Medications for Gallstones
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Medications for Gallstones presented in simple easy to understand language
Oral
Dissolution Therapy
It is possible to dissolve some of the cholesterol gallstones with
oral medication. The medication is a naturally occurring bile acid
called ursodeoxycholic acid or ursodiol. It reduces the amount of
cholesterol secreted in bile. The side-effect of drug therapy is mild
diarrhoea.
Ursodiol is only effective for cholesterol gallstones and not pigment
gallstones. It works only for small gallstones, less than 1.5 cm. in
diameter and it also takes1-2 years for the gallstones to dissolve.
Gallstones may form again following the cessation of treatment. Due to
these limitations, ursodiol generally is used only in individuals with
smaller gallstones that are likely to have very high cholesterol
content and who are at high risk for surgery because of ill health.
Extracorporeal Shock-Wave Lithotripsy (ESWL)
ESWL is especially effective for stones that are lodged in the bile
ducts. ESWL generators produce shock waves that are focused on the
gallstone and break it. The resulting pieces of gallstone either drain
into the intestine on their own or are extracted endoscopically.
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