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Business Standard
17-07-2025
- Health
- Business Standard
Sudden stomach and back pain? You might be ignoring gallbladder stones
Gallstones are common and don't always cause problems. But they can if they get stuck in your biliary tract and block your bile flow. According to a study in 'API Textbook of Medicine', the prevalence of gallbladder stones is approximately 4 per cent in India, whereas it is 10 per cent in the West. The latest report published by the American Library of Medicine says, approximately 10 per cent of individuals with gallstones develop symptoms within five years of diagnosis, 20 per cent within 20 years, at a rate of 1 to 2 per cent per year. Of those with symptomatic gallstones, 1 -2 per cent experience complications, often due to common duct stones. Genetic factors are believed to account for 25 to 30 per cent of the risk of gallstone formation. What are gallbladder stones? Gallbladder stones, or gallstones, are hardened deposits of digestive fluid that form in the gallbladder – a small, pear-shaped organ located under your liver. These stones can range in size and may form due to cholesterol imbalance, excess bilirubin, or poor gallbladder function. According to Johns Hopkins Medicine, when gallstones are present in the gallbladder itself, the condition is called cholelithiasis, and when they are present in the bile ducts, it is called choledocholithiasis. Symptoms: It's not just a tummy ache While many people with gallstones remain asymptomatic, others may experience symptoms like: Sudden and severe pain in the upper right abdomen that lasts from 30 minutes to several hours Back pain between the shoulder blades Nausea or vomiting Indigestion and bloating Jaundice, with visibly yellow skin Experts suggest that people who experience the following symptoms should consult their doctor immediately: Sweating Chills Low-grade fever Yellowish colour of the skin or whites of the eyes Clay-coloured or pale stools Dr Ajay Mandal, hepato-biliary surgeon with CMRI Kolkata said the common early sign of gallbladder stones is pain in the upper abdomen (right upper quadrant), which is repetitive and can feel dull or colicky (like cramps). 'Usually, gallstone-related pain starts in the upper right abdominal area and may radiate to the right shoulder or back. Furthermore, it worsens after fatty meals, unlike gas or acidity, and does not easily dissipate after taking an over-the-counter antacid,' he said. Who is at risk of gallbladder stones? The main risk factors are: Poor diet (especially fried and fatty foods) Rapid weight loss Sedentary lifestyle Family history 'Gallstones are more common in women, especially those over 40, those who are overweight, or have had multiple pregnancies. People over 60 years of age are also more at risk,' added Dr G Satyanarayana, HOD gastroenterology, CARE Hospitals, Visakhapatnam. What happens if you ignore it? Untreated gallstones can lead to severe complications like: Acute cholecystitis (gallbladder infection) Pancreatitis (inflammation of the pancreas) Bile duct infections or blockage Gallbladder ruptures (rare emergency) 'In the long run, they can damage internal organs and may require emergency surgery. The good news is, with timely diagnosis, a simple keyhole surgery (laparoscopic cholecystectomy) can remove the gallbladder and prevent complications,' explained Dr Satyanarayana. Treatment and diagnosis options Dr Mandal says that a simple abdominal ultrasound is the most common and reliable method for detecting gallstones. In case of complications, he suggests a CT scan or liver function tests. Estimated test costs in India: Abdominal ultrasound: ₹600–₹1,500 MRCP (Magnetic Resonance Cholangiopancreatography): ₹6,000–₹12,000 LFT (Liver Function Test): ₹500–₹1,000 If gallstones present with symptoms, doctors usually recommend a laparoscopic cholecystectomy - a minimally invasive surgery to remove the gallbladder. Surgery cost: ₹40,000–₹1,00,000, depending on the city and hospital. For those not fit for surgery, medications may be used to dissolve stones, but they take months and are rarely effective for large or multiple stones. Experts emphasise that if you're experiencing unexplained stomach or back pain, especially after meals, it is best not to self-diagnose.
Time of India
28-04-2025
- Politics
- Time of India
Finally, survey begins to identify beneficiaries in pollution-hit TADI village in Visakhapatnam
VISAKHAPATNAM: After years of delay, the Revenue department has started its survey to identify the beneficiaries in pollution-hit Tadi village of Parawada mandal in Anakapalle district. The villagers have been urging the AP government to shift them to a safer place as they are suffering from pharma pollution related diseases. A few decades ago, Tadi village had produced a variety of vegetables and the villagers had supplied the veggies to Vizag city. Now, Tadi village was hit by severe industrial pollution due to the pharmaceutical industrial park adjacent to it. The govt had proposed compensation for relocating, people of Tadi. However, the villagers demanded a resurvey to assess fair compensation and identify all the eligible beneficiaries. Over six years ago, TDP govt had sanctioned Rs57 crore to shift Tadi, China Tadi and Tadi BC Colony residents to Peda Mushidivada. But the proposal to shift the villagers remained on paper only. The AP govt had conducted a survey in the pollution-hit Tadi village in 2017 and identified around 750 beneficiaries. The govt had announced the compensation for only houses and not for the lands in the village. We have been demanding the government to announce relocation of the villagers and announcement of fair compensation and add more beneficiaries. But the successive governments ignored the appeals of villages, said G Satyanarayana, an activist. The survey began a few days ago but the governemnt is yet to issue any order for compensation and relocation of Tadi villagers, he pointed out. Speaking to TOI, Parawada Tehsildar, SV Ambedkar said revenue department teams began the GPS survey in the Tadi village to identify all the beneficiaries. In the previous survey, the revenue department identified more than 700 beneficiaries. The ongoing survey will conclude in the next week and around 200 beneficiaries will add as some youngsters got married while a few more became adults, he added. Once the survey is completed, we will submit the survey report to the Anakapalle district collector. The govt had identified around 64 acres of land Peda Mushidivada for rehabilitation of Tadi villagers and some more land required for the rehabilitation as the number of beneficiaries will increase, he added. The polluted Tadi village has around 800 households with over 2,600 population. We do not have words to describe the pollution caused by the pharma city. We are hoping that the NDA government will consider our long pending demand and will take steps to relocate Tadi village, said Boddapalli Appa Rao, a native of Tadi village. We have been waiting for compensation and relocation from Tadi to a safer place for more than a decade, he added. Key Points Tadi village has around 800 houses with population of 2,600 Most of the villagers of Tadi lost agriculture and lost livelihood. Tadi villages are complaining of air pollution related diseases. Each family spend around Rs1,500 a month for drinking water in Tadi village People in Tadi village lost their livestock and agriculture Tadi, China Tadi and BC Colony are most affected by the pharma pollution The Villagers blame pharma city for failed to create employment 65 acres of land was identified at Peda Mushidivada in the past for relocation of Tadi villagers. As per estimates, more than Rs100 crore was required for the relocation of the Tadi villagers
