Cholelithiasis

//Western Diagnosis// biliary (GB) calculi (stones)

Etiology
1. female, obesity, family hx, Western diet 2. supersaturation of cholesterol in bile solution

Signs & Symptoms
1. asx 2. cystic duct obstruction a. transient colicky pain in epigastrium or RUQ b. radiation to right lower scapula c. constant pain, rising to a crescendo and falling gradually d. N, V 3. biliary or pancreatic duct obstruction a. pain, jaundice, pancreatitis, cholangitis 4. dyspepsia, fatty food intolerance with RUQ pain a. N, belching, bloating, fullness i. R/O peptic ulcer, functional dyspepsia

Diagnosis
1. US

Treatment
1. cholecystectomy 2. bile acids 3. lithotripsy 4. elimination diet - egg, pork, onion 5. inc fiber, avoid refined CHO