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 The second situation is more of a concern as the gallbladder gets contracted when it is diseased, especially when it is inflamed. 2  Gallstones present in gallbladder can cause scars in its inner lining. 3  Scarring causes gallbladder to contract and spasm.4  Often there may be sludge instead of gallstones. Sometimes gallbladder is inflamed due to infection. 2  The condition is called cholecystitis. 3  The most common cause for cholecystitis is gallstones or excess accumulation of sludge. 4  Rarely, but may also result from a growth in gallbladder.