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.
Types and causes of gallbladder disease include: 1  Gallstones (cholelithiasis) â the most common type of gallbladder disease. 2  Cholecystitis (inflammation of the gallbladder) â caused by a gallstone getting stuck in the cystic duct, the tube that carries bile from the gallbladder. 3  Polyps (growths of tissue in the gallbladder).