The Gallstone Elimination Report

Gallstone Natural Solutions

Gallstones are the most popular cause of gallbladder problems. While doctors often tell gallstone sufferers to remove gallbladder to treat their condition, David Smith, a natural health researcher, found another extremely-effective option called The Gallstone Elimination Report. The Gallstone Elimination Report will give you the info and tools that you need to live a gallstone-free and healthy life. Inside the e-book, you will learn the simple steps that you must take to pass your gallstones, the 3 ordinary items that can dissolve your gallstones within 24 hours, natural remedies for healing your gallbladder and improving your digestion. Using this step-by-step and comprehensive guide, users will get to know how to get rid of gallstones in 24 hours or less, without drugs, surgery, or pain. This method is safe and very affordable also. Continue reading...

The Gallstone Elimination Report Summary


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Author: David Smith
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Gallstone Natural Solution Review

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I usually find books written on this category hard to understand and full of jargon. But the author was capable of presenting advanced techniques in an extremely easy to understand language.

This e-book served its purpose to the maximum level. I am glad that I purchased it. If you are interested in this field, this is a must have.

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Gallbladder Disease

Gallstones and inflammation of the gallbladder, which rarely happens without the presence of gallstones, are most common in women. Pain felt in the upper-right quarter of the abdomen, then often moving to the back, is frequently the result of a stone blocking the bile duct. Stones are formed when there is an excess of cholesterol in the bile or a deficiency of substances such as lecithin needed to disperse the fat. Gallstones are primarily composed of cholesterol that crystalizes and hardens into stones ranging from the size of tiny seeds to one inch in diameter. They are formed usually as a result of too much saturated fat and cholesterol in the diet, and it is recommended that consumption of saturated fats be reduced and cholesterol containing foods kept at 300 mg daily. Too much sugar and too little fiber in the diet have been shown in studies to promote gallbladder attacks. Coffee, regular or decaffeinated, stimulates gallbladder contractions and can bring on an attack. Skipping...

The Obesity Epedemic in America

The significance of overweight or obese BMI is that it correlates with an increased relative risk for developing chronic diseases and cancers. The data from a 10-year follow-up of the combined Nurses' Health Study and the Physician's Health Professionals Follow-Up Study show men and women who are overweight, compared to a normal BMI of 18 to 24.9, are more likely to develop gallstones, hypertension, high cholesterol, and heart disease. The relative risk (RR) for developing diabetes of an individual with a BMI 35 or greater is 20 times greater than for someone with a normal BMI 18 . The American Heart Association's scientific statement on obesity as an independent risk factor for heart disease states obesity not only relates to but independently predicts coronary atherosclerosis 19 . The relative risk (RR) of cardiovascular death increases with BMI. A BMI of 19 to 21.9 has an RR of 1, and a BMI > 32 has a RR over 3 20 .

Fibric acid derivatives

Raise HDL levels by up to 20 percent, and reduce LDL levels by approximately 5 to 15 percent.Gemfibrozil (Lopid) is particularly useful in patients with diabetes and familial dysbetalipoproteinemia. 2. Side effects of gemfibrozil include nausea, bloating, flatulence, abdominal distress and mild liver-function abnormalities. Myositis, gallstones and elevation of the LDL cholesterol level have also been reported. Fibrates should generally not be used with HMG-CoA reductase inhibitors because the risk of severe myopathy.

Clinical features

Tumours associated with overt ZES differ from their apparently nonfunctioning counterpart in arising earlier in life and having a higher incidence of metastatic and non-bulbar cases 1780 . Argentaffin, serotonin-producing, carci-noids are unusual in the upper small intestine. It follows that duodenal carci-noids only exceptionally give rise to a clinical carcinoid syndrome, associated with liver metastases of the tumour 233, 1816 . In none of the cases of somato-statin-cell tumours, so far reported, did the patients develop the full 'somato-statinoma' syndrome (diabetes mellitus, diarrhoea, steatorrhoea, hypo- or achlor-hydria, anaemia and gallstones) that has been described in association with some pancreatic somatostatin-cell tumours 1780 .

Diagnosis of the etiological factor impact on recurrences

A causal factor should be sought (Table.1). Because of the immediate therapeutic implication of calculus impaction and total prevention of further attacks after removal of stones from the biliary tree, early detection is mandatory. Up to 20 per cent of apparently alcohol-related attacks occur in patients who also have gallstones. Female gender, age (> 50 years), and early increases (within 48 h of the onset of symptoms) in serum alanine aminotransferase above 100 IU l, alkaline phosphatase above 300 IU l, and bilirubin above 40 mmol l (2.3 mg dl) predict the presence of stones in 70 to 90 per cent of patients with gallstone-associated pancreatitis. Plain abdominal radiography reveals stones in up to 15 per cent of cases however, when the gallbladder is outlined, stones are accurately detected by ultrasonography in over 90 per cent of cases. As overlying bowel gas precludes satisfactory evaluation in 20 to 30 per cent, the overall sensitivity for early ultrasound examination...

Cholesterol And Toxins

It is also of interest to note that Simon and Hudes found that gallstones are only half as common in women with high blood levels of vitamin C as they are in women with moderate blood levels of vitamin C.24 Since vitamin C is highly effective in neutralizing the toxicity from many different sources, it is not surprising that the same unneutralized toxins that can cause cancer can also promote other chronic degenerative diseases, such as gallbladder disease.

Function tests should be obtained in any symptomatic child or

Cholestasis or gallstone formation can be seen. Liver disease associated with CF can progress to cirrhosis. About one quarter of patients with CF have liver involvement therefore, all patients need screening laboratory evaluations. Treatment with ursodeoxycholic acid seems to improve cholestasis but may not influence natural progression of disease.

Pathophysiology of sickling

Sickle cell disease presents a wide spectrum of pathology. Hemolytic aspects include the problems of rapid red cell destruction, anemia, jaundice, pigment gallstones and those associated with the compensatory bone marrow response such as aplastic crisis, increased requirements of folic acid, and an increased metabolic rate. The consequences of vaso-occlusion are generally more serious and depend upon the vessels affected, but may include stroke, retinal problems, splenic abnormalities, including acute and chronic sequestration and the loss of normal splenic function rendering patients prone to overwhelming septicemia, pulmonary problems including infection, infarction, and pulmonary sequestration, and damage to the bone marrow resulting in the painful crisis, localized avascular necrosis of bones, and involvement of the femoral head.

Postoperative management

Patients with homozygous sickle cell disease are prone to a variety of complications requiring surgery such as hypersplenism, gallbladder disease, avascular necrosis of the femoral head, and osteomyelitis. Perioperative transfusion has become common practice without evidence of a beneficial effect over patients managed without transfusion. A recent study of preoperative transfusion showed no difference other than in transfusion-related complications between a group of patients aggressively managed by lowering the HbS level to below 30 per cent and a more conservative approach raising the hemoglobin level to 10 g dl.

Tumours of the gall bladder

In Western countries, the annual incidence is 1-1.5 100 000, with women affected twice as often as men because of their increased predisposition to gallstones, the most important aetiological factor. The risk of gall bladder cancer is 1 , 20 years after diagnosis of cholelithiasis. Endemic peaks are observed in some populations of Chile and in some native American tribes with a very high prevalence of gallstones. Gall bladder polyps may degenerate and, if larger than 10 mm, should be removed by laparoscopic cholecystec-tomy.

Mode of spread and clinical presentation

Two modes of presentation are common. During cholecystectomy for gallstones (approximately 1 of cholecystectomies) either a small, non-penetrating mass is found on examination of the resected specimen or an obvious mass is seen penetrating the gall bladder wall. Alternatively, patients present with obstructive jaundice, abdominal pain, and a mass in the right upper quadrant either the tumour itself or lymph node metastases.

Clinical presentation

Over 10 per cent have ascites, and this correlates with increased liver dysfunction. Because HELLP may occur in the absence of the usual clinical findings of pre-eclampsia, a non-obstetric diagnosis such as hepatitis, gastroenteritis, or gallbladder disease is often made.

Hyaline Replacement Amyloid of Islets of Langerhans

After gastrectomy, patients often experience such complications as the dumping syndrome, gallstones, and malabsorption. These patients cannot adequately process a glucose load 23 indeed, gastric surgery is a well-recognized cause of impaired glucose tolerance 24 . Alterations in glucose metabolism after partial gastrectomy, with a rapid increase and high peak concentration of glucose, are due in large measure to an increased rate of gastric emptying and, consequently, to an increased rate of intestinal absorption 25 .

Pitfalls In Image Interpretation

Nasal Turbinates Dogs

Patients should also not be exceedingly obese and should not have a large amount of metallic material located adjacent to any portion of the urinary tract, because these situations can result in the production of extensive artifacts. A number of other high attenuation structures can also interfere with the interpretation of 3-D reconstructions. Overlying calcification (such as gallstones) can be mistaken for renal or ureteral calculi on 3-D images. If patients are mistakenly asked to ingest oral contrast material (which should not be administered to patients undergoing CTU), it may also interfere with the assessment of the urinary tract on subsequently created 3-D images.

Distribution of Pancreatic Fibrosis


The distribution of fibrosis mostly corresponds to or is based on individual causes, as shown in table 1. Pancreatic fibrosis or chronic pancreatitis due to pancreatic duct obstruction is known as chronic obstructive pancreatitis (COP), which is characterized by both inter- and intralobular fibrosis and lobular acinar atrophy. Autoimmune pancreatitis (AIP), recently a focus of attention, shows a similar fibrosis pattern to COP, except that it is accompanied by marked lymphoplasmacytic infiltration 8 . Fibrosis due to biliary diseases such as gallstones or choledochal cysts is distributed in the interlobular and periductal areas 9 . Fibrosis after acute pancreatitis includes surrounding areas of both necrosis and lobules the latter is called perilobular fibrosis 4 . Fibrosis in hemochromatosis or severe hemosiderosis is found in diffuse intralobular and periinsular areas 6 . However, as for chronic alcohol abuse, which is the most common cause of pancreatic fibrosis, it remains...

Sphincter of Oddi Dysfunction

However, this pain is not actually caused by gallstones but instead a motility disorder with spasms of the sphincter of Oddi. By definition, an ultrasound would not show gallstones. In fact, the majority of these patients have already undergone a cholecystectomy, either for gallstones or suspected microlithiasis, before the diagnosis of SOD is seriously considered. When suspected, liver function tests should be checked in the midst of an episode. Abnormal aspartate aminotransferase and alanine aminotransferase during episodes of pain, which later normalize, are highly suggestive in the appropriate clinical setting of SOD (assuming the patient has already undergone cholecystectomy). Abdominal ultrasound should be obtained, because a dilated common bile duct is also suggestive. An additional helpful noninvasive test is a hepatobiliary scan, which may show delay in emptying of the nuclear tracer into the duodenum. The most definitive diagnosis is established with biliary...

Pancreatic Enzyme Supplements

More recently there have been anecdotal case reports of fibrosing colonopathy in two adult patients receiving pancreatic enzyme supplements (Hausler et al, 1998 Bansi et al, 2000). The first was of a 25-year-old woman who developed symptomatic fibrosing colonopathy several months after beginning high-dose (17 000 units lipase per kg per day) pancreatic enzyme therapy (Hausler et al., 1998). The second involved a woman in her late 20s who had undergone cholecystectomy for gallstone disease followed thereafter by endoscopic management of common bile duct stones (Bansi et al., 2000). She later underwent a pylorus-preserving pancreaticoduo-denectomy and in the subsequent seven years received large amounts of pancreatic enzyme supplements. After developing a large bowel obstruction, a right hemicolectomy was undertaken and fibrosing colonopathy of the ascending colon and caecum was confirmed by histology.

Conservative management

Percutaneous peritoneal lavage, thoracic duct drainage, and endoscopic retrograde cholangiopancreatography (ERCP) with emergent papillotomy for acute gallstone pancreatitis and impacted ampullary stones. impedes progression toward pancreatic necrosis. Although this procedure is achieved at no risk of exacerbating the disease process, hemorrhage, or pseudocyst formation, it still carries a substantial risk of introducing bacteria into necrotic areas. Thus it should not be considered routinely in severe gallstone pancreatitis, but only when signs of cholangitis develop or when suspicion of stone impaction arises on clinical, biochemical, and ultrasonic grounds in a patient not responding to ICU therapy. Alternatively, temporary relief from cholangitis may be obtained by percutaneous or nasobiliary drainage of the biliary tree. As the stone is impacted in the ampulla for some time in more than 60 per cent of patients during the first 48 to 72 h of the attack, some authors have advocated...

Gallbladder carcinoma

Papillary Adenocarcinoma Gallbladder

The incidence of gallbladder cancer is higher in patients with gallstones than in patients without stones 35 , and stones are present in over 80 of gallbladder carcinomas. The incidence of gallbladder carcinoma parallels that of gallstones, being more frequent in females and in certain ethnic groups, e.g. Native Americans, who have a high incidence of stones. Nevertheless, although gall stones are considered a risk factor, the overall incidence of carcinoma of the gallbladder in patients with cholelithiasis is less than 0.2 this percentage varies with race, sex, and length of exposure to the stones 35 . While some authors have reported a correlation between gallstone size and the risk of cancer, others have not found such a correlation 35 . Abnormal choledochopancreatic junction. Data largely reported from Japan indicate an association between gallbladder cancer and an abnormal junction of the pancreatic and common bile ducts 1248 . Normally, the main pancreatic duct and...

Pathophysiology of local complications of severe acute pancreatitis

Acute pseudocyst develops in 10 to 20 per cent of patients with severe acute pancreatitis. It is more common in alcoholic pancreatitis, but hemorrhage and infection are more likely to complicate cysts associated with gallstones. In contrast with pancreatic fluid, collections which represent a mixture of inflammatory exudate, necrotic tissue, and blood, an acute pseudocyst consists of an effusion of pancreatic juice rich in amylase that lacks an epithelial lining and has gradually become enclosed by fibrous walls over a period of 4 to 6 weeks. About 50 per cent disappear spontaneously within 1 to 2 months. Pancreaticopleural or pancreaticopericardial fistula or, more commonly, pancreatic ascites may ensue if rupture occurs. This peritoneal exudate is a major pool of pancreatic enzymes and a potential source of toxic substances. About 30 to 50 per cent become secondarily symptomatic via infection, adjacent extrinsic organ compression, or bleeding.


Uric Acid Stones

Figure 1 Uric acid stones (A) CT SPR image obtained at 80 kVp and 300mA reveals no opaque renal stones. A large calcified gallstone (arrow) projects over the right-upper quadrant of the abdomen. (B) Unenhanced CT scans demonstrate a 2 cm stone in the right renal pelvis and a tiny caliceal tip renal stone. (C) Renal pelvic stone appears as a filling defect (arrow) on the bone window setting of the pyelographic phase image of a subsequently performed enhanced CT. (D) CT SPR image obtained eight minutes after intravenous contrast administration shows the large uric acid stone as a filling defect (large arrow) in the right renal pelvis (calcified gallstone, small arrow). Abbreviations CT, computed tomography SPR, scanned projection radiography. Figure 1 Uric acid stones (A) CT SPR image obtained at 80 kVp and 300mA reveals no opaque renal stones. A large calcified gallstone (arrow) projects over the right-upper quadrant of the abdomen. (B) Unenhanced CT scans demonstrate a 2 cm stone in...

Other causes

Hemobilia, i.e. bleeding into the biliary tree or pancreatic duct, presents most commonly as upper gastrointestinal hemorrhage associated with right upper-quadrant abdominal pain and jaundice. The pain is steady and severe. Since trauma is one of the most common causes of hemobilia, patients should be asked about previous episodes of blunt injury to the right lower chest, and procedures such as percutaneous biopsy of the liver, cholangiopancreatography, or Oddi sphincterotomy that they may have undergone in the previous 4 to 6 weeks. Some cases result from injuries to the common bile duct by gallstones or by rupture of a hepatic artery aneurysm into the ductal system. Endoscopy may show blood emerging from the ampulla of Vater, but angiography is probably most diagnostic and may also provide the best therapeutic vehicle by allowing fluoroscopic embolization of the bleeding vessel.

Prognostic systems

Ranson and Imrie used clinical and laboratory criteria to provide early classifications of pancreatic damage ( Tabled). The high proportion of alcoholic patients in the original studies produced misleading results with regard to those with a gallstone etiology. This shortcoming led to slight modifications to extend accuracy however, the poor specificity of Ranson scoring and the limited sensitivity of the Imrie system impair their practical value for early assessment of acute pancreatitis. In addition, laboratory data collection is often incomplete or takes 48 h to obtain, thereby introducing potential errors or delaying effective management of ongoing complications. As these systems only include early data, they may be valuable in identifying those who will benefit most from early intensive care. However, acute pancreatitis is a dynamic process although these systems correlate with the extent of necrosis and with the likelihood of abscess and death, they do not enable accurate...


Cholesterol A fat-related compound. It is a normal constituent of bile and a principal constituent of gallstones. In body metabolism cholesterol is important as a precursor of various steroid hormones such as sex hormones and adrenal corticoids. Cholesterol is synthesized by the liver. It is widely distributed in nature, especially in animal tissue such as glandular meats and egg yolk.

Adrenal Gland

Isg Sagittal

Adrenal carcinoma. (A) Axial T2-weighted breath-hold half Fourier single-shot fast spin-echo image shows 8-cm mass in the right adrenal gland (large arrow). There are gallstones (small arrows). (B) Axial T1-weighted gradient echo image with fat suppression obtained after gadolinium intravenous contrast material shows enhancement of the adrenal mass. (C) Coronal T1-weighted gradient echo image with fat suppression obtained after gadolinium intravenous contrast agent injection shows the mass clearly above the right kidney (arrow), displacing the right kidney medially and laterally.

Hormonal agents

Medroxyprogesterone acetate is the primary hormonal agent that has been used in the United States, since initially reported by Heller et al.(56> Its effect results from the acceleration of testosterone-A-reductase in the liver which accelerates testosterone metabolism and thereby reduces testosterone levels. Medroxyprogesterone acetate also reduces plasma testosterone through the pituitary axis. It is not an antiandrogen. Significant side-effects have included liver damage, fatigue, weight gain, hot and cold flushes, headaches, gallbladder disease, diabetes, and thrombophlebitis. Historically, the dose was 300 to 400 mg of the injectable form of medroxyprogesterone acetate, but in recent years lower doses have been found to be equally effective without causing so many side-effects that the medication is discontinued by the paraphiliac. An alternative to injectable medroxyprogesterone acetate can be administered orally. Generally doses of less than 200 mg daily by mouth are effective...

Prader Willi syndrome

The majority of the affected children have mild to moderate degree of mental retardation and some have severe mental retardation or a borderline intelligence. In the initial preobesity phase, affected babies are usually limp, sleepy, unresponsive, and present typically with a narrowed bifrontal diameter, a triangle-shaped mouth, strabismus, and acromicria. Feeding difficulties in the form of absence of swallowing and sucking reflexes are common at this stage. Usually between age 1 and 4 years these children gradually develop hyperphagia caused either by persistent hunger or a decreased perception of satiety. This eventually leads to gross obesity. These subjects also manifest developmental delay and limited sexual function due to hypogenitalism. Precocious puberty or premature sexual maturation may affect some subjects. Abnormal secondary sex characteristics such as micropenis and cryptorchidism in males and amenorrhoea in females are common. Other associated features in Prader-Willi...

Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

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