Expert Treatment for Gallstones by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He examines pain features (when, where, severity), food connection, or stress connection, medicines, alcohol consumption and recent stomach problems. Gardling or organ enlargement- a good abdominal examination verifies the presence of these.
Blood Tests
We request CBC to detect anemia or an infection, liver tests, and amylase/lipase to exclude the possibility of pancreatitis. Noninvasive testing of H. pylori can be ordered with suspicion of the ulcer disease.
Imaging Studies
- Abdominal ultrasound evaluates the liver, gallbladder and pancreas for stones, inflammation or masses.
- Upper endoscopy (EGD) allows direct visualization of the esophagus, stomach and duodenum to detect ulcers, gastritis or hiatal hernia.
Advanced Testing (if needed)
In the case of inconclusive initial tests, Dr. Pothuri may prescribe endoscopic ultrasound to evaluate more in-depth lesions of the walls, gastric emptying tests to identify motility motion or 24 hours pH-tests to determine reflux. Infrequently, biopsy or specialized motility testing is done to make the diagnosis.
Frequently Asked Questions
Which is the ICD-10 code of gallstones?
The ICD-10 code for gallstones (cholelithiasis) is K80.
Is it possible that gallstones spontaneously disappear?
Small stones can sometimes pass without complications, but most gallstones require medical management to avoid problems.
Is it possible to have gallstones after gallbladder removal?
Yes. Even after cholecystectomy, stones may form in the bile ducts.
Which foods should I avoid if I have gallstones?
Avoid fried foods, fatty meats, high-fat dairy, butter, cheese, and processed snacks.
How can I prevent gallstones?
Eat low-fat, balanced meals, stay physically active, maintain a healthy weight, and avoid rapid weight loss.
Are there treatments other than surgery?
Yes. In some cases, bile acid agents such as ursodeoxycholic acid or ERCP may be used under Dr. Pothuri’s guidance.