Your browser does not support JavaScript!

Gallstones Diagnosis (Cholelithiasis Diagnosis)

This post is also available in: हिन्दी (Hindi)

How gallstones diagnosis done?

Gallstones diagnosis usually done by means of imaging tests. Some of the lab tests are also done to rule out presence of any associated complications.

Lab tests for Gallstones diagnosis

Lab test results are usually normal, unless there is development of any complication such as infection or obstruction.

CBC: increased counts can be seen when you develop an infection in the gall bladder (cholecystitis) or bile ducts (cholangitis)

LFT: your LFT levels are typically found increased if you have an obstruction in the bile duct. In such scenario the GGT and alkaline phosphatase are found elevated in 94% and 91% cases, respectively.

• Urine Pregnancy Test: if you are a female of reproductive age group, your doctor may ask you get this test done to rule out the possibility of pregnancy.

Read MoreRisk Factors, Causes, Signs and Symptoms of Food Poisoning

 

Imaging tests for Gallstones Diagnosis

• USG abdomen: is usually the first imaging test that would be ordered by your doctor. This is considered as the gold standard test to diagnose the gall bladder stones with detection rate of more than 95%. However, this test is less sensitive in detecting stones in the bile duct (50%) for which you may need to undergo other imaging tests.

ultrasound abdomen in Gallstones diagnosis

• CT scan: is not done specifically for gall stones. This test is less sensitive than ultrasound for detecting stones in the gall bladder. However, it can be helpful in detecting associated complications such as cholecystitis, obstruction of the bile ducts and pancreatitis.

• MRCP: is a special type of MRI test which is highly sensitive in detecting in gall stones in the bile ducts (85 to 92%). It is considered more sensitive than ultrasonography in detecting the same.

• Endoscopic ultrasonography (EUS): is a special type of ultrasound test. Here, the doctor would insert a special type of tube fitted with a camera and ultrasound probe into the your gut via mouth. The test is excellent in detecting small stones which are difficult to diagnose by other tests with detection rate of 94% to 98%. It can also detect presence of small sized cancer growths and can take tissue sample of it.

• Cholescintigraphy (Tc-99m): this test is typically done to check for presence of cholecystitis (infection) when no stone is found in the gall bladder, even in presence of symptoms. This test is useful in detecting cholecystitis and assessing the chances of post surgery complications in cholecystitis.

• ERCP: invasive procedure where a tube fitted with a camera and tools, is inserted through the mouth into the intestine-where the bile duct opens. With this test your doctor is able to find and remove the bile duct stones within the same sitting.

ERCP-information for Diagnosis of Gallstones

Indication: This test is mainly used for treating the bile duct stone and not just detecting the stone.

• Done if other imaging studies have confirmed the presence of bile duct stone.

• Or, if other tests suggests a very high possibility of the bile duct stone.

Risk factors: Higher risk of complications than other tests such as pancreatitis which can develop in about 20% people.

TOP HEALTH NEWS & RESEARCH

Breast cancer: One-dose radiotherapy ‘as effective as full course’

Breast cancer: One-dose radiotherapy ‘as effective as full course’

A single targeted dose of radiotherapy could be as effective at treating breast cancer as a full course, a long-term…

Coronavirus smell loss ‘different from cold and flu’

Coronavirus smell loss ‘different from cold and flu’

The loss of smell that can accompany coronavirus is unique and different from that experienced by someone with a bad…

Lancet Editor Spills the Beans

Lancet Editor Spills the Beans

Editors of The Lancet and the New England Journal of Medicine: Pharmaceutical Companies are so Financially Powerful They Pressure us…

Mother & Child

Guide to baby’s finger foods

Guide to baby’s finger foods

What are finger foods? Any solid food that can be eaten directly with hands rather than with utensils like a…

Parenting as a team

Parenting as a team

Raising your kid as a team Parenting is a rewarding feeling for both partners. However, along the way, it often…

Postpartum Period Symptoms and Complications

Postpartum Period Symptoms and Complications

What is the postpartum period? A postpartum period is the time interval during which a mother recovers after giving birth.…

Mind & Mental health

Generalized anxiety disorder (GAD)- Treatment

Generalized anxiety disorder (GAD)- Treatment

How generalized anxiety disorder (GAD) is treated? The treatment of generalized anxiety disorder is decided on the basis of severity…

Generalized anxiety disorder (GAD)- Diagnosis

Generalized anxiety disorder (GAD)- Diagnosis

How generalized anxiety disorder (GAD) is diagnosed? Before getting into the diagnosis details of GAD, learn about what is generalized…

Mindfulness: What is it and is it beneficial?

Mindfulness: What is it and is it beneficial?

Mindfulness – the practice of being present in the moment – has gained traction in the West over the last…