Gall Stone Pain wary, Often At Ulcer Pain Diagnosis

Gall Stone Pain wary, Often At Ulcer Pain Diagnosis

Gallstone disease is one of the many health problems experienced by the community. Still, a few patients with gallstones initially thought that the pain is only common digestive disorders like ulcers.

As revealed by Dr. Rino Alvani Gani, Sp.PD (KGEH), a specialist in internal medicine from Bintaro International Hospital, Tangerang, many patients who did not realize he often complained of heartburn, when actually experiencing pain of gallstones. "In fact, symptoms of gallstones is a lot like heartburn. Not a few people with frequent trips to the doctor and given the ulcer drug, but did not improve," said Rino in the discussion of Gall Stone Treatment at the Hospital International Bintaro on Thursday (18 / 9) It may happen because the complaint is felt in places adjacent, ie, stomach and gallbladder, where both are located in the gut. If one of these organs becomes inflamed, it's almost the same. "People think a lot of heartburn and bloating. But after several examinations there was a rock in a bag or bile channel," said Rino.

To distinguish with ulcer, said doctors who had become the best researcher in the Faculty medical UI, it should be noted propagation and frequency of pain. "If the frequency of ulcer pain usually slowly until finally the pain was so intense. But when gallstones pain suddenly arises with great and then go away," he explained. Inflammation of the sac and duct also cause pain below the ribs a little bit to the right. Potentially radiating pain down to the waist to the right and the right shoulder. When the stomach is inflamed, the pain was less upward solar plexus and to the left. "The pain usually occurs within 2-4 hours after eating fatty foods. The incidence of sudden often between the hours of 9 pm to 6 am," he explained.

Gallstones usually form in the gall bladder or bile ducts and liver channels. This stone can trigger inflammation and infection of the gallbladder and on other channels when a stone out of the gallbladder and cause blockage in other channels. "Gallstones are small is more dangerous than large stones. Because of the small chance to relocate or travel to another place and trigger other problems," he said.

Dr Rino Alvani Gani, Sp.PD (KGEH) adds, pain experienced by patients with gallstones and West Asia triggered by different causes. Research shows, gallstone disease in Asia is generally caused by infection in the digestive tract, while in the West triggered four risk factors, namely female gender, age above 40 years, high-fat diet, and fertility.

In Asia, including Indonesia, trigger an infection can be caused by germs that come from food consumed. Infection can spread to the bile duct to the gallbladder. "In Indonesia, the most important cause is not due to fat or cholesterol, but due to infections in the gut. The infection is spread unnoticed tract and cause inflammation of the gallbladder resulting in fluid in the gallbladder and cause the stone to settle. Infections are particularly causes of gallstones, said Rino, was typhoid or typhus. "Typhoid germs estuary or terminal was last in the gallbladder can cause local inflammation that is not perceived patient does not feel pain or fever .. Habits of the patient to discontinue antibiotic medication to completion can also lead to gallstones. Bacteria will continue to be in the gallbladder because of the journey will lead to cycles in the gallbladder. "Therefore, antibiotics should be spent so that the bacteria in the gallbladder is completely discharged.