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.
1 Gallstones (cholelithiasis): For unclear reasons, substances in bile can crystallize in the gallbladder, forming gallstones. 2  Common and usually harmless, gallstones can sometimes cause pain, nausea, or inflammation. 3  Cholecystitis: Inflammation of the gallbladder, often due to a gallstone in the gallbladder. Cholecystitis: Inflammation of the gallbladder, often due to a gallstone in the gallbladder. 2  Cholecystitis causes severe pain and fever, and can require surgery when inflammation continues or recurs. 3  Gallbladder cancer: Although rare, cancer can affect the gallbladder.