What would happen if you totally ignored a severe case of gall stones?

10 comments

1. 

   Tara on November 29, 2009 at 11:50 pm

   It depends on the size and amount of stones that you have.As far as alternative treatment is considered,stay away from so called "gall bladder flushes",trying to flush out stones yourself is a serious no no,because their is a chance a stone can get lodged in the bile duct,and in that case it would require emergency surgery.Most of the time gallstones remain inactive and there is no potential risks other then the occassional discomfort after fatty meals.Most gastrointologist reccomend having the entire gallbladder removed,if the stones are very large or it continues to be bothersome.Stones can push against the liver leading to several serious conditions.This is why proper evaluation and treatment from a well trained gastrointologist is an absolute must!What are the complications of gallstones?

   Biliary colic is the most common symptom of gallstones, but, fortunately, it is a self-limiting symptom. There are, however, more serious complications of gallstones.

   Cholecystitis. Cholecystitis is an inflammatory condition of the gallbladder. Like biliary colic, it too is caused by sudden obstruction of the ducts by a gallstone, usually the cystic duct. In fact, cholecystitis may begin with an episode of biliary colic. Obstruction of the cystic duct causes the wall of the gallbladder to begin secreting fluid just as with biliary colic, however, for unclear reasons, inflammation sets in. At first the inflammation is sterile, that is, there is no infection with bacteria; however, over time the bile and gallbladder become infected with bacteria that travel through the ducts from the intestine.

   With cholecystitis, there is constant pain in the right upper abdomen. Inflammation extends through the wall of the gallbladder, and the right upper abdomen becomes tender when it is pushed. Unlike with biliary colic, however, it is painful to move. Individuals with cholecystitis usually lie still. There is fever, and the white blood cell count is elevated, both signs of inflammation. Cholecystitis usually is treated with antibiotics, and most episodes will resolve over several days. Even without antibiotics, cholecystitis often resolves. As with biliary colic, movement of the gallstone out of the cystic duct and back into the gallbladder relieves the obstruction and allows the inflammation to resolve.

   Cholangitis. Cholangitis is a condition in which bile in the common, hepatic, and intrahepatic ducts becomes infected. Like cholecystitis, the infection spreads through the ducts from the intestine after the ducts become obstructed by a gallstone. Patients with cholangitis are very sick with a high fever and elevated white blood cell counts. Cholangitis may result in an abscess within the liver or sepsis. (See discussion of sepsis below.)

   Gangrene. Gangrene of the gallbladder is a condition in which the inflammation of cholecystitis cuts off the supply of blood to the gallbladder. Without blood, the tissues forming the wall of the gallbladder die, and this makes the wall very weak. The weakness combined with infection often leads to rupture of the gallbladder. The infection then may spread throughout the abdomen, though often the rupture is confined to a small area around the gallbladder (a confined perforation).

   Jaundice. Jaundice is a condition in which bilirubin accumulates in the body. Bilirubin is brownish-black, yellow when it is not too concentrated. A build-up of bilirubin in the body turns the skin and whites of the eye (sclera) yellow. Jaundice occurs when there is prolonged obstruction of the bile ducts. The obstruction may be due to gallstones, but it also may be due to many other causes of obstruction, for example, tumors of the bile ducts or surrounding tissues. (Other causes of jaundice are a rapid destruction of red blood cells that overwhelms the ability of the liver to remove it from the blood or a damaged liver that cannot remove bilirubin from the blood normally.) Jaundice, by itself, does not cause problems.

   Pancreatitis. Pancreatitis is an inflammatory condition of the pancreas. The two most common causes of pancreatitis are alcoholism and gallstones. The pancreas surrounds the common bile duct as it enters the intestine. The pancreatic duct that drains the digestive juices from the pancreas joins the common bile duct just before it empties into the intestine. If a gallstone obstructs the common bile duct just after the pancreatic duct joins it, flow from the pancreas is blocked. This results in inflammation within the pancreas. Pancreatitis due to gallstones usually is mild, but it may cause serious illness and even death. Fortunately, severe pancreatitis due to gallstones is rare.

   Sepsis. Sepsis is a condition in which bacteria from any source within the body, including the gallbladder or bile ducts, get into the blood stream and spread throughout the body. Although the bacteria usually remain within the blood, they also may spread to distant tissues and lead to the formation of abscesses (localized areas of infection with formation of pus). Sepsis is a feared complication of any infection. The signs of sepsis include high fever, high white blood cell count, and, less frequently, rigors (shaking chills) or a drop in blood pressure.

   Fistula. A fistula is an abnormal tract through which fluid can flow between two hollow organs or between an abscess and a hollow organ or skin. Gallstones cause fistulas when the hard gallstone erodes through the soft wall of the gallbladder or bile ducts. Most commonly, the gallstone erodes into the small intestine, stomach, or common bile duct. This can leave a tract that allows bile to flow from the gallbladder to the small intestine, stomach, or common duct. If the fistula enters the distal part of the small bowel, the concentrated bile can lead to problems such as diarrhea. Rarely, the gallstone erodes into the abdominal cavity surrounding the abdominal organs. The bile then leaks from the gallbladder or bile duct throughout the abdomen and causes inflammation of the lining of the abdomen (peritoneum), a condition called bile peritonitis.

   Ileus. Ileus is a condition in which there is an obstruction of flow within the intestine. It may be due to a mechanical obstruction, for example, a tumor within the intestine or a functional obstruction, for example, inflammation of the intestine or surrounding tissues that prevents the muscle of the intestine from working normally and propelling its contents. If a large gallstone erodes through the wall of the gallbladder and into the stomach or small intestine, it will be propelled through the small intestine. The narrowest part of the small intestine is the ileo-cecal valve, which is located where the small intestine joins the colon. If the gallstone is too large to pass through the valve, it can obstruct the small intestine and cause an ileus.

   Cancer. Cancer of the gallbladder almost always is associated with gallstones, but it is not clear which comes first, that is, whether the gallstones precede the cancer and, therefore, could potentially be the cause of the cancer. Moreover, cancer of the gallbladder arises in less than 1% of individuals with gallstones. Therefore, concern about future development of cancer alone is not a good reason for removing the gallbladder when gallstones are present.

2. 

   TWISTED on November 29, 2009 at 11:50 pm

   You would have stomach cramps until you died, but what a way to go, huh!

3. 

   al_micro_girl on November 29, 2009 at 11:50 pm

   You will die if you completely ignore gall stones. The gall bladder can rupture, spewing toxins into your body at such a rate that you would die. All there is too it.

4. 

   Slick Alien on November 29, 2009 at 11:50 pm

   Extreme pain and ultimately death.

5. 

   martinamagrace on November 29, 2009 at 11:50 pm

   Never mind all the items you mentioned. How could someone ignore the severe pain? The pain gets more intense with each attack to the point you would rather die.

   I would go with regular methods and get it taken care of. It is not worth risking your life.

6. 

   kelle_belle on November 29, 2009 at 11:50 pm

   Yes,In severe cases the the gall bladder can rupture and form an abscess, it may lead to a life-threatening infection of the liver called cholangitis

7. 

   sela V on November 29, 2009 at 11:50 pm

   Worst case is with the bladder severely inf lammed and with infection, it would rupture leading to septicemia (spread of infection and toxins) in your circulation and abdominal cavity. This can be very critical. If there is such pain you should not increase the dose of the pain killers because it will only mask the fact that the bladder is severely inflammed and needs surgical intervention before it ruptures.

8. 

   girl2000ss on November 29, 2009 at 11:50 pm

   something very bad…

9. 

   aria_azarin on November 29, 2009 at 11:50 pm

   tara answers so nice if i were you i would choice her as the best answer (fantastic tara)are you a medical docter

10. 

    MissNurse on November 29, 2009 at 11:50 pm

    I don’t think you could possibly ignore the constant pain of severe gall stones, they hurt TOO DANG BAD!