IPV is highly effective in preventing paralytic disease caused by all three types of poliovirus. Recommended use An increasing number of industrialized, polio-free countries are using IPV as the vaccine of choice.
WHAT CAUSES A GALLBLADDER ATTACK The pain can come from a stone making its way down the biliary duct or bile tube toward the duodenum of the small intestine. It can also be caused by a back up of bile in the gallbladder (with or without stones) that causes it to swell from fullness causing discomfort.
Gallstones form in the gallbladder due mainly to dietary or hormonal imbalances, but also from liver and gallbladder disease. When stones get caught in the bile ducts leading to the intestine, this prevents the release of bile and triggers inflammation and diffuse pain. Stabbing and/or burning upper abdominal pain, nausea, vomiting and belching are common symptoms of a gallbladder attack.