{"id":126,"date":"2021-02-27T07:52:27","date_gmt":"2021-02-27T07:52:27","guid":{"rendered":"http:\/\/www.paedsurgeryindelhi.com\/blog\/?p=126"},"modified":"2021-03-01T04:54:01","modified_gmt":"2021-03-01T04:54:01","slug":"gallstones-in-children","status":"publish","type":"post","link":"https:\/\/www.paedsurgeryindelhi.com\/blog\/gallstones-in-children\/","title":{"rendered":"Gallstones in Children"},"content":{"rendered":"\n<p>Gallstones, also known as cholelithiasis, are solid deposits of  digestive fluid in the gallbladder, a small organ that sits just below the  liver.Normally, bile drains from the liver into the small intestine where it  helps digest food. Between meals, bile is stored in the gallbladder. Sometimes  bile hardens and forms gallstones. Gallstones range in size from small grains  to the size of a lemon.Although the condition is more common in adults, about 2  percent of children of children are diagnosed with gallstones. The incidence is  increasing especially in the urban areas <\/p>\n <p> Many people have gallstones without realizing it. Sometimes, however,  the gallbladder becomes inflamed or a gallstone moves into a duct or  passageway, creating a blockage. When this happens, the child may have  abdominal pain and nausea, vomiting and\/or fever.<\/p>\n<p>  There are different types of gallstones:<\/p>\n<ul class=\"list01\">\n  <li>Pigment       gallstones are the most common type of gallstone in children. They form       when bile contains too much bilirubin, a by-product of the body\u2019s natural       breakdown of red blood cells.<\/li>\n  <li>Cholesterol       gallstones are the most common form of gallstone in adults, but now are       common in children as well due to obesity and consumption highly saturated       foods. They form when bile mixes with cholesterol and hardens.<\/li>\n<\/ul>\n<p>Girls are at higher risk than boys of developing gallstones. Other than  gender, a number of factors can cause gallstones to form. The most common  causes in children include:<\/p>\n<ul class=\"list01\">\n  <li>abnormalities       in the production of red blood cells<\/li>\n  <li>prolonged       fasting due to illness<\/li>\n  <li>long-term       parenteral nutrition<\/li>\n<\/ul>\n<p>Often, people have gallstones but no symptoms. If gallstones become  symptomatic, the gallbladder typically needs to be removed. Symptoms often  flare up after meals, especially meals high in fat or grease.<\/p>\n <p> Symptoms include:<\/p>\n<ul class=\"list01\">\n  <li>pain       in the upper right abdomen<\/li>\n  <li>nausea<\/li>\n  <li>vomiting<\/li>\n  <li>fever<\/li>\n<\/ul>\n<p>Gallstones must be treated with surgery to remove the gallbladder.<\/p>\n<ul class=\"list01\" style=\"margin-bottom:10px\">\n  <li>There       are no medical treatments of symptomatic gallstones<\/li>\n  <ul type=\"circle\" style=\"padding-left:20px;\">\n    <li>Sometimes        medicines are used to dissolve the stones especially if they are        asymptomatic or the gall bladder is functioning normally.<\/li>\n  <\/ul><\/ul>\n  <ul class=\"list01\">\n  <li>Stones       will almost always reform in the gallbladder if it is not removed.<\/li>\n<\/ul>\n<p>It&#8217;s called laparoscopic cholecystectomy, and it&#8217;s a minimally invasive  procedure and is done under general anaesthesia. During surgery four smallband-aid  sized incisions are made on the child&#8217;s abdomen, through which a telescope is  passed to observe the operation as it is performed with instruments placed  through the other three openings.<\/p>\n <p> Rarely, an &#8220;open&#8221; procedure through an incision below the ribs  may be necessary. This may be required if there is scarring, inflammation,  bleeding or unusual anatomy of the common bile duct which prevents safe  performance of the laparoscopy.<\/p>\n  <h4>After surgery:&nbsp;<\/h4>\n<ul class=\"list01\">\n  <li>The child may drink       fluids the evening after the operation.<\/li>\n  <li>The child is given       pain medicine through the IV the evening after the operation.<\/li>\n  <li>The child is given a       prescription for pain medication at time of discharge. <\/li>\n\n  <li>The child will have four  small dressings on the abdomen which will be removed on follow up<\/li>\n<\/ul>\n<p>For more information visit <a href=\"http:\/\/www.paedsurgeryindelhi.com\">www.paedsurgeryindelhi.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gallstones, also known as cholelithiasis, are solid deposits of digestive fluid in the gallbladder, a small organ that sits just below the liver.<\/p>\n","protected":false},"author":1,"featured_media":127,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[50],"tags":[51],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gallstones in Children<\/title>\n<meta name=\"description\" content=\"Gallstones, also known as cholelithiasis, are solid deposits of digestive fluid in the gallbladder, a small organ that sits just below the liver.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.paedsurgeryindelhi.com\/blog\/gallstones-in-children\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gallstones in Children\" \/>\n<meta property=\"og:description\" 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