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Asked Questions about gallstones
2. Where do gallstones form?
3. Why do gallstones form?
4. How do I know if I have
5. Can I have gallstones even if
the X-ray or ultrasound is negative?
Frequently Asked Questions
about gallbladder removal
are the risks of gallbladder surgery?
2. What are the
symptoms of a complicated gallbladder surgery?
are the consequences
and long-term side effects of gallbladder removal?
4. Can gallstones come
back after gallbladder removal?
5. What can I do about
gallstones which recur after gallbladder removal?
6. How does the cleanse
help a person with no gallbladder?
Asked Questions about the treatment
1. How does
the flush work?
2. How do I know the "stones" in my
stool are real?
3. Can the gallbladder hold so many
4. Why do the stones float?
5. Why are the stones soft?
6. How can large stones pass through
the narrow bile ducts?
7. How many times do I need to take
8. What are the side effects of this
9. No stones in my ultrasound - will
stones appear if I take the treatment?
to FAQ about gallstones
Q1. What are gallstones?
Gallstones are lumps of hardened bile containing cholesterol
(which needs to be eliminated), bile pigments (dead red blood cells),
bile salts, calcium salts, and excretory elements from the breakdown of
toxins and other chemicals. Physical properties like hardness and color
may vary according to the proportions of each content. In rare cases,a
gallstone can be formed by dead parasites like roundworms or liver
Q2. Where do gallstones form?
Gallstones can form anywhere along the biliary tract where bile is
present - in the gallbladder, in the various bile ducts, and in the
Q3. Why do gallstones form?
Gallstones form when chemical imbalances cause the cholesterol in
the bile to become less soluble and to crystallize. These chemical
imbalances could be due to a poor diet, an unhealthy liver, excessive
drugs and ingested chemicals, stagnant bile, or simply the individual's
Q4. How do I know if I have
Ultrasound scanning is the most common method used to detect
gallstones. Gallstones are often discovered unintentionally during
scans or X-rays for other concerns. They may exist for many years
without notice if they remain in the gallbladder. In autopsies,
examiners often find gallbladders filled with stones although the
deceased never complained about them.
Gallstones cause severe upper abdominal pain when they pass from the
gallbladder into the cystic duct or from the liver into the hepatic
duct, and then into the common bile duct. The pain can radiate to the
back, the shoulders and even the back of the neck. When they block the
flow of bile, the bile and its toxins back up into the liver and seeps
into the bloodstream, causing jaundice.
Q5. Can I have gallstones
even if the X-ray or ultrasound is negative?
Yes. The major component of most gallstones is cholesterol which is not
radio-opaque. This explains why many gallstones do not show up on a
plain X-ray; only stones with high calcium content are radio-opaque and
Ultrasound scans have a better chance of detecting gallstones, but may
- stones in the bile ducts.
- stones in the liver.
- stones fully packed in the
gallbladder. Unlike the hollow gallbladder, the packed gallbladder and
the liver are both denser organs which reflect sound waves off their
outer surface instead of the stones.
- stones in a gallbladder surrounded
by excess fatty tissue which blocks the sound waves. In a study by
Massachusetts General Hospital in Boston, the diagnostic test most
frequently compromised by excess fat was abdominal ultrasound. In other
words, too much fat can produce a false negative result.
FAQ about gallbladder removal
an upper abdominal ultrasound image of a 197.7kg patient.
Right: an image
produced by the same device on a normal-weight person.
All the above conditions are easily mistaken as an absence of
gallstones, despite strong symptoms of gallstone colic.
Q1. What are the
risks of gallbladder surgery?
Getting a good surgeon is extremely important.
A punctured bile duct or a poorly clipped cystic duct can cause bile to
leak and poison the adjacent organs. A punctured bowel can release
excrement into the pelvic area. In both cases, pus will develop in the
infected areas, leading to organ failure and a painful death if not
Nicking the common bile duct can cause it to scar, become narrow, and
block the flow of bile, resulting in jaundice and liver congestion.
Cholangitis, or inflammation of the bile ducts may develop due to
bacterial infection of the stagnant bile.
Q2. What are the
symptoms of a complicated gallbladder surgery?
At first, patients may only feel unwell and
vaguely uncomfortable, but gradually they will experience severe pain
in the abdomen. Breathing difficulties shortly after surgery is a
sign of bile leakage. Discharging a patient with these symptoms is
Unfortunately, jaundice caused by a scarred bile duct does not appear
immediately, and the patient is sent home with a condition waiting to
erupt. It takes a few days for the stagnant bile to back up into
the bloodstream and show up as yellow discoloration of the skin.
If reparative surgery is deemed necessary, it is advisable to request
to be transferred to a tertiary referral center with more experienced
Q3. What are the
consequences and long-term side effects of gallbladder removal?
After successful removal of the gallbladder, the body loses its ability
to store and regulate bile. Immediate consequences would be felt in the
system, for example chronic diarrhea or indigestion when you eat fatty
or oily foods. Some people avoid dining in restaurants for fear of
inconvenience and embarrassment. To be fair, there are also people who
have no complaints after gallbladder removal.
When bile is thin, it flows easily but there is no gallbladder for
storage, so it constantly drips into the duodenum even when no food is
present. This irritates the intestinal walls, causing diarrhea in the
short-term, and other intestinal problems in the long-term.
In some people, bile is thick and does not flow easily but there is no
gallbladder to squirt enough of it into the duodenum even when food is
This causes indigestion and constipation (insufficient peristalsis and
lubrication) in the short-term, and the more serious liver congestion
in the long-term. Stagnant bile which used to be stored in the
gallbladder may crystallize into stones in the bile ducts and liver.
Can gallstones come back after gallbladder removal?
Yes, because removing the gallbladder does not address the cause of the
problem. The liver continues to produce the same unhealthy bile that
previously hardened into stones in the gallbladder. Gallstones can
form in the various bile ducts and in the liver to give you that "same
old feeling". Unfortunately, some people have been told that it is due
to stress or just their imagination!
What can I do about gallstones which recur after gallbladder removal?
You need to change your diet. Get to know the foods which give you
diarrhea or indigestion, and the foods which don't. Eat according to
what your body will allow. In general, avoid fatty foods, deep-fried
foods, and high cholesterol foods like eggs and meat. Eat a high-fiber
diet which includes vegetables, beans, fruits, and cereals.
Needless to say, you can also do the gallstone flush periodically to
get rid of the stones in the bile ducts and liver, and ease
the general feeling of discomfort.
How does the cleanse help a person with no gallbladder?
It stimulates the liver to flood the biliary tract with a large volume
of bile. Even if your gallbladder has been removed, the pressure from
the overflow of bile is enough to push stones, stagnant bile, and
toxins from the liver and bile ducts, into the intestines and out with
bowel movement. You will feel much better after the treatment.
to FAQ about the treatment
Q1. How does the flush work?
The treatment triggers a dramatic jump in liver and gallbladder
activity, causing the liver to produce an extreme amount of bile, and
the gallbladder to contract vigorously. The sudden surge of fresh
unsaturated bile softens the cholesterol stones, lubricates the ducts,
and forces out the stones with help from the gallbladder acting as a
pump. The gallstones are literally "squirted" out into the intestines
as the body reacts to the treatment.
How do I know the "stones" in my stool are real?
To put this argument to rest, just take the stones to a reliable
laboratory for analysis. You will find the results consistent with
gallstone content - cholesterol, bile pigment, bile salts and other
trace elements. Alternatively, scan your gallbladder after a few
flushes and compare the images before and after. More importantly,
watch for improvements in your symptoms, overall health and general
Can the gallbladder hold so many stones?
Depending on the size of the stones, the gallbladder can contain up to
thousands of small stones. The huge number of stones you see after the
flush may also come from the liver, which is a much larger organ.
Why do the stones float?
They float because the major component of most gallstones is
cholesterol, which has a lower specific gravity compared to water. In
rare cases, calcified stones which are denser than water will sink.
Why are the stones soft?
Flushed stones are relatively softer than surgically removed stones
because the large amount of bile produced during the flush dissolves
the cholesterol stones to a certain degree, like a partial reversal of
the gallstone forming process. Again in rare cases, flushed stones with
high calcium content can be quite hard.
How can large stones pass through the narrow bile ducts?
An ultrasound scan cannot distinguish between a single large stone in
the gallbladder, and multiple stones positioned close to each other. In
the case of large cholesterol stones, repeated flushes can soften
and gradually dissolve them until they are small enough to pass through
the elastic bile ducts. Nature has similar examples where a large
object goes through a narrow passage - a snake swallowing a meal larger
than its head, or a mother giving birth to her child.
How many times do I need to take the treatment?
Several rounds of treatment are usually required to clear up the
gallbladder. Individual results may vary - some are clean after 2
rounds, while one particular customer took a record 10 rounds to clear
up her gallbladder. If your gallstones have been confirmed by
ultrasound scan, simply repeat the treatment until no more stones are
passed, then scan again to compare the images before and after
What are the side effects of this remedy?
The term "side effects" is associated with prescription drugs which
produce new problems in the process of suppressing the original
symptoms. On the other hand, the discomfort caused by this remedy is
only temporary, until you pass the stones out. Some of our customers do
not feel any discomfort other than the urge to stool.
About 4 hours after taking the remedy, you may feel slightly
uncomfortable around the abdomen. Among other experiences are:
dizziness, nausea, headache, fever, or cold sweat. A few of our
customers describe a feeling of "things" moving in the abdomen. Do not
be afraid, the treatment is doing its work.
No stones in my ultrasound - will stones appear if I take
Yes, if the stones in the gallbladder have been missed, or if the
stones come from the liver and the various bile ducts.