Alan may have gastritis or a peptic ulcer, as suggested by the sharp pain in his stomach when he drinks wine (a stimulator of gastric acid secretion). The lack of fever and the normal white blood cell count suggest that the inflammation associated with appendicitis is absent. The yellowing of the sclera indicates jaundice, and this symptom—together with the prolonged clotting time—could be caused by liver disease. However, liver disease would elevate the blood levels of free biliru-
bin, which were found to be normal. The normal levels of urea and ammonia in the blood likewise suggest normal liver function. Similarly, the normal pancreatic amylase levels suggest that the pancreas is not affected.
Alan's symptoms are most likely due to the presence of gallstones. Gallstones could obstruct the normal flow of bile, and thus prevent normal fat digestion. This would explain the fatty stools. The resulting loss of dietary fat could cause a deficiency in vitamin K, which is a fat-soluble vitamin required for the production of a number of clotting factors (chapter 13)—hence, the prolonged clotting time. The pain would be provoked by oily or fatty foods (peanut butter and bacon), which trigger a reflex contraction of the gallbladder once the fat arrives in the duodenum. Contraction of the gallbladder against an obstructed cystic duct or common bile duct often produces a severe referred pain below the right scapula.
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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.