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Cholelithiasis (gallstones) (Nutritional consequences (Electrolyte…
Cholelithiasis (gallstones)
What is it?
Solidification of the contents of the gall bladder
Cholesterol stones
Bilirubin stones
Aetiology
Usually - increased production/turnover of cholesterol
Rapid wt loss
Oestrogen
Diabetes
Genetics
Overweight/obesity
Pigmentation
Cirrhosis
Blood disease
Nutritional consequences
Electrolyte imbalances
Poor absorption of drugs
Malabsorption/maldigestion of fat
Symptom Mgt
Post-op
Reintroduce fats gradually
Whole grains
Avoid fasting and rapid wt loss
Limit fat intake for several months
Regular cholesterol checks
Dietary intervention to < stimulation of GB to < gallstones
High fibre
Low fat diet (<10g)
Nutritionally Impacted Symptoms
Sudden/rapid intensifying abdo pain
N & V
Asymptomatic until causing a blockage