instruction: hello doctor I am 62 years old a week back I had severe abdomen pain so I took an ultrasound the report says I have my size gallstone I have also checked my lipid profile which are normal I request you kindly suggest further action required I am currently taking lipicard
output: hello I have to have more information about this pain before I can tell you what is the cause of this pain usually the gall bladder stone of such size less than 10 my in size does not cause pain and if it does then the pain has to be characteristic one like pain starts within half hour of meals and gradually increases in intensity within next hour and then start declining for the next three to six hours vomiting can occur with increased severity of the pain if you have any of symptoms as mentioned then it is possible that pain is coming from gall bladder stones and the definitive treatment is cholecystectomy I removal of the gall bladder again I want to emphasize that most of the stones of such size usually do not cause pain and remain asymptomatic doing no harm to the patient throughout their life the other cause of sudden and severe abdominal pain are ulcers within the stomach food pipe or small bowel inflammation of the pancreas called pancreatitis diabetes and its complications lead poisoning drugs such as pain killers and few other causes your lipid profile is normal and ultrasound is otherwise normal except that stones which are clearly visible you can start capsule esomeprazole 40 my half an hour before meals it will resolve the pain if coming from ulcers in the stomach however I highly recommend you to provide more information regarding your problem as I can be in a good position to diagnose and tell you what to do peptic ulcer disease symptomatic gall bladder stone pancreatitis drug related functional pain complete blood count serum amylase lipase calcium bun creatinine and electrolytes stool for pyloric antigen pancreatitis drug related lead poisoing peptic ulcer disease asymptomatic gallstones capsule esomeprazole 40 my half an hour before meals once daily follow up to provide more information about the pain