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About gallstones
I have been diagnosed with gallstones and calculis largest measuring 4.4mm during pregnancy. After one month of delivery the ultrasound report says same with largest 4.6mm. I have no symptoms till date. I have been taking Udiliv300. Suggest me what to do
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Small gallstones like yours (4.6mm) that are completely asymptomatic are often managed conservatively, and Udiliv (ursodeoxycholic acid) is the appropriate medication to help dissolve cholesterol-based stones over time. The minimal increase from 4.4mm to 4.6mm over one month is not alarming. Since you are now one month post-delivery and still without any symptoms, continuing this medical approach along with periodic ultrasound monitoring is reasonable â however, the decision to continue or change treatment should be made by your treating gastroenterologist or surgeon after reviewing your full case.
Next Steps
Follow up with your doctor for a repeat ultrasound in 3 months to track stone size. If you develop upper right abdominal pain, fever, or yellowing of the eyes, seek immediate care. Please consult me directly on Practo for a detailed evaluation.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Wait and watch till the appearence of symptoms
Or
Surgical intervention
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Please consult a gen surgeon physically.
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Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Till no symptoms (sever pain)avoid fried items.
No medicine for gall stones.
When ever sever pain go to laproscopic surgeon
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Plz consult and I would suggest get it removed before it getting worse
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Reassure.
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Hi,
Proper evaluation and personalised advice needed, a detailed consultation would be best.
Feel free to consult me for further guidance.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anjali Prajapati
General Physician
8 yrs exp
Gwalior
Consult a surgeon , repeat USG abdomen pelvis to see if the size of calculous is same .
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Change to udiliv 450
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Harshit Budhwar
General Physician
7 yrs exp
Aligarh
The scan shows a few small gallstones (largest 4.6 mm) with a normal gallbladder wall and normal bile ducts. Since you are completely asymptomatic, surgery is not routinely required at present. The difference between 4.4 mm during pregnancy and 4.6 mm now is clinically insignificant and may represent normal ultrasound measurement variation.
Continue follow-up with your physician regarding Udiliv 300, as its benefit in established gallstones is limited and treatment duration should be individualized. Maintain a healthy weight, avoid very fatty meals, and stay well hydrated.
Seek immediate medical attention if you develop right upper abdominal pain (especially after meals), fever, vomiting, jaundice, or dark urine. If symptoms develop in the future, laparoscopic cholecystectomy may be considered
Next Steps
Maintain periodic follow ups
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