Understanding Gallstones

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Gastroenterology

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Last updated: Mar 24, 2025

What Are Gallstones?

Gallstones are solid deposits that form in your gallbladder, a small organ located under your liver. These deposits can range in size from as small as a grain of sand to as large as a golf ball.

Risk Factors

  • Being female, especially during childbearing years
  • Age over 40
  • Obesity or rapid weight loss
  • Family history
  • Certain medical conditions (diabetes, liver disease)
  • High-fat, high-cholesterol diet

Common Symptoms

Primary Symptoms

  • Sudden, intense abdominal pain (biliary colic)
  • Pain in the upper right abdomen
  • Pain in the right shoulder or between shoulder blades
  • Nausea and vomiting

Warning Signs

  • Fever and chills
  • Yellowing of skin and eyes (jaundice)
  • Dark urine or light-colored stools
  • Persistent pain lasting several hours

Diagnosis

  • Ultrasound imaging
  • CT scans
  • Blood tests
  • HIDA scan (when necessary)

Treatment Options

Non-Surgical Treatments

  • Lifestyle modifications
  • Pain management
  • Oral dissolution medications (in select cases)

Surgical Options

  • Laparoscopic cholecystectomy (most common)
  • Open cholecystectomy (in complex cases)

Prevention

  1. Maintain a healthy weight
  2. Eat a balanced diet low in fat
  3. Exercise regularly
  4. Avoid rapid weight loss

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Fever with pain
  • Prolonged pain lasting more than 8 hours
  • Jaundice symptoms

Long-term Outlook

Most people recover completely from gallstone treatment and can live normal lives without their gallbladder.

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