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.
One of the most common causes of gallbladder pain is gallstones (also called gallstone disease, or cholelithiasis). Gallstones occur when cholesterol and other substances found in bile form stones. When the stone passes from the gallbladder into the small intestine or become stuck in the biliary duct it can cause pain. This is called biliary colic, otherwise known as a gallbladder attack. Pain in your gallbladder can also be caused when bile backs up into the gallbladder. This causes the gallbladder to swell, and you may feel: 1  pain located in the ride side of your chest blow your rib cage, 2  pain in the back of your right shoulder blade, and.  nausea, vomiting, or gas.