my urine was very dark really brown i told my mother and she said to go to the doctor straight away because it's probably the gall bladder but again it is washington with their color. and ultrasound examination revealed that she had about sixty goldstone's in her gall bladder and it had become inflamed. apparently it had not functioned properly for years. the gallbladder is a sack below the liver that stores bile produced in the liver from the gall bladder the bile travels down the bile ducks into the small intestine where it helps with the digestion of lip it's. but sometimes an imbalance of soluble substances in the bile causes cholesterol and other substances to crystallise forming stones the stones can get stuck in the bile duct and form

a blockage that can cause incredible pain but why does it happen in the first place home when in fact raunch hormones play an important role more women than men are affected and as many as five percent of pregnant women develop or stone this age another factor is overweight it's the most common and most important cause the hope all the lippitt metabolism disorders associated with being overweight often behind cholesterol goldstone's causes the each time. mikaela live had to have her gallbladder removed nowadays it's a standard procedure with laparoscopic surgery also known as keyhole surgery the gallbladder is pulled out through an incision in the navel. it is less risky and less disruptive for the patient than open procedures. one can live a normal life without a gallbladder his removal is often the best treatment for gallstones. nerve assume that once her gallbladder and her stones were. gone that would be the end of the

story. but fourteen years later she started to have sharp abdominal pain at night her doctor suspected she had a stomach ulcer but they could not find one. of the tide marks after my second distress my daughter said mama you're all yellow with the whites of my eyes my skin were all yellow then i realized it had to do with my liver. tests revealed that her liver enzymes were elevated and her bile docs were enlarged and endoscopic ultrasound examination eventually revealed the cause of lives pain three new gall stones hiding in the bile duct blocking it and causing it to stretch. if the bile cannot drain as usual billy reuben in the bile builds up in the blood and causes john dust which turns your skin yellow. the most serious complication is one of cold stone blocks the pancreatic duct so the

pancreas can no longer drain pancreatitis and inflammation of the pancreas can be life threatening. in lives her pancreas was not affected still the doctors acted swiftly to remove the stones they did it with an indescribably inserting a device and camera via the mouth and along the gastrointestinal tract. all is quiet in her ducts again michela lives her life is back to normal but she knows now that gallstones can pop up again at any time whether one has a goal bladder or not. how was it to do with the patient develops new growth goes off to remove. the risk is actually very low after removing all the go better but whose don't care for so really a good look and said to go. because removed first place yes the risk of

developing new goldstone's is inside of the main comment by a doctor and there is a high risk of getting john this or pancreatitis was that the men by a doctor connects to the pancreas and if the stone gets stuck in this area there is a high risk for a puncture otitis it's a quite dangerous situation here that is somewhat life threatening. complication jaundice and pancreatitis and what makes pancreatitis subdue. the pancreas produces digestive juices and if they can get out anywhere they would start to digest the organ itself and how do you treat it as we can stop this process directly we have to remove the stones and then treat the patient in an intensive care unit less room for the patient to surgery ration not to remove the

stones we can use the end of scopic technique we've got a lot of your questions go off towards mental health funding wants to know if she could have inherited this for the go girl stories from her father years from of a mother there is one of the risks to get through to develop goldstone's is a family read history of goldstone's it has depended for a father or mother no there is no difference so if i wanted them to get the girls to. change and lifestyle to. try to prevent obesity in service in respect to this. here's your right this is the main risk factor for getting goldstone's and if i have to be this shouldn't to prevent gingold probably you have already goldstone's but losing weight very fast is also risk factor you need to get in the show to move the goal there and if you put in questions that need to ask or experts you should do right again.

on an upcoming show we'll be taking a look at how to live to be one hundred what can you do to remain healthy and old age if you have any questions on that write to us ad in good shape at v.w. dot com just one hundred years in the subject line we look forward to hearing from you. did you know that grapefruit can kill you at least if you eat it together with the wrong medication this fruit contains substances that can break down medications and if the medication is life supporting you've got a problem and that you know that other food have similar effects. citrus fruit milk yogurt green leafy vegetables and vitamins are good for you and make you strong unless they make you sick which happens under certain circumstances for example when they're not compatible with prescription medications you then need to

make sure not to eat the wrong thing at the wrong time. drugs and food can interact with certain foodstuffs can influence the effectiveness of certain drugs weakening neutralizing or boosting their effect sometimes they produce toxins and cause serious side effects that's what happened to cause that lisa one morning she was suddenly hit by incredible pain. it was in both sides of my groin i just sat there for a while and didn't know what to do i could hardly walk and i couldn't sit up or bend down. get me. blood tests showed her muscles were breaking down the condition called rhabdomyolysis is a rare but very serious side effect of the statens used to lower blood cholesterol for twenty years gleason hadn't had any problems. it's very unlikely that this kind of side effect would suddenly manifest after such a long time there must have been another factor that triggered the reaction.

that other factor was grapefruit two weeks before the pain set in had taken to eating them. i told the doctor i ate one a day he said a whole one and i said yes that's not so much. but in combination with certain meds even one grapefruit can be enough to trigger serious problems. grapefruit contains substances that block certain enzymes in the body. and fortunately those enzymes are needed to break down certain pharmaceuticals so if you eat a grapefruit those enzymes are stopped in their tracks and the effects of the murders are boosted. it's a really big problem because it affects forty percent of all active drug compounds . professor smalley researches the interaction between meds and food

stuffs he says doctors need to tell their patients about the issues. but calcium in dairy products for example binds with a certain class of antibiotics and prevents their absorption in the gut the same is true for certain osteoporosis medications patients shouldn't consume dairy for several hours before or after taking them. patients with osteoporosis should consume a lot of calcium so they often eat a lot of dairy and then they take their osteoporosis medication with the dairy that's exactly the combination that stops those meds from working. in that song. this medication should also not be taken with carbonated mineral water but with tap water. letterman and mineral supplements can also diminish the effectiveness of some meds green tea regular tea and coffee can also be problematic in this regard

professor smalley shows us why. he puts a couple of drops of an antidepressant into a glass of tea try cyclicality depressants bind with the tannins in the tea that reduces the amount of medication absorbed by by the.