My father has diabetes from last 2 years. Fasting sugar is 202 and after food is 211. Age: 53. He has no other disease. From the last 2 days he is having stomach and back pain. His usg a+b report is as follows: "over distended gall bladder with increased wall thickness and mild pericholecytic edema measuring about 10 mm with lumen filled with small echogenic sludge within the gall bladder. Suggest possibility of calculus cholecystitis. At present he is hospitalized and the doctors are saying he has to undergo an operation to remove the gallbladder asap as it contains stones. Please suggest is it the correct step. Thanks in advance.

Dr. Madhuchhanda PramanikGeneral Physicianyrs exp

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Dear lybrate-user, thanks for reaching out. After thoroughly reading his usg report & the fact that he has diabetes my advice to you is: 1. The doctor's are right to have him undergo operation because if the stones are not removed right away they may further block the bile duct which will lead to jaundice or may go to intestines which can complicate into swelling of whole abdomen with pain vomiting and constipation. May be the doctors will do the operation after the pain and fever decreases or right away depending on the patient condition. 2. Since his blood sugar levels are higher than normal so there in increase in the risk of having infections more than normal person with calculus cholecystitis. 3. Please don't worry about the complications/ cost of the operation because ultimately healthy life is most precious than anything else. Take care.  

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