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Do cholelithiasis treatment options include medicines?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother recently had an ultrasound. The report mentions that her gallbladder is normally distended with normal wall thickness, but multiple tiny gallstones are present. The CBD is normal in caliber, and no intraluminal stones were seen.

The impression states:

  • Cholelithiasis.

  • Hepatomegaly with moderate fatty changes in the liver.

I would like to know if this condition can be managed with medicines or if surgery is necessary. Please advise.

Thank you.

Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Cholelithiasis or gallstones are very common. It is something you should not lose sleep over. However, I would like to know why your mother underwent an ultrasound. Did she have pain or post-meal dyspepsia? Whilst this condition cannot be treated with medicines, there is no reason to get it surgically removed immediately unless she is suffering from regular pain, is a known case of diabetes, or the stones have migrated to the CBD.

That being said, it is always best to get it removed after discussing the risk Vs benefit of the surgery with your doctor. Kindly update me on any other medical conditions your mother is suffering from, and I will be happy to guide you further.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Investigations to be done

Investigations to be done are liver function test.

Preventive measures

Preventive measures include nonspicy and nongreasy meals.
Medically reviewed by Dr. Divya Banu M
Published At May 9, 2019
Reviewed At December 12, 2025

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

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