Recognize the symptoms of kidney stones

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Bile is a fluid in the gallbladder that play a role in the digestion of fats . If this liquid hardens , it will form gallstones .

The size of gallstones varies. Some are as small as a grain of sand and as big as a ping-pong ball . The number of stones that form in the gallbladder also vary , for example, there are people who have only one stone and nothing more .

Causes of Formation of Gallstones
Gallstones are formed due to the hardening of cholesterol allegedly buried in bile. This occurs because of an imbalance between cholesterol and chemical compounds in the liquid.

Gallstones generally do not cause pain, so do not require special handling. But if this stone clog the gallbladder, the patient will experience symptoms of pain in the right part of the stomach that comes suddenly or medical term biliary colic.

Here are factors that may increase your risk of gallstones:

• Age factor. Risk of gallstone disease increases with age. The disease is commonly experienced by people over the age of 40 years.
• Gender. A woman's risk of developing gallstone disease is two times higher than the risk of men.
• Impact of labor. Women who have given birth have a higher risk. The cause may be due to increased levels of cholesterol due to hormonal changes during pregnancy.
• Effect of weight. Your risk would increase if overweight or obese.

Step Treatment To Overcome Gallstones
Presence of gallstones is not detrimental to health. But if it causes symptoms that interfere with or in case of complications, the disease should be treated.

Treatments for gallstones usually by surgical removal of the gallbladder. Although the function of this important organ, your body can still survive without owning it. Without a gallbladder, the liver will still issue a bile helps in the digestion of fats.

This type of surgery is generally recommended are operating 'keyhole' or the medical term laparoscopic cholecystectomy. This type of surgery is recommended as a simple method with low complication risk level.

Complications Due Gallstones
Although very rare , gallstones can cause complications in the body. One of them is the inflammation of the gallbladder ( cholelithiasis ) with symptoms :

• Constant abdominal pain .
• High fever.
• Jaundice.

Acute pancreatitis is also a risk of harmful if gallstones entry and inhibit the pancreatic duct . This will cause the pancreas to become inflamed abdominal pain which will continue to worsen .

Symptoms of Gallstones
Gallstones generally do not cause disease. Symptoms only appear if this stone clogging the gallbladder or other digestive tract. The primary symptom is usually experienced abdominal pain that comes suddenly or it is called biliary colic.

The pain can occur in some parts of the abdomen. Among these are the central part of the abdomen or in the top, right abdomen. The pain may also spread to the side of the body, or scapula. Symptoms of abdominal pain also varies, for example:

• Can appear at any time.
• May take a few minutes to many hours.
• Will not be reduced despite to the toilet, fart, or vomiting.
• Frequency of occurrence is rare, but can be triggered by foods with a high fat content.

If the gallstones cause a blockage in one of the digestive tract, the following symptoms may occur:

• Abdominal pain that persists or always come back.
• High fever.
• Jaundice
• Rapid heartbeat.
• Itching of the skin.
• Loss of appetite.
• Nausea and vomiting.

It is important for you to be aware of biliary colic symptoms despite feels trivial and inconsistent. Immediately consult your doctor if you experience severe abdominal pain that lasts more than eight hours, jaundice or fever.

Causes of Gallstones
Major cause of gallstones is suspected due to the imbalance between cholesterol and chemicals in bile. Flaky crystals formed will develop into stones and usually within years.

Hoarding chemical compounds commonly found in the gallbladder when they form are cholesterol and bilirubin (waste from the destruction of red blood cells). Nearly 80 percent of gallstones made of cholesterol and about 20 percent based bilirubin. Bilirubin is a pigment found in bile.

The size of gallstones are formed also vary. Some are as small as grains of sand, and there is a ping pong ball-sized. So also with the amount. There are people who have only one stone and nothing more.

The possibility of the emergence of gallstones varies in each person. Specifically, women are twice higher than men. Especially women who have been pregnant, taking birth control pills, hormone therapy or high dose.

Here are other factors that increase the risk of developing gallstones:

• Aged over 40 years.
• Is pregnant.
• Having a family member with the same disease.
• Often eating fatty foods or high cholesterol.
• Lack of fiber in the diet.
• Diabetics.
• Being overweight or obese.
• Patients with cirrhosis.
• Patients with gastrointestinal disorders such as Crohn's disease and irritable bowel syndrome.
• People using ceftriaxone, which is an antibiotic that could be used to treat pneumonia, meningitis, and gonorrhea.
• People who lost weight drastically.

Diagnosis of Gallstones
If you experience symptoms that indicate the occurrence of complications, you should immediately see a doctor. As a first step, you will undergo a physical examination. The gallbladder is located in the upper right abdomen. Patients will be asked to breathe in, then the doctor will press the upper right abdomen. If it hurts, there might be inflammation of the gallbladder.

If proven so, further tests will be encouraged doctors to ascertain the severity of the inflammation.

blood tests
Blood tests can be done to check if there is an infection or to check the patient's liver function. Liver function will be impaired if there are gallstones migrate to the bile ducts.

ultrasound
Type of ultrasound that you will live together with ultrasound tests to check for pregnancy. But the ultrasound will be directed to the upper abdomen.

CT scan
If the patient has severe abdominal pain, type of scanning is often used as an emergency examination in the diagnosis process. CT scans are also used to check whether there were complications due to gallstones, such as acute pancreatitis.

MRI scan
Detailed scanning process is done to check for the presence of gallstones in the digestive tract.

cholangiography
Cholangiography carried out to check the presence of stones in the digestive tract, including the bile duct. Examination by cholangiography using a type of ink that is injected into the patient's bloodstream. With this ink, the digestive tract can be learned after X-ray images are taken. If the bile ducts to function properly, the ink is absorbed will be successful flow into the liver, biliary tract, colon, and gallbladder.

Treatment of Gallstones
The impact and the development of gallstones varies in each person. Therefore, there is a feeling of symptoms and some do not. Step treatment will be tailored to how big influence on you.

Gallstones Early Stage
Increased vigilance and regular monitoring is often the main recommendations in dealing with this condition. If gallstones do not cause any symptoms in your life, doctors usually do not recommend medical intervention.
But if you have other illnesses that may increase the possibility of complications, you will be encouraged to undergo treatment. Types of diseases that increase the risk of complications of gallstones is cirrhosis, diabetes, or portal hypertension (high blood pressure that occurs in the liver).

If you have gallstones, as well as high levels of calcium in their gallbladders, step treatment will be recommended. This is due to a combination of gallstones and high calcium can cause gallbladder cancer if left unchecked.

Gallstones Next Phase
The main symptoms of this disease is the appearance of abdominal pain or biliary colic. Type of treatment also depends on the severity of symptoms:

• If you experience mild abdominal pain and rarely occurs, your doctor will probably encourage the consumption of painkillers (analgesics) and a healthy diet to control symptoms.
• If you experience severe abdominal pain and frequent, the doctor will usually recommend that the procedure removal of the gallbladder.

Operation Steps to Handle Gallstones
If your symptoms are very severe, the gallbladder may have to be removed through surgery. But you need not fear because the gallbladder does not include important organ that you must have to survive.

laparoscopic cholecystectomySurgical removal of the gallbladder is the most commonly recommended surgically 'lock' or laparoscopic cholecystectomy. This operation is called operation 'keyhole' because of the size of the incision is made very small, about 1 cm. This operation is performed by the application of general anesthesia, so you will be asleep during the procedure so it will not feel pain. Patient recovery time is usually around 1-2 weeks. 

With an open incision cholecystectomyThis operation would have if gallstones can not be removed by surgery 'keyhole' or the patient's condition does not allow it to undergo laparoscopic cholecystectomy. For example, because:

• The layout of the gallbladder of patients are difficult to reach.
• Patient weight is high.
• Patients are in the last months of pregnancy.

After undergoing cholecystectomy with an open incision, patients need to stay in hospital for 5-6 days. The time needed for a full recovery is also longer than the operation 'keyhole', which is about 1.5 months. But the effectiveness of this operation is the same as laparoscopic cholecystectomy surgery.

Endoscopic Retrograde cholangiopancreatography (Endoscopic Retrograde Cholangiopancreatography / ERCP).Blockage due to stones in the bile duct can be treated by endoscopic retrograde cholangiopancreatography procedures (endoscopic retrograde cholangiopancreatography / ERCP). This process can be done without lifting the gallbladder. This means that even if the blockage has been handled, the stones in the gallbladder will remain.
ERCP is usually done by the application of a local anesthetic and takes about 30-40 minutes. After the procedure, the patient usually must spend one night in the hospital for condition monitoring. 

ursodeoxycholic acidGallstones are small that do not contain calcium can be treated with ursodeoxycholic acid. This drug is able to dissolve gallstones. But these drugs are rarely recommended to deal with gallstones because:

• Low level of effectiveness.
• Patients must drink it for a long time (sometimes more than one year).
• Gallstones can re-emerge if the consumption is stopped.

Ursodeoxycholic acid is also not recommended for pregnant or nursing women. These drugs also may affect the effectiveness of birth control pills. Therefore, women on birth control pills is recommended to replace it with a safety device such as a condom when taking these drugs.
In addition as a medication, ursodeoxycholic acid is also recommended to prevent the formation of gallstones for those at high risk.

The Effect of Diet
Changing your diet by eating only low-fat diet can not cure gallstones, but maintaining a healthy diet and balanced can help us to maintain health and reduce pain caused by gallstones.

Complications Gallstones
Gallstones can cause a blockage in the bile duct or moved into the digestive system. This is what usually causes serious complications.

Acute inflammation of the gall Pockets
Cholecystitis or acute inflammation of the gall bladder occurs when the bile to accumulate in the gallbladder because of gallstones that clog the discharge channel.
Symptoms of acute cholecystitis of which is pain in the upper abdomen radiating to the shoulder blades, high fever and rapid heartbeat.
Antibiotics are commonly used as a first treatment to overcome the infection prior to surgical removal of the gallbladder is done. The procedure used is usually surgery 'keyhole'. 

Abscesses gallbladder
Pus may sometimes appear in the gallbladder due to a severe infection. If this occurs, treatment with antibiotics alone is not enough and will need to be aspirated pus. 

peritonitis
Peritonitis is an inflammation of the stomach lining inside, known as the peritoneum. This complication occurs due to the rupture of the gallbladder are experiencing severe inflammation. Handling includes:

• Intravenous antibiotics.
• Surgery to remove part of peritoneum which suffered severe damage.

Channel Blockage Bile
Blockage of the bile duct by stones make this channel becomes susceptible to bacteria causing the infection. These complications can generally be treated with antibiotics and procedures of endoscopic retrograde cholangiopancreatography (ERCP). Symptoms of this infection is pain in the upper abdomen radiating to the shoulder blade, jaundice, high fever, and dazed. 

Acute pancreatitis
Acute pancreatitis is also one of the complications that can occur if the gallstones out and clog the pancreas. Inflammation of the pancreas will cause severe pain in the middle of the abdomen. The pain will worsen and spread to the back, especially after eating.
In addition to abdominal pain, acute pancreatitis can also cause other symptoms. Among these is diarrhea, loss of appetite, vomiting, high fever, and jaundice.
Slouching or curled position may help relieve abdominal pain due to acute pancreatitis. These complications can not be cured by specialized medical treatment. The purpose of handling just to sustain bodily functions until the inflammation subsides by itself. Hospitalization usually lasts about one week before the patient was discharged. 

Gallbladder Cancer Bags
People with gallstones have a higher risk for cancer of the gallbladder. However, the possibility is very rare, even for people at high risk because of heredity once. Surgical removal of the gallbladder will be recommended to prevent cancer. Especially if you have high calcium levels in the gallbladder. Symptoms of this cancer is almost the same as gallstone disease that includes abdominal pain, high fever, and jaundice.

Prevention of Gallstones
Changing your diet and lose weight for those who are obese may help prevent the formation of gallstones.

Gallstones are formed due to the hardening of cholesterol allegedly buried in bile. Therefore, we should implement a healthy diet and balanced and avoid consumption of foods containing fat and high kolestrerol. Example:

• containing coconut milk food like compote, as well as vegetable rhombus.
• Greasy food like fried food.
• Food made from legumes such as satay peanut sauce or gravy.
• Cake and snack chips.

Too much consuming alcohol can also increase the risk for you, so do not overdo it. Limit consumption per day recommended is 2-2.5 cans of beer for men and up to 2 cans of beer for women. Usually high alcohol beer as much as 4.7 percent.

Being overweight or obese is a risk factor that can lead to complications of gallstones. Therefore, maintaining a healthy weight is important.

You are advised to avoid demanding strict diet to eat foods low in calories and fat only. Drastic weight loss in a short time can also increase the risk of gallstone formation.

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