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.
Symptoms of gall bladder dysfunction can vary and include: 1  Pain in the abdomen or the right shoulder. 2  Pain accompanied with nausea and vomiting. 3  Pain that is triggered by eating fatty foods.4  Pain and tenderness under the ribs on the right side, sometimes with a fever.5  Pain that gets worse with coughing.all bladder disease and gallstones have become increasingly common and are directly linked to a Standard American Diet full of sugar and processed foods. Certain factors put you at risk for developing gall bladder disease, including 1  : Age. 2  People over the age of 60 often have gall bladder disease.