs, thereare likely to be other episodes.

Investigation:
1.Ultrasonography of abdomen.
2.X-ray
3.Magnetic resonance cholangio-pancreatography (MRCP)
4.Endoscopic Ultrasonography

Treatment;
In cases where complication like colecystitis, and big size gall stone hasdeveloped then surgery is advisable to patient along with the homoeopathictreatment.
Homoeopathy helps in treating and relieving the patient. The medicines selectedupon the basis of individuality and symptoms similarity by analyzing wholecase. It will also help in post- operative cases of gallstones by promotinghealing process and reducing the chances of reoccurrence.



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