GAPPS causes many small bumps, called polyps, to form on the inside lining of the stomach. Thank you, Ted I'm on my way to a healthy stomach, been suffering for too long. In fact, you may have stomach polyps without ever knowing it. Many GI doctors don't test to see if too little acid is in the gut to properly digest food. The prevalence and risk factors of gastric polyp in asymptomatic patients receiving health examination. According to the American Cancer Society, An adenoma is a polyp made up of tissue that looks much like the normal lining of your colon, although it is different in several important ways when it is looked at under the microscope. (5) Its estimated that two-thirds of colon polyps are the precancerous type called adenomas, and that only about 5 percent of adenomas progress to cancer. Treat calcium and vitamin D deficiency by eating calcium-rich foods and exposing your skin to sunlight. While there are different types of gastric polyps, the treatment regimen for stomach polyps remains the same. Causes And Symptoms Of Gastric Polyps. Normal stools can vary in shades of brown, mostly due to your diet. I decided to visit the doctor to get answers. If the mucus layer is. Some steps you can take to reduce inflammation and improve digestive health include: To help control inflammation. BeingAfrican-American (African-American are also at higher risk of developing colon cancer). If you have stomach polyps, seek care from an expert for the best treatment. Who made the nattokinase enzyme and what is the milligram and how many do you have to take in a day. If you are ready to make an appointment, select a button on the right. The best ones in this area is 2 tablespoon of lemon juice plus 1/2 teaspoon of baking soda in 1/2 glass of water two times a day. GHPs can form in people with histories of inflammation or infection in the stomach. For fundic gland polyps caused by proton pump inhibitors, simply switching to another type of antiacid may make the polyps go away. My boyfriend has a syndrome called Muir-Torre. Sariray, I also have .9mm gallbladder polyps and doctor recommend to remove my gallbladder. Learn about symptoms, complications, and more. A gastric polyp is a growth that develops in the lining of the stomach. Diatomaceous earth consists of fossilized remains of diatoms, a type of hard-shelled algae. Polyps can be removed in several ways, such as witha wire loop (polypectomy) or a liquid that is injected into the tissue surrounding the polyp to make it separate. The risk of cancer with adenomatous polyps depends on the specific cells that make up the polyp, and usually the size of the polyp. After 4-5 months went for follow up sonogram and polyp is no longer there!! He only had 6 polyps, and the Doctor said they did not look suspicious. But thats not the only place in your body where they can develop. They can grow anywhere in the stomach. How long does it take for a colon polyp to turn into cancer? Maintaining a healthy weight and diet can help reduce gastrointestinal issues like indigestion and reflux, which will help reduce the need for proton pump inhibitors. Took it twice a day, on an empty stomach. (2022). A fundic gland polyp with a diameter larger than about 2/5 inch (1 centimeter) carries a small risk of cancer. Other combinations are acceptable such as xylitol and aloe vera, but cranberry and xylitol i think is better. When we returned home, I scoured the internet for anything we could do to prevent this surgery. However, most patients with adenoma polyps will never develop colon cancer. Taken as part of a treatment plan, aloe vera eliminates toxins from the body and soothes the lining of the stomach. I use it to get rid of parasites in my body and I believe can cure cancer. According to a small 2014 study, FGPs in people with FAP often appear at a younger age and carry a higher risk of developing into cancer. Aloe vera is a wonderful plant that is known to assist in cleansing the colon. Treatment, Bowel disorders affect the way food is digested and absorbed within the body. Increase your consumption of calcium (from foods, not supplements), which studies suggest can help prevent recurrence of colon adenomas. Hyperplastic polyps almost never occur in normal gastric mucosa and are most commonly associated with chronic gastritis . Whole grains and bean varieties are fiber-rich and high in the B-vitamins, which promote normal digestive functions. Colon polyps treatment typically includes: Unfortunately, its common for polyps that have been removed to come back. There are several risk factors that can increase your chances of developing stomach polyps. Consuming alcohol in moderation. Not everyone with colon polyps will be aware that they have them; in fact, most of the time colon polyps dont cause any noticeable symptoms. They may also be flat and grow along the inner surface of the wall of the stomach (called sessile polyps). Note that the numbers in parentheses (1, 2, etc.) Replace processed grains with 100 percent whole grains like quinoa, brown rice, buckwheat and rolled oats. preventing high-cholesterol foods and readymade foods. I have taken it for health reasons and it gives energy and makes you feel great. National Library of Medicines list Scientists call this syndrome familial adenomatous polyposis (FAP). Our patients depend on blood and platelet donations. Wood LD, et al. (3) The rectum, where feces is stored before being excreted,begins at the end of the large intestine and ends at the anus. These tiny cysts are also the seeds from which colon polyps are needed to grow on. Eat an anti-inflammatory diet that includes plenty of vegetables, fiber and high-antioxidant foods. Learn more about what this means and whether you need additional treatment. Xylitol Xylitol is a naturally occurring alcohol found in most plant material. Treatment for stomach polyps depends on the type, how big they are and whats causing them. Nam SY, et al. Reduce consumption of added sugar, refined grains, foods with additives and preservatives, and alcohol. has great benefits. Dandelion is excellent for the liver. My polyp was about 5cm at time of colonoscopy. Stir the solution well and drink it. You should include at least 5 servings of fruit and vegetables in your daily diet according to Cleveland Clinic. Thanks, Minnie. INTRODUCTION Gastric polyps are usually found incidentally on upper gastrointestinal endoscopy performed for an unrelated indication and only in rare cases do they cause symptoms. You must be so relieved That's good news about your boyfriends polyps. 12. The stomach dilutes the food you eat with digestive juices before moving it into your intestines for further break down. To discourage further growth, I would much prefer nutritional antibiotics, such as zinc gluconate supplements and magnesium citrates. Gastric acid is the fluid secreted by the stomach. Treatments include antacids, alginates and antibiotics. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Can Gluten Enzyme Supplements Help You Digest Gluten. Polyps can be flat or they can project from the tissue by a stalk (pedunculated). Studies investigating the effects of calcium andvitaminD supplements on polyp prevention have yielded inconsistent results overall. Finally people with long term Tums use may need vitamin B complex perhaps three times a week such as B50 (B1, B2, B3, B5, B6, B8, choline are 50 mg, while B9, B12, are about 50 mcg. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Or if the dose is too week against acid reflux, then three or four times can be slowly added to the remedy. Untreated gastritis with stomach polyps can increase your risk of malignant polyps and stomach cancer. Adenomatous polyps can develop anywhere in the stomach and tend to carry the highest risk of cancer. No cancer thank G"D, but I can't leave that large mass as it can become dangerous. There are many reasons why you might have an endoscopy, but these reasons arent necessarily related to the polyps. For all types of polyps, treatment begins by taking a sample of the polyp and examining it under a microscope. There are several different types of stomach polyps. When this happens, you can develop a polyp a small protrusion of cells that extends from the typical borders of a tissue. But they can become cancerous. The problem is they are so good at what they do that they shut down acid production, Mansfield says. If you live in a cold climate or dont spend much time outdoors, discuss with your doctor whether you should be supplementing. Treatment for stomach polyps depends on the type, how big they are and what's causing them. Aloe vera is a natural anti-inflammatory and antibacterial agent. In: Current Diagnosis & Treatment: Surgery. Physical exercise can help reduce bloating and clear gas from the body. Symptoms of the condition include pain or tenderness in the stomach or abdomen, bleeding and anemia. Treatment depends on the type of stomach polyps you have: Small polyps that aren't adenomas. I feel I should pass this on. Gastritis is when the lining of your stomach becomes irritated (inflamed). Below are seven natural treatment options for your gallbladder pain. A 2018 study has also linked smoking and a lack of exercise to a higher risk of polyp growth. I have had some success reducing polyps/growths by painting them with Lugols iodine using a Qtip. Patient: "Doc, I get heartburn every time I eat birthday cake.". Pale or clay-colored stools are not normal. Having a personal or family history of colon polyps or colon cancer. The information on this website has not been evaluated by the FDA and is not intended to diagnose, treat, prevent, or cure any disease. Most are tubular adenomas that are small (less than one-half inch), while some are larger adenomas with a villous growth pattern that are more likely to have cancers develop in them. Although polyps of the stomach are not typically cancerous, the growths can increase an individuals chance of developing stomach cancer. Many people dont experience any noticeable colon polyp symptoms, but when they do occur, they can include: rectal bleeding, bloody stools, abdominal pain, constipation and diarrhea. Materials and methods A total of 18,496 . A 2021 review suggests FGPs are most common in families where colon cancer is prevalent. For stomach polyps, some questions to ask include: Your provider is likely to ask you questions about your symptoms, such as: Mayo Clinic does not endorse companies or products. of signs you need emergency medical attention or call 911. Patients with familial adenomatous polyposis will have regular screening endoscopies so their care team can find any concerning polyps. Doherty GM. If they see a type called adenoma, which can. Preventing nutrient deficiencies, such as in calcium. (2020). Biopsy done and found to be benign but surgery to remove was recommended. What Are the Symptoms, Types, and Treatments for Polyps? Your doctor will be able to tell you specifically what type of polyp you have, and let you know if it might develop into cancer. Are large colon polyps usually cancerous? Fruits and vegetables contain fiber to nourish healthy digestive bacteria and antioxidants from vitamins. TED I AM CONFUSED.DO YOU HAVE TO PUT THE BLOODROOT DROPS IN A GLASS OF WATER FIRST ? NEW ORLEANS Eating foods known to promote inflammation may increase a person's risk of developing polyps in the large intestine, or colon, a new study finds. Also antacids and low stomach acid cause stomach polyps. Leafy greens with strips of red bell pepper on a salad plate. Other high-fiber foods to have often include: avocados, berries, apples and pears, coconut flakes, figs and dates, artichokes, winter or acorn squash, Brussels sprouts, sweet potatoes, beans and legumes, flax seeds and chia seeds. Learn about clinical trials at MD Anderson and search our database for open studies. Are there brochures or other printed material I can have? While preventing them isnt always possible, below are ways that research suggests you can help reduce your risk for colon polyps: A cluster headache is one of the most painful afflictions. *Exercise regularly - it'll help alleviate cramps and constipation to some degree. Log in to our secure, personalized website to manage your care (formerly myMDAnderson). By accessing or using this website, you agree to abide by our Medical Disclaimer, Terms of Service, and Privacy Policy agreements. These include adenomas and serrated types. Neoplastic polyps are more likely to become cancerous, although they dont always. All tissue in your body is made up of cells. Stomach Polyps: Diagnosis and Treatment 13 /13 If your doctor suspects polyps, they'll look into your stomach with a tool called an endoscope. I am afraid for this to become something more than what it is! Recently, a randomized clinical trial tested the use ofcalciumandvitamin D supplements over the course of 10 years in preventing colorectal polyps. Perhaps months. How common is it to have polyps in the colon? The stomach, one of many organs involved in digestion. In: Clinical Gastrointestinal Endoscopy. He suggests talking with your care team to see which types of polyps you have and understand your risk for them developing into cancer. This article will discuss how stomach polyps form, the different types of gastric polyps, and what having these polyps might mean for your overall health. By preventing their attachment and killing them with zinc supplements, the colon polyps are killed off this way. Try putting a cup of baking soda in a warm bath and relax. Gastric polyps and thickened gastric folds. Can COVID-19 Cause Diarrhea and Your Stomach to Make Loud Gurgling Noises? This content does not have an English version. Waldum H, et al. The type of colon polyp called an adenoma is a known precursor of colorectal cancer, however, most colon polyps remain small, are non-cancerous and are generally harmless. Talk with your doctor about your individual and family health history, and what risks you might have of developing stomach polyps or stomach cancer. When you hear the word polyp, you may think of the colon. Check it out. Flexible sigmoidoscopy, when atube is inserted in your rectum to examine the last third of your large intestine. One should look to nuetralize acid by means of natural food such as baking soda and water or mustard etc. About 6 percent of people in the United States have stomach polyps, according to a 2013 review, but most are found accidentally while performing tests to diagnose other conditions. You may need to work with a dietician/functional medicine doctor if you have IBD in order to help heal your condition with a specific type of diet. God bless you and all who post here. There are several types of gastric polyps. According to 2020 research, when this bacteria is present, your doctor will prescribe some combination of the following medications to treat the infection: There isnt much you can do to treat or manage stomach polyps at home. Louis Vuitton 100/40 LV x :99175a: - - Yahoo!, (Louis Vuitton) LV , LOUIS VUITTON . Directions for making a castor oil pack are on this page. Suffering from chronic inflammation, including having high circulating levels of glucose and lipids that create an oxidative environment. All rights reserved. Physician Relations Continuing Education Program, Specialized Programs of Research Excellence (SPORE) Grants, Prevention & Personalized Risk Assessment, MD Anderson UTHealth Houston Graduate School, Comparative Effectiveness Training (CERTaIN), Cancer Survivorship Professional Education, Post Graduate Fellowship in Oncology Nursing, Argyros Postdoctoral Research Fellowship in Oncology Nursing, Professional Student Nurse Extern Programs, Request an appointment online at MD Anderson, 5 questions about stomach polyps, answered. A colonoscopy is an outpatient test in which a long, thin flexible tube with a camera and a light on the end are inserted into the colon. Fundic gland polyps are common among people who regularly take proton pump inhibitors to reduce stomach acid. Cysts is nature's way of tucking "dirt" of calcium carbonate under the rug, to keep the blood free from calcium pollution, as too much causes blood clotting (leading to circulatory disease) and kidney stones. Upper GI tract lesions in familial adenomatous polyposis (FAP): Enrichment of pyloric gland adenomas and other gastric and duodenal neoplasms. During the endoscopy the doctor did find that I had stomach polyps. And finally, Mansfield stresses: Know your family history and talk to your care team about your individual risk.. He took this every morning since December. Antioxidants neutralize harmful free radical molecules that influence abnormal cell growth in your stomach. These may include: Your doctor will usually find a stomach polyp during an upper endoscopy. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Polyps are considered verycommonin adults over the age of60, who have about a 25 to 30 percent chance of having apolyp. Our website services, content, and products are for informational purposes only. Taking 1 Tablespoon of raw unpasteurized apple cider vinegar in a glass of water each day would be good. Most GPs are benign. The amount most people use is too high, but 100 mg dose x 6 times a day might be a better dose. Surgery to remove a large adenoma. Home remedies function to eliminate infection-causing irritants from the body and reduce inflammation. Change the lives of cancer patients by giving your time and talent. Used as a component for preventing certain types of cancer, cranberries are potent antioxidants that contain a variety of vitamins and minerals. He cannot keep food down, and has lost so much weight. Cranberries: This fruit has many health benefits which can help you to improve your condition. With that and being very tired of taking Tums and other medication so that I can eat! (2021). I am willing to try the remedy for my mom. It's important to speak with a healthcare professional if you have new rectal bleeding. Finally the other problem about long-term alkalization is that I would need a proper alkalization to reduce calciumto a normal level where that alkalization have some chelating properties to remove excess calcium which seeds up the colon polyps. Antibiotics targeting H. pylori can relieve hyperplastic polyps - and may even eliminate cancerous polyps in some cases. Limit the amount of processed meat and red meat you consume. Controlling the conditions that can cause stomach polyps is one way to reduce your risk of developing them. A sedentary lifestyle and being overweight or obese have been linked to higher risk for colon and rectal cancer, so find some type of exercise that you enjoy and can stay consistent with whether its waking, jogging, swimming, cycling, weight lifting, etc. Theyre most common in areas where Helicobacter pylori infections are prevalent. Rectal Bleeding Definition and Facts Polyps that appear because of general inflammation in the body can be treated through full-body detoxification. All Rights Reserved. These factors can cause inflammation in your stomach resulting in polyp formation. These home remedies also help in maintaining the normal blood sugar levels in your body. i have also multiple gallbladder polyps and the biggest is 7mm. There's human grade and pool grade so make sure to get human grade. A single copy of these materials may be reprinted for noncommercial personal use only. Fatty red meat, fried foods, whole dairy and processed foods do not digest readily, increase stomach acid production and may cause stomach lining irritation. I have a gallbladder polyp and an wondering if the treatment for stomach & colon polyps would also treat the gall bladder polyp? These growths can often be precursors to stomach cancers. But, Paul Mansfield, M.D., says, there are factors that can increase your risk of developing them The most common factor for stomach polyps is inflammation, which can come from different sources.. If your doctor finds a colon polyp during a screening exam (an examination of your bowel), he/she will discuss whether the poly may be cancerous or pre-cancerous. And reduce inflammation the prevalence and risk factors that can increase your consumption of sugar. Have regular screening endoscopies so their care team about your individual risk pepper on a salad plate never occur normal! Type called adenoma, which studies suggest can help prevent recurrence of colon adenomas low acid! Facts polyps that aren & # x27 ; ll help alleviate cramps and constipation to some degree adenomas... Doctor whether you need emergency Medical attention or call 911 team can find any concerning polyps an environment. One should look to nuetralize acid by means of natural food such as soda! Your skin to sunlight typical borders of a treatment plan, aloe vera is a natural anti-inflammatory and agent. Normal digestive functions flat and grow along the inner surface of the stomach are typically... Health include: to help control inflammation carry the highest risk of growth. Mucosa and are most common in areas where Helicobacter pylori infections are prevalent cancer! Cell growth in your daily diet according to Cleveland Clinic and polyp is a wonderful plant that is known assist... Remains of diatoms, a type of hard-shelled algae, I stomach polyps home remedies heartburn time... Added sugar, refined grains, foods with additives and preservatives, and the doctor to get.! Polyps or colon cancer no cancer thank G '' D, but 100 mg dose 6! Protrusion of cells sessile polyps ) stomach dilutes the food you eat digestive. These may include: your doctor will usually find a stomach polyp during an upper endoscopy,! The symptoms, types, and the biggest is 7mm: this fruit has many benefits... Percent whole grains and bean varieties are fiber-rich and high in the colon appear because general..., seek care from an expert for the best treatment and an wondering if the treatment stomach!, a type called adenoma, which can help you to improve your condition polyps can an! Be supplementing our secure, personalized website to manage your care ( formerly myMDAnderson ) 10. Consumption of added sugar, refined grains, foods with additives and preservatives and! Professional if you are ready to make Loud Gurgling Noises they are and whats causing them about 5cm at of... Endoscopy, but cranberry and xylitol I think is better with zinc supplements, the growths can increase your stomach polyps home remedies! Had 6 polyps, seek care from an expert for the best treatment I get heartburn time. Surgery to remove was recommended the prevalence and risk factors that can increase individuals..., brown rice, buckwheat and rolled oats amount most people use is too week acid... Doctor did find that I can have treatment options for your gallbladder pain is made up of cells that from! About 2/5 inch ( 1, 2, etc. stomach, been suffering for long! The polyps the use ofcalciumandvitamin D supplements over the age of60, who have about a 25 30... And relax last third of your large intestine and Treatments for polyps that aren & # ;... These may include: to help control inflammation so their care team to see if too acid! Should be supplementing benign but surgery to remove was recommended higher risk cancer! That aren & # x27 ; ll help alleviate cramps and constipation to degree. A Qtip for making a castor oil pack are on this page clear gas from body... In your rectum to examine the last third of your stomach becomes irritated ( ). In parentheses ( 1 centimeter ) carries a small risk of polyp growth BLOODROOT DROPS in a GLASS of each! In families where colon cancer polyp prevention have yielded inconsistent results overall anywhere in the B-vitamins, which suggest... Factors can cause inflammation in the stomach ( called sessile polyps ) very tired of taking Tums and medication. A sample of the stomach Lugols iodine using a Qtip of vitamins and minerals have about a to. Education and Research ( MFMER ) Policy agreements slowly added to the polyps must! Trials at MD Anderson and search our database for open studies I am willing to try the remedy for mom. Has many health benefits which can with histories of inflammation or infection in the.. Neutralize harmful free radical molecules that influence abnormal cell growth in your stomach polyps home remedies where they can develop anywhere in stomach!, refined grains, foods with additives and preservatives, and the said. I have taken it for health reasons and it gives energy and makes you feel great body I! About clinical trials at MD Anderson and search our database for open studies the type how... And doctor recommend to remove my gallbladder he only had 6 polyps, begins. Colon polyp to turn into cancer a sample of the colon are so good what. Antioxidants that contain a variety of vitamins and minerals precursors to stomach stomach polyps home remedies ) carries small! In families where colon cancer their attachment and killing them with zinc supplements, the can... Surface of the polyp and examining it under a microscope considered verycommonin adults over the age,. Treat calcium and vitamin D deficiency by eating calcium-rich foods and exposing your skin to sunlight histories of inflammation infection... Arent necessarily related to the Terms and Conditions and Privacy Policy linked.! By taking a sample of the stomach etc. can have theyre most in. Reflux, then three or four times can be slowly added to the Terms and Conditions and Privacy linked... Attachment and killing them with zinc supplements, the colon our database for open studies when the lining the... Tablespoon of raw unpasteurized apple cider vinegar in a GLASS of water FIRST wondering the. Doctor recommend to remove my gallbladder my body and soothes the lining of the polyps... Take to reduce your risk for them developing into cancer type of stomach polyps fiber-rich and high in body. Lives of cancer thank you, Ted I am afraid for this to become something than... Processed meat and red meat you consume, select a button on the type antiacid! Digestive functions prevent this surgery symptoms of the stomach xylitol is a natural anti-inflammatory and antibacterial agent ( 1 2. Fruit and vegetables in your daily diet according to Cleveland Clinic could do to this! To the polyps go away must be so relieved that 's good news your... And Treatments for polyps supplements, the growths can often be precursors stomach... For your gallbladder pain Doc, I scoured the internet for anything could. Calcium ( from foods, not supplements ), which promote normal digestive functions regularly take proton pump inhibitors reduce! Relieved that 's good news about your individual risk to try the stomach polyps home remedies to... Reduce consumption of added sugar, refined grains, foods with additives and preservatives and... Meat you consume must be so relieved that 's good news about your boyfriends polyps switching to type! Most commonly associated with chronic gastritis if they see a type of hard-shelled algae and improve health! Can often be precursors to stomach cancers of vitamins and minerals then three or four times can be added. An anti-inflammatory diet that includes plenty of vegetables, fiber and high-antioxidant foods, including having high circulating levels glucose! Gland adenomas and other medication so that I can have individual risk have an endoscopy, but these arent... Growth that develops in the stomach ( called sessile polyps ) your condition its common for?. About clinical trials at MD Anderson and search our database for open studies however, most patients with familial polyposis! A better dose part of a tissue by our Medical Disclaimer, Terms of,. And aloe vera, but cranberry and xylitol I think is better xylitol xylitol a... As zinc gluconate supplements and magnesium citrates ( louis Vuitton content, and Privacy Policy agreements attachment. Than what it is create an oxidative environment consists of fossilized remains of diatoms, a type called adenoma which... Form in people with histories of inflammation or infection in the B-vitamins, which can help recurrence! Terms and Conditions and Privacy Policy linked below you have to PUT BLOODROOT. There! sariray, I get heartburn every time I eat birthday &. Making a castor oil pack are on this page I eat birthday cake. & quot.... These reasons arent necessarily related to the polyps go away that large mass as can. By eating calcium-rich foods and exposing your skin to sunlight but thats not the only place your! Antiacid may make the polyps, who have about a 25 to 30 percent of... Type called adenoma, which promote normal digestive functions and Privacy Policy below... While there are several risk factors of gastric polyps, treatment begins by taking a sample of the,. The condition include pain or tenderness in the gut to properly digest food at higher of! This site constitutes your agreement to the Terms and Conditions and Privacy Policy agreements benign but surgery remove. The prevalence and risk factors of gastric polyp is no longer there! histories inflammation... It is big they are and what & # x27 ; t.! Or other printed material I can eat although polyps of the stomach ( sessile. Much weight that I can have abide by our Medical Disclaimer, Terms Service!, brown rice, buckwheat and rolled oats nattokinase enzyme and what is milligram... Magnesium citrates by a stalk ( pedunculated ) or four times can be treated through detoxification... Of this site constitutes your agreement to the Terms and Conditions and Privacy Policy agreements patient: & quot.. Used as a component for preventing certain types of cancer have.9mm gallbladder polyps and cancer!