Gastroenterologist, Gastroenterology Journal

Question: The child is 6.5 months. , Did abdominal ultrasonography. Result: ultrasound signs of increasing strain and gall bladder. Slight increase and reactive changes of the liver. Tell me please, what does this mean? Why did it happen and increase the change?

Answer: There is nothing quite does not mean if the child feels well and developing normally.

Question: I turned to a gastroeterologu with following new problem – the last time was often confronted with the problem of the stomach. Проявляется следующим образом – начинаю ощущать некоторое общее недомогание, тяжесть в желудке, потерю аппетита, если поем – ощущение не перевариваемости, неприятный вкус во рту, и что самое неприятное – головную боль. All this takes not less than one day. Immediately pain or cramps no. Sometimes it leads to nausea and repeated vomiting with the release of the bitter yellow-green mass, or very acidic colorless liquid. If this previously and was shown – it is rare that written off on any poisoning. All this was described by a doctor, was held endoscopy and ultrasonography of the liver and gall bladder. According to the doctor with stomach pischevvodom and 12 duodenal ulcer in principle, all vporyadke, ultrasound of the gallbladder showed a bend and thickening. diagnosis written on paper is as follows: GERD, chronic gastritis, chronic holetsestit. It was said that all major issues related to the gallbladder, were the recommended diet, with recommended choleretic – make a day dyubazh (mineral water + holosas), drink rose, for at least a month. during the week did dyubazh + drink rose in the big count-wah – and throughout the week, I have all of the above symptoms: weight, loss of appetite, and that the most unpleasant – headache, quite tortured. I want to ask your advice – to continue to do dyubazh, drink rose further or to conduct any additional procedures, surveys? Thanks in advance, Igor (27 years).

Answer: I can only say that the diseases of the digestive system does not cause headaches.

Question: my dear doctor! spared a lot of doctors and no one normally could not help me. I really hope that you have something to me will tell! For 2 years I suffer from zhelochnym bubble has done everything possible survey of stones and parasites not, but he twisted, good indicators of the liver. Simtomy: Pain in right side, a very acute sense of smell, mood changes and I become very zloi or very funny, and then emit zhelochi and the day I start to fall into depression and tears, headache and sometimes a temperature of 37 and a very strong pain, fatigue stomach and zhdky chair. This happens often. I have only not probyvala and Diet and zhelechegonnye. regularly engaged in sports. Please'll show something and how to reduce the emotional state during these attacks?? Thanks

Answer: 24 years. You are confusing cause and effect.

Question: Dear doctor! To me stones (7 stones counted) in the gall bladder yielding acoustic shadow. But I did not have seizures and I was not worried. Ultrosonogramma showed that all my organs in the order, nor any complications. Taking medicine GSD. I eat all meals except bitter and too oily. Tell me please, what stones rasstvoryayutsya and what medicine more effectively with GSD? Explain in detail. Thank you.

Answer: Why not talk about the size of stones and the medicine does not call? Why not ask your doctor? Tactics of treatment described in the instructions for medicine bottles. Stones in the gall bladder without typical manifestations of the disease – http://doktor. ru/qa/15613/qa. html? id = 68427.

Question: I am 22 years old. Last 2-3 months I feel discomfort (often a burning sensation), and nausea and hunger and in the intervals between the taking of food. Ultrasound revealed: gallbladder small 5,2 x 1,2 cm, a pear-shaped, walls not more than 3 mm clearance anehogenny with konkremntom 6 mm, with zamazkoobraznoy bile and hempseed calculus in the neck size of about 4-5 mm. Questions: 1. How appropriate, urgently and in general – shows whether the surgery. 2. Возможен ли вариант лапроскопического операционного лечения. 3. Is Diet? 5 in my case. With respect and gratitude for the answer!

Answer: Can attempt to dissolve the stones with medicine. Diet N5 suits, but will not solve the problem.

Question: Good afternoon, doctor! "My son 16 year old found the stones in the gallbladder, 6-7 pieces ranging in size from 6 to 15 mm. Stone crushing is not compensable. Signs kalkulyadnogo cholecystitis, symptoms of secondary changes. The child are rare bouts of pain in the right hypochondrium, sometimes kept low-grade temperature for 1-2 weeks. Is surgery the only option in our situation? What might be the consequences of the operation, considering such an early age? Yours.

Answer: the urgency of the operation there. First it is desirable to clarify the possible cause of stone formation (eg, latent hemolytic anemia).

Question: Dear doctor, I have not received a substantive response from you. The medicine that I accept foreign production URSA. The doctor said that it is for the liver and reduce cholesterol in the blood. I would like to know your opinion. What can I do to get rid of the stones (except surgery). Tell me please, what stones rasstvoryayutsya and what medicine more effectively with GSD?

Answer: Continuing http://doktor. ru / contenido / document. html? id = 83568 & class = doktor:: QA. This product is intended to dissolve the stones (dose and mode of admission is not specified), the tactics of treatment is shown in the accompanying instructions to the vial. It is unlikely that the 7 stones (size unknown) solution. If you do not dissolve in six months, then when the real need to get rid of them, this is only possible by surgery. Ultrasonic drobeniyu they also are not subject. If there is a need to get rid of them, then – only by surgery.

Question: I have an innate inflection of the gallbladder. (found ultrasonography) was diagnosed with gallbladder dyskinesia. Cholestasis. External symptoms: dandruff, acne on his back, in recent years (month 3) very quickly oily hair and skin, so you have to wash very often. Disturbing itchy skin. This is a serious obstacle. Within a month after the survey complied with all the doctor's recommendations: – Salsola Kholmova – livolin – corn stigmas – holosas – a diet without fat, colenogo, smoked. Ate corn (recommended), little improvement is not noticed. Recommend what to do next?

Answer: 21. Recommend refer to a literate dermatologist and treat adolescent acne and acne by all the rules, wash your hair every other day with shampoo containing nizoral.

Question: I am 36 years old. Over the past 13-15 years I have happened instances of gravity in the right hypochondrium. As a rule, it was after eating and in the evening. Analgesics never took – did not see the need. In September, already last year, suffered a stroke. In med. institutions have taken the analysis, the ultrasound, they said, that fit into the astronauts and sent home. After 2 weeks did ultrasound fee – gallbladder scored concrements and zamazkoobraznoy bile. The surgeon suggested that laparoscopic surgery to remove the GPI. Passed tests. But three weeks later did another ultrasound, already in another clinic. The survey shows – small concrements at the bottom of DGP and one pebble in diameter of 3 mm. Gastroenterologist said that because they feel sorry delete DGP. Now I sit on a diet, took inflammation DGP trihopolom. Ursosan started taking one capsule. Do you think if more sense to continue treatment, or is it a waste of time and money?

Answer: Three months of receiving Ursosan and introspection does not hurt.

Question: 5. 12. 07 I underwent surgery RHPG. Of the bile duct stone removed 3 to 6mm. After surgery, amylase rose to 7000 units. Attack of reactive pancreatitis, after the operation, took off for 3 days. MRI before surgery showed a seal in the pancreas, after surgery, seals died. 15. 12. 07 I was discharged from hospital with 107 units amylase, lipase 65 units. Stone was not. Today, I am concerned about pulling sensation in his right side, timed "prygayuschie2 stomach pains, especially toschyakovye. The stomach, as if shrinking dramatically, and then decompressed, and how something is thrown in the right side. 1. What is this feeling in my stomach? 2. How long have their own place of such processes in the body, with which it is connected? 3. Will I have a sign of pancreatic inflammation zhe5lezy or still have a chance at a healthy way of wider community, because pancreatitis've never tormented and became concerned only after the operation? 4. Maybe there be regression of the disease, because the cause of pancreatitis, such as, remote? 5. And the general Cherevaty such an operation? Thank you. I hope you'll answer to me. Because everywhere I approached, I might say anything intelligible (even the doctor, alas)

Answer: 1-2. After any intervention there are unpleasant sensations that take place within 6-8 weeks. After the operation on biliary tract and pancreas of reaction they will be in the top floor of the abdominal cavity. In rare cases it may be "stress" ulcer. 3-4. Everything should return to normal, if not formed yet another stone. 5. More – nothing. Apparently, the doctor did not create the conditions for a substantive conversation:)