Kamienie żółciowe
Objawy
Kamienie żółciowe (cholelithiasis) to złogi zbudowane z cholesterolu, bilirubiny i soli wapnia, które mogą mieć rozmiar od ziarnka piasku do piłki golfowej. U około 70-80% pacjentów pozostają bezobjawowe i nie wymagają leczenia. Najczęstszym objawem jest kolka żółciowa, charakteryzująca się nagłym, silnym, stałym bólem w prawym górnym kwadrancie brzucha lub nadbrzuszu, trwającym od 15 minut do 12 godzin (zwykle 1-6 godzin), często po posiłkach tłuszczowych. Powikłania obejmują ostre zapalenie pęcherzyka żółciowego (ból >6 godzin, gorączka, dreszcze), zapalenie dróg żółciowych (triada Charcota: żółtaczka, gorączka, ból), ostre zapalenie trzustki oraz żółtaczkę mechaniczną. Ryzyko powikłań wzrasta wraz z wielkością kamieni (>1 cm predysponuje do zapalenia pęcherzyka, >3 cm do raka pęcherzyka), liczbą kamieni oraz czasem trwania blokady przewodów żółciowych.
Kamienie żółciowe – objawy
Kamienie żółciowe (cholelithiasis) to twarde, podobne do kamyków złogi, które tworzą się w pęcherzyku żółciowym z zagęszczonej żółci, zawierającej cholesterol, bilirubinę i sole wapnia. Mogą mieć wielkość od ziarnka piasku do piłki golfowej. Pęcherzyk żółciowy może zawierać jeden duży kamień, setki drobnych kamieni lub kombinację różnych rozmiarów.123
Większość osób (około 70-80%) z kamieniami żółciowymi nie doświadcza żadnych objawów. Takie bezobjawowe kamienie są nazywane „cichymi kamieniami” i zwykle nie wymagają leczenia, ponieważ nie zaburzają funkcjonowania pęcherzyka żółciowego, wątroby ani trzustki.453 Kamienie żółciowe często są wykrywane przypadkowo podczas badań obrazowych wykonywanych z innych powodów.6
Kolka żółciowa (biliary colic)
Najczęstszym objawem kamieni żółciowych jest kolka żółciowa (biliary colic), która występuje, gdy kamień blokuje przewód żółciowy. Charakteryzuje się nagłym, silnym bólem w prawym górnym kwadrancie brzucha lub w środkowej części nadbrzusza.78 Ból może promieniować do pleców, między łopatki lub do prawego barku.910
Charakterystyczne cechy kolki żółciowej obejmują:
- Nagły, silny ból, który szybko narasta i może trwać od 15 minut do nawet 12 godzin (najczęściej 1-6 godzin)811
- Ból jest stały (nie kolkowy), nie ustępuje po wypróżnieniu, oddaniu gazów ani wymiotach812
- Może występować po posiłkach bogatych w tłuszcze, gdyż powodują one skurcz pęcherzyka żółciowego712
- Często pojawia się w nocy lub wcześnie rano, może budzić ze snu1013
- Bólowi mogą towarzyszyć nudności, wymioty oraz wzdęcia109
Osoby z bólem opisują go często jako intensywny, ostry, kłujący, skurczowy lub gniotący. Czasem ból może być tak silny, że utrudnia znalezienie wygodnej pozycji.714
Epizody kolki żółciowej występują sporadycznie i nieprzewidywalnie. Po ataku bólu może minąć kilka tygodni lub miesięcy, zanim pojawi się kolejny.812 Jednak u osób, które doświadczyły jednego ataku, prawdopodobieństwo kolejnych ataków jest wysokie – około 20-40% pacjentów rocznie będzie miało nawroty bólu.1115
Powikłania kamieni żółciowych
W niewielkiej liczbie przypadków kamienie żółciowe mogą powodować poważniejsze problemy, jeśli blokują przepływ żółci przez dłuższy czas lub przemieszczają się do innych organów, takich jak trzustka czy jelito cienkie.816 Lekarze określają ten bardziej zaawansowany stan jako „powikłaną chorobę kamieni żółciowych” (complicated gallstone disease).12
Objawy wskazujące na powikłania kamieni żółciowych to:
- Wysoka temperatura (powyżej 38°C)168
- Utrzymujący się ból brzucha (dłużej niż 8 godzin)1217
- Przyspieszony rytm serca16
- Żółtaczka (zażółcenie skóry i białkówek oczu)1618
- Swędząca skóra16
- Biegunka16
- Dreszcze1618
- Splątanie16
- Utrata apetytu16
- Ciemny mocz i jasne stolce1819
Te objawy mogą wskazywać na następujące powikłania:2021
Ostre zapalenie pęcherzyka żółciowego (cholecystitis)
Ostre zapalenie pęcherzyka żółciowego to stan zapalny pęcherzyka żółciowego, najczęściej spowodowany przez kamienie żółciowe (90-95% przypadków). Objawia się podobnie do kolki żółciowej, ale ból trwa dłużej niż 6 godzin i nie ustępuje samoistnie.2223 Charakterystyczne objawy to:
- Stały, silny ból w prawym górnym kwadrancie brzucha, który utrzymuje się przez wiele godzin, a nawet dni2324
- Ból, który nasila się podczas głębokiego oddychania25
- Gorączka i dreszcze26
- Nudności i wymioty27
- Tkliwość brzucha przy dotyku26
Nieleczone ostre zapalenie pęcherzyka żółciowego może prowadzić do poważnych powikłań, takich jak perforacja (pęknięcie) pęcherzyka żółciowego, co stanowi stan zagrażający życiu.2817
Zapalenie dróg żółciowych (cholangitis)
Choroba ta rozwija się, gdy kamień żółciowy blokuje przewód żółciowy wspólny, powodując zastój i zakażenie żółci. Około 2/3 pacjentów prezentuje klasyczną triadę Charcota:22
Jest to poważne powikłanie wymagające natychmiastowej interwencji medycznej.5
Ostre zapalenie trzustki (pancreatitis)
Ostre zapalenie trzustki może wystąpić, gdy kamień żółciowy ześlizguje się w dół drzewa żółciowego i utyka w przewodzie trzustkowym lub w brodawce Vatera, blokując odpływ soków trzustkowych.129 Objawia się:
- Nagłym, silnym bólem w nadbrzuszu, który może promieniować do pleców1622
- Bólem o stałym charakterze, który narasta i może utrzymywać się przez dłuższy czas16
- Utratą apetytu30
- Nudnościami i wymiotami30
- Gorączką30
Ostre zapalenie trzustki zazwyczaj wymaga hospitalizacji i może być stanem zagrażającym życiu.12
Żółtaczka (jaundice)
Żółtaczka pojawia się, gdy kamień żółciowy blokuje przewód żółciowy wspólny, powodując gromadzenie się bilirubiny we krwi. Objawami są:1631
- Zażółcenie skóry i białkówek oczu18
- Ciemny mocz (koloru herbaty)18
- Jasne (gliniaste) stolce18
- Swędzenie skóry16
Niedrożność jelita (gallstone ileus)
To rzadkie powikłanie występuje, gdy duży kamień żółciowy przedostaje się przez ścianę pęcherzyka żółciowego do jelita cienkiego, powodując jego niedrożność. Objawami są:2226
Progresja choroby kamieni żółciowych
Przebieg choroby kamieni żółciowych zależy od tego, czy występują objawy. Większość osób z bezobjawowymi kamieniami żółciowymi nigdy nie będzie wymagać leczenia.3233
Historia naturalna kamieni żółciowych
U osób z bezobjawowymi kamieniami żółciowymi objawy rozwijają się w tempie około 2% rocznie.11 Oznacza to, że w ciągu 5 lat około 10% osób z bezobjawowymi kamieniami rozwinie objawy, a w ciągu 20 lat – około 20%.3435
Gdy pojawią się pierwsze objawy (kolka żółciowa), prawdopodobieństwo nawrotu objawów jest wysokie:724
- Po pierwszym ataku kolki żółciowej, szansa na kolejny atak wzrasta do 70%36
- Rocznie u 20-40% pacjentów z objawami powraca ból11
- U około 1-3% pacjentów rocznie rozwijają się powikłania, takie jak zapalenie pęcherzyka żółciowego1137
W miarę upływu czasu u znacznej części pacjentów z objawami częstotliwość i nasilenie ataków zwiększają się.1038
Czynniki wpływające na progresję choroby
Na progresję choroby kamieni żółciowych i rozwój powikłań wpływają:1038
- Wielkość kamieni:
- Liczba kamieni – jednak u niektórych pacjentów nawet pojedynczy mały kamień może powodować ciężkie i nawracające objawy3839
- Czas trwania blokady – długotrwała blokada przewodu żółciowego zwiększa ryzyko zapalenia i infekcji7
Należy zauważyć, że kamienie żółciowe nie znikają samoistnie. Nawet jeśli lekarz usunie kamień z przewodu żółciowego, w pęcherzyku żółciowym pozostaną inne kamienie i mogą tworzyć się nowe.740
Ryzyko powikłań nieleczonych kamieni żółciowych
Jeśli kamienie żółciowe powodujące objawy nie są leczone, mogą prowadzić do poważnych powikłań:187
- Zapalenie pęcherzyka żółciowego występuje u około 10% pacjentów z objawowymi kamieniami37
- Długotrwała blokada może prowadzić do zakażenia dróg żółciowych, zapalenia trzustki lub infekcji wątroby41
- W skrajnych przypadkach może dojść do perforacji (pęknięcia) pęcherzyka żółciowego29
- Rzadko, nieleczone kamienie żółciowe mogą zwiększać ryzyko raka pęcherzyka żółciowego1642
Nieleczone powikłania kamieni żółciowych mogą zagrażać życiu, szczególnie u osób z już istniejącymi problemami zdrowotnymi.1843 Jednak śmiertelność z powodu choroby kamieni żółciowych jest rzadka w krajach rozwiniętych.43
Kiedy szukać pomocy medycznej
Osoby z kamieniami żółciowymi powinny szukać pomocy medycznej w następujących sytuacjach:718
Sytuacje wymagające natychmiastowej pomocy
- Ból brzucha trwający dłużej niż 5-8 godzin1244
- Silny ból, któremu towarzyszy gorączka lub dreszcze1845
- Żółtaczka (zażółcenie skóry lub białkówek oczu)1846
- Ból tak intensywny, że uniemożliwia znalezienie wygodnej pozycji47
- Ciemny mocz i jasne stolce1844
- Uporczywe wymioty, które mogą prowadzić do odwodnienia48
Kiedy skonsultować się z lekarzem
- Po pierwszym ataku kolki żółciowej, nawet jeśli ból ustąpił7
- Przy nawracających epizodach bólu w prawym górnym kwadrancie brzucha10
- Przy podejrzeniu, że mogłeś doświadczyć kolki żółciowej12
- Przy utrzymujących się objawach dyspeptycznych, które mogą być związane z kamieniami żółciowymi9
Należy pamiętać, że objawy kamieni żółciowych mogą przypominać inne schorzenia, takie jak zapalenie wyrostka robaczkowego, wrzody, zapalenie trzustki i choroba refluksowa przełyku. Wszystkie te stany wymagają szybkiej diagnozy i leczenia.1834
Leczenie kamieni żółciowych
Leczenie kamieni żółciowych zależy od nasilenia objawów i występowania powikłań:4333
Obserwacja i monitorowanie
Bezobjawowe kamienie żółciowe zazwyczaj nie wymagają leczenia.143 Lekarz może zalecić czujną obserwację i monitorowanie objawów.933
Leczenie chirurgiczne
Gdy kamienie żółciowe powodują objawy lub powikłania, standardowym leczeniem jest usunięcie pęcherzyka żółciowego (cholecystektomia), najczęściej metodą laparoskopową.4349 Po operacji większość pacjentów nigdy więcej nie będzie potrzebować leczenia kamieni żółciowych.7
Powikłania po operacji są rzadkie, ale u niektórych osób może rozwinąć się przewlekła biegunka. Jest to spowodowane ciągłym przepływem żółci do jelit, zamiast na żądanie. Stan ten można leczyć lekami wiążącymi kwasy żółciowe.7
Skuteczność leczenia chirurgicznego jest wysoka – u 95% dzieci usunięcie pęcherzyka żółciowego oznacza koniec problemów związanych z kamieniami żółciowymi.50 Śmiertelność w przypadku planowej cholecystektomii wynosi 0,5%, a powikłania występują u mniej niż 10% pacjentów.51
Perspektywy dla pacjenta
Kamienie żółciowe nie znikną bez leczenia.7 Jeśli kamienie powodują objawy, prawdopodobnie będą one nawracać, a ich częstotliwość i intensywność mogą się zwiększać z czasem.38
Usunięcie pęcherzyka żółciowego jest jedynym skutecznym sposobem trwałego pozbycia się kamieni żółciowych.7 Po operacji większość pacjentów prowadzi normalne życie bez długotrwałych skutków ubocznych.52
W przypadku pacjentów, którzy zdecydują się nie usuwać pęcherzyka żółciowego, prawdopodobne jest nawracanie bólu brzucha i możliwe są powikłania.53
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Materiały źródłowe
- #1 Gallstones – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/gallstones/symptoms-causes/syc-20354214
Gallstones may cause no signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include: […] People who experience symptoms from their gallstones usually require gallbladder removal surgery. Gallstones that don’t cause any signs and symptoms typically don’t need treatment. […] Seek immediate care if you develop signs and symptoms of a serious gallstone complication, such as: […] Complications of gallstones may include: […] A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas (pancreatitis). Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization.
- #2 Gallstones | healthdirecthttps://www.healthdirect.gov.au/gallstones
Gallstones (cholelithiasis) are hard, pebble-like masses that form in your gallbladder, below your liver. […] If you have gallstones, you may not experience any symptoms, or you may have episodes of pain in your abdomen, back or right shoulder. […] Some people with gallstones never experience symptoms. […] Others have episodes of pain in the abdomen, back or right shoulder. These might not happen often, but can be severe, and may develop after a particularly fatty meal. […] Gallstones can sometimes cause other problems such as: jaundice yellowing of your skin and of the whites of your eyes, cholecystitis severe pain in the upper right abdomen, nausea and vomiting, pancreatitis severe upper right abdominal pain. […] Seek urgent medical attention if you have a fever or pain that doesn’t go away if you take simple pain relief, that lasts a few hours, or that stops you from eating and drinking normally.
- #2 Gallstones | healthdirecthttps://www.healthdirect.gov.au/gallstones
If you are experiencing severe and ongoing abdominal pain, seek urgent medical attention. […] If your gallstones are causing symptoms, your doctor may recommend treatment, which may involve dietary changes, medicines and/or surgery. […] Not everyone who has gallstones will need treatment. You may discover you have gallstones incidentally during an unrelated medical scan without experiencing symptoms or needing treatment. […] If a gallstone moves or gets stuck in your bile duct, it can cause severe pain, known as biliary colic. The pain can last from a few minutes to several hours, and may make you vomit. […] Gallstones can also cause thickening or inflammation of your gallbladder, known as cholecystitis. This causes pain and often a fever. Cholecystitis is a serious condition, and you will need to be treated in hospital. If your cholecystitis is not treated, your gallbladder can burst, which is a life-threatening condition. […] Sometimes gallstones can lead you to develop jaundice (yellowing of the skin), or pancreatitis (inflammation of your pancreas). These are all serious conditions that also need to be treated in hospital.
- #3 Gallstones | Cedars-Sinaihttps://www.cedars-sinai.org/health-library/diseases-and-conditions/g/gallstones.html
Gallstones can be as small as a grain of sand or as big as a golf ball. Your gallbladder may form a single large stone, hundreds of tiny stones, or both sizes at the same time. Gallstones often don’t cause any symptoms. But in some cases, gallstones block the tubes that carry bile (bile ducts). This can lead to a life-threatening infection of the bile ducts, pancreas, or liver. Once you have had gallstones, you are at risk of having more. […] Some people with gallstones don’t have any symptoms. These stones are called silent stones. They don’t stop the gallbladder, liver, or pancreas from working properly. In most cases, they don’t need to be treated. Most gallstones dont cause symptoms right away. […] Gallstone symptoms (also called a gallbladder attack) may happen very suddenly. They often: Begin when gallstones get bigger, Happen when the stones start to block bile ducts, Occur after a fatty meal or at night.
- #4 Symptoms & Causes of Gallstones – NIDDKhttps://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/symptoms-causes
If gallstones block your bile ducts, bile could build up in your gallbladder, causing a gallbladder attack, sometimes called biliary colic. Gallbladder attacks usually cause pain in your upper right abdomen, sometimes lasting several hours. Gallbladder attacks often follow heavy meals and usually occur in the evening or during the night. If youve had one gallbladder attack, more attacks will likely follow. […] Gallbladder attacks usually stop when gallstones move and no longer block the bile ducts. However, if any of your bile ducts stay blocked for more than a few hours, you may develop gallstone complications. Gallstones that do not block your bile ducts do not cause symptoms. […] Most people with gallstones do not have symptoms. Gallstones that do not cause symptoms are called silent gallstones. Silent gallstones dont stop your gallbladder, liver, or pancreas from working, so they do not need treatment.
- #5 Gallstones | Symptoms, Causes & Treatment | Guts UKhttps://gutscharity.org.uk/advice-and-information/conditions/gallstones/
Gallstones affect 10 to 15 people out of every 100 but not everyone will have symptoms. […] Gallstones typically only cause symptoms if the gallbladder becomes inflamed or if the stones travel from the gallbladder into one of the bile ducts. […] About two out of every three people who have gallstones have no symptoms and are usually unaware they have them. […] Biliary colic is the most common symptom of gallstones. […] Cholecystitis: The stones may cause inflammation in the wall of the gallbladder, known as cholecystitis. […] Jaundice (sometimes called yellow jaundice): Bilirubin is a yellow-green chemical that occurs normally in the body. […] Cholangitis: If the stone doesnât pass and remains stuck in the bile duct it can cause a serious condition called cholangitis which occurs when the blocked bile becomes infected.
- #6 Patient education: Gallstones (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/gallstones-beyond-the-basics/print
Gallstones are solid, pebble-like concretions that abnormally form inside the gallbladder. More than one million Americans are diagnosed with gallstones (cholelithiasis) every year, joining about 38 million who already have the disorder. Fortunately, most people with gallstones do not have symptoms and do not require treatment. In some cases, however, gallstones cause pain or other complications and must be treated, usually by removing the entire gallbladder with its stones. […] The majority of people who have gallstones do not have symptoms; their stones remain „silent.” Silent gallstones are often found on an ultrasound or CT scan done for other reasons. Silent stones do not need to be treated since the initial symptoms of gallstones are usually mild and do not outweigh the risks involved in removing the gallbladder.
- #7 Gallstones (Cholelithiasis): Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/7313-gallstones
Gallstones generally dont cause symptoms unless they get stuck and create a blockage. This blockage causes symptoms, most commonly upper abdominal pain and nausea. These may come and go, or they may come and stay. You might develop other symptoms if the blockage is severe or lasts a long time, like: […] Typical gallstone pain is sudden and severe and may make you sick to your stomach. This is called a gallstone attack or gallbladder attack. You might feel it most severely after eating, when your gallbladder contracts, creating more pressure in your biliary system. It might wake you from sleep. […] Gallstone pain that builds to a peak and then slowly fades is called biliary colic. It comes in episodes that may last minutes to hours. The episode ends when and if the stone moves or the pressure eases. People describe the pain as intense, sharp, stabbing, cramping or squeezing. You might be unable to sit still.
- #7 Gallstones (Cholelithiasis): Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/7313-gallstones
Gallstone pain means that a gallstone has gotten stuck in your biliary tract and caused a blockage. If its a major blockage, you might feel it right away. If its only a partial blockage, you might not notice until your gallbladder contracts, creating more pressure in your system. Eating triggers this contraction. […] Biliary colic is the only warning sign of gallstones that youll get. It happens when a gallstone causes a temporary blockage, then manages to move out of the way and let bile flow through again. Even though the pain eventually goes away, its important to recognize these episodes as the warning that they are. […] Once a gallstone has caused a blockage in your biliary tract, its likely to keep happening. The same one may be hanging around the same tight spot and continuing to grow. Or you may have more gallstones waiting in the wings. One day, a gallstone might get stuck and stay stuck. This would be an emergency.
- #7 Gallstones (Cholelithiasis): Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/7313-gallstones
If a gallstone blocks the flow of bile through your biliary system, it can affect any or all of the organs in that system. Bile that cant flow backs up into your bile ducts and organs, causing acute inflammation and encouraging bacterial infections. When severe, these conditions can become life-threatening. […] After surgery, most people will never need treatment for gallstones again. Complications are uncommon, but some people develop chronic diarrhea. This is because bile now flows continuously to your intestines, instead of on demand. You can treat it with medications called bile acid binders. […] Gallstones wont go away without treatment. Gallstones can sometimes come out in your poop, but it wont be all of them. Even if your provider removes a gallstone from your bile duct, there will be others left behind, and you can get new ones. Gallbladder removal is the only way to make them stop for good.
- #7 Gallstones (Cholelithiasis): Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/7313-gallstones
If you develop sudden stabbing pain in your upper right abdomen or shoulder, especially after eating, you might be having a gallbladder attack. Seek medical attention right away. Dont wait for it to go away because it might not. A healthcare provider can relieve your pain while confirming the cause. […] If you think youve experienced biliary colic in the past, even if its over, see your provider. Theyll take images of your biliary system to look for gallstones. If they find them, theyll recommend treating them before they can cause further problems. Without treatment, gallstones will continue to form and grow.
- #8https://www.nhs.uk/conditions/gallstones/symptoms/
Gallstones don’t usually cause any symptoms. But if a gallstone blocks one of the bile ducts, it can cause sudden, severe abdominal pain, known as biliary colic. […] Gallstones can cause sudden, severe abdominal pain that usually lasts 1 to 5 hours, although it can sometimes last just a few minutes. […] The pain is constant and isn’t relieved by going to the toilet, passing wind or being sick. […] It’s sometimes triggered by eating fatty foods, but may happen at any time of day and may wake you up during the night. […] Biliary colic doesn’t happen often. After an episode of pain, it may be several weeks or months before you have another episode. […] Occasionally, gallstones can cause more serious problems if they obstruct the flow of bile for longer periods or move into other organs, such as the pancreas or small bowel.
- #8https://www.nhs.uk/conditions/gallstones/symptoms/
If this happens, you may develop: a high temperature, more persistent pain, a rapid heartbeat, yellowing of the skin and whites of the eyes (jaundice), itchy skin, diarrhoea, chills or shivering attacks, confusion, a loss of appetite. […] Doctors refer to this more severe condition as complicated gallstone disease.
- #9 Gallstones – British Liver Trusthttps://britishlivertrust.org.uk/information-and-support/liver-conditions/gallstones/
Many people live with gallstones without symptoms and are unaware they have them until the stones show up in tests performed for another reason. […] The most common symptom of gallstones is pain in the abdomen, known as biliary colic. This is a pain that usually lasts between one and five hours (but sometimes up to eight) which can vary from mild indigestion or discomfort, to severe pain. You may feel it: in the centre of your abdomen between your breast bone and belly button; just under your right ribs with a sharp pain spreading to your side or shoulder blade. […] Other symptoms may include nausea, vomiting or excessive sweating. […] Symptoms which indicate a complication has arisen (complicated gallstone disease) include: a high temperature of 38oC (100.4F) or above; persistent pain; a rapid increase in the rate of your heartbeat; jaundice a condition in which the whites of the eyes go yellow and, in more severe cases, the skin also turns yellow; itchy skin; diarrhoea; shivering attacks a sudden chill with severe shivering and a high temperature, similar to flu, is a sign that infection is building up; mental confusion; a loss in appetite.
- #9 Gallstones – British Liver Trusthttps://britishlivertrust.org.uk/information-and-support/liver-conditions/gallstones/
If gallstones have been discovered incidentally and are not troublesome, it is often recommended to leave them alone. In this case, your doctor may want to adopt a watchful waiting policy, which means your symptoms will be monitored to see if they progress before treatment is considered. […] Be aware of worsening symptoms. Waiting to see if further symptoms develop is quite common and safe but you should look out for any deterioration in your condition and report any symptoms to your GP. If your symptoms persist, your doctor will recommend that you are referred for treatment.
- #10 Symptoms of Gallstones | Brown University Healthhttps://www.brownhealth.org/centers-services/general-and-gastrointestinal-surgery/about-gallstones/symptoms-gallstones
Typical symptoms of gallstones are of three types: Pain between the breast bone and the belly button (epigastric) pain or discomfort […] Pain in the right upper quadrant, which may shoot to the right side of the back or up to the right shoulder. These pains, which are referred to as biliary colic, may be mild or severe, sharp or crampy, and may last from minutes to hours. They typically occur a few hours after eating and most commonly at night or early morning. They frequently wake the patient from sleep. The pain may be associated with nausea and vomiting. It is often associated with bloating. In fact, bloating and fullness are common symptoms that may be related to gallstones and unassociated with pain. […] In fact, the only reliable symptoms of gallbladder disease, which will almost always be eliminated by removing the gallbladder, are the three pain syndromes noted above.
- #10 Symptoms of Gallstones | Brown University Healthhttps://www.brownhealth.org/centers-services/general-and-gastrointestinal-surgery/about-gallstones/symptoms-gallstones
However, people who do have symptoms are likely to continue to have symptoms. Furthermore, in a large percentage of symptomatic patients, the frequency and severity of the attacks increase over time. […] Continued distention of the gallbladder leads to reduced blood flow to the wall of the gallbladder and to inflammation. This is associated with pain in the right side of the upper abdomen. The nausea, vomiting and bloating are a non-specific intestinal response (visceral response) to these insults. […] However, if there was a lot of inflammation, some residual discomfort may remain for hours to days. The length of time this residual pain is present is related to the severity of the attack. […] Therefore, you can expect attacks in the future if you have had them in the past. The question is when they will occur. Unfortunately, they often will occur when you least want them, Murphy’s Law. […] Patients may have one small stone and have severe and repetitive symptoms while others with multiple large stones may have none. However, it is important to note that the type of symptoms and complications of gallstone disease are related to the size of the stones.
- #11 Cholelithiasis – Hepatic and Biliary Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/cholelithiasis
About 80% of people with gallstones are asymptomatic. The remainder have symptoms ranging from a characteristic type of pain (biliary colic) to cholecystitis to life-threatening cholangitis. Biliary colic is the most common symptom. […] Stones occasionally traverse the cystic duct without causing symptoms. However, most gallstone migration leads to cystic duct obstruction, which, even if transient, causes biliary colic. Biliary colic characteristically begins in the right upper quadrant but may occur elsewhere in the abdomen. It is often poorly localized, particularly in diabetics and older patients. The pain may radiate into the back or down the arm. […] Episodes begin suddenly, become intense within 15 minutes to 1 hour, remain at a steady intensity (not colicky) for up to 12 hours (usually 6 hours), and then gradually disappear over 30 to 90 minutes, leaving a dull ache. The pain is usually severe enough to send patients to the emergency department for relief. Nausea and some vomiting are common, but fever and chills do not occur unless cholecystitis has developed.
- #11 Cholelithiasis – Hepatic and Biliary Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/cholelithiasis
Little correlation exists between the severity and frequency of biliary colic and pathologic changes in the gallbladder. Biliary colic can occur in the absence of cholecystitis. If colic lasts 12 hours, particularly if it is accompanied by vomiting or fever, acute cholecystitis or pancreatitis is likely. […] Patients with asymptomatic gallstones become symptomatic at a rate of about 2% per year. The symptom that develops most commonly is biliary colic rather than a major biliary complication. Once biliary symptoms begin, they are likely to recur; pain returns in 20 to 40% of patients per year, and about 1 to 2% of patients per year develop complications such as cholecystitis, choledocholithiasis, cholangitis, and gallstone pancreatitis.
- #12 Symptomshttps://www2.hse.ie/conditions/gallstones/symptoms/
Most cases of gallstones do not cause any symptoms. […] But if a gallstone blocks one of the bile ducts, it can cause sudden, severe pain around your tummy. The medical name for this is biliary colic. […] Gallstones can cause sudden, severe abdominal pain (tummy pain). This pain usually lasts 1 to 5 hours. But it can sometimes last just a few minutes. […] The pain is constant and isn’t relieved when you go to the toilet, pass wind or are sick. It’s sometimes triggered by eating fatty foods. But it may happen at any time of day. It may also wake you up during the night. […] Biliary colic doesn’t happen often. After an episode of pain, it may be several weeks or months before you experience another episode. […] In a small number of people, gallstones can cause more serious problems. This can happen if the gallstones block the flow of bile for longer periods. It can also happen if they move into other organs (such as the pancreas or small bowel).
- #12 Symptomshttps://www2.hse.ie/conditions/gallstones/symptoms/
Doctors call this more severe condition 'complicated gallstone disease’. […] If you think you may be experiencing biliary colic, see your GP. […] Emergency action required: Call your GP immediately for advice if you develop: jaundice, abdominal pain lasting longer than 8 hours, a high temperature and chills, tummy pain so intense that you can not relieve it.
- #13 Gas Pain vs Gallstones: How to Tell the Difference: GastroDoxs PLLC: Gastroenterologistshttps://www.gastrodoxs.com/blog/gas-pain-vs-gallstones-how-to-tell-the-difference
Gallstones can cause an attack of the gallbladder, the small, pear-shaped organ that stores bile produced by your liver. The stones form when you have too much cholesterol in the bile. The gallstones can cause blockages in the organ’s ducts, resulting in major pain and cramping. […] Usually, you’ll feel gallstone pain in the upper right part of your abdomen. Sometimes, though, the pain may be more present in the upper center part of your abdomen or even your chest – which can make you think you have bad heartburn. Sometimes pain radiates to the right shoulder or to the right side of your back, mimicking a heart attack. […] Gallstone pain doesn’t subside when you burp, pass gas, or change position. You don’t typically notice symptoms right after eating, either; it takes an hour or two for them to develop. The pain caused by gallstones can be accompanied by chills, fever, and diarrhea. The symptoms may last as long as a few hours, but usually go away on their own. […] You may notice pain in your gallbladder after eating a fatty meal, fasting, going too long between meals, or after rapid weight loss.
- #14 Gallstones Symptoms: Upper Right Abdomen Pain, Jaundice, etc.https://www.webmd.com/digestive-disorders/understanding-gallstones-symptoms
The pain can be so bad, it takes your breath away, makes you feel nauseated, or makes it hard for you to sit still. Some people describe the pain as being intense, sharp, stabbing, cramping, or squeezing. Some people may think they’re having a heart attack because the pain can start in the middle of your belly or chest and radiate to your shoulder or upper back. Biliary colic may be more likely after you eat a really fatty meal. This is because your gallbladder needs to squeeze hard to release enough of its stored bile to help you digest fatty food. […] You may not know you have gallstones until you get biliary colic, which is when a gallstone blocks one of your ducts. This can cause sudden and intense pain in your upper, right belly. The pain may be so bad that it makes you feel sick to your stomach. This pain may get intense over a couple of hours, then peak and fade. Unfortunately, you’re likely to get another gallbladder attack if you’ve already had one, so go see a doctor even if the pain goes away.
- #15 Gallbladder Pain: Cause, Symptoms, & Treatment | University of Utah Healthhttps://healthcare.utah.edu/general-surgery/gallbladder
Gallstones cause pain when they block the ducts that carry bile from the liver into the intestine. […] If a person has had one gallbladder attack, they will probably have more episodes. […] A gallbladder attack is an emergency that you should get treatment for immediately. Don’t ignore pain and get help from a doctor if you have any of these symptoms: Chills, Intense pain, Fever, Yellowing skin, Yellowing of the whites of your eyes.
- #16 Gallstones | NHS informhttps://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/gallstones/
Most cases of gallstones dont cause any symptoms. But if a gallstone blocks one of the bile ducts, it can cause sudden, severe abdominal pain, known as biliary colic. […] Gallstones can cause sudden, severe abdominal pain that usually lasts 1 to 5 hours (although it can sometimes last just a few minutes). […] The pain is constant and isnt relieved when you go to the toilet, pass wind or are sick. Its sometimes triggered by eating fatty foods, but may occur at any time of day and it may wake you up during the night. […] In a small number of people, gallstones can cause more serious problems if they obstruct the flow of bile for longer periods or move into other organs (such as the pancreas or small bowel). […] If this happens, you may develop: a high temperature of 38C (100.4F) or above, more persistent pain, a rapid heartbeat, yellowing of the skin and whites of the eyes (jaundice), itchy skin, diarrhoea, chills or shivering attacks, confusion, a loss of appetite.
- #16 Gallstones | NHS informhttps://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/gallstones/
Doctors refer to this more severe condition as complicated gallstone disease. […] If you think you may be experiencing biliary colic, you should make an appointment with your GP. […] If a gallstone passes out of the gallbladder into the bile duct and blocks the flow of bile, jaundice occurs. […] Symptoms of jaundice include: yellowing of the skin and eyes, dark brown urine, pale stools, itching. […] Acute pancreatitis may develop when a gallstone moves out of the gallbladder and blocks the opening (duct) of the pancreas, causing it to become inflamed. […] The most common symptom of acute pancreatitis is a sudden severe dull pain in the centre of your upper abdomen, around the top of your stomach. […] The pain of acute pancreatitis often gets steadily worse until it reaches a constant ache.
- #16 Gallstones | NHS informhttps://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/gallstones/
Gallbladder cancer is a rare but serious complication of gallstones. […] Having a history of gallstones increases your risk of developing gallbladder cancer. […] The symptoms of gallbladder cancer are similar to those of complicated gallstone disease, including: abdominal pain, high temperature (fever) of 38C (100.4F) or above, jaundice.
- #17 Signs and Symptoms of Gallbladder Problems | CommonSpirit Healthhttps://www.chisaintjosephhealth.org/blogs/signs-and-symptoms-of-gallbladder-problems
Gallstones affect nearly 20 million Americans annually, and severe cases can lead to the gallbladder rupturing, or even death. […] Common symptoms of a diseased gallbladder or gallstones that warrant an appointment with your doctor include: Pain in the upper right region of your abdomen that is sudden or intensifying. […] More serious symptoms that warrant a doctors visit include: High fever accompanied by chills. […] Gallbladder inflammation, also known as Cholecystitis, is typically caused by gallstones blocking the tube that leads out of the gallbladder. […] Common cholecystitis symptoms can include: Severe pain in the upper right or center abdomen. […] Because this blockage deters bile from properly exiting the gallbladder into the small intestine, an untreated case of cholecystitis can lead to severe or life-altering complications, such as gallbladder rupture. […] If you are experiencing symptoms for more than a few hours, you should seek immediate medical attention. Symptoms of a bad gallbladder that linger such as abdominal pain, jaundice, or a fever can be indicative of a more serious issue.
- #18 Symptoms & Causes of Gallstones – NIDDKhttps://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/symptoms-causes
See a doctor right away if you are having these symptoms during or after a gallbladder attack: pain in your abdomen lasting several hours, nausea and vomiting, fever even a low-grade fever or chills, yellowish color of your skin or whites of your eyes, called jaundice, tea-colored urine and light-colored stools. […] These symptoms may be signs of a serious infection or inflammation of the gallbladder, liver, or pancreas. Gallstone symptoms may be similar to symptoms of other conditions, such as appendicitis, ulcers, pancreatitis, and gastroesophageal reflux disease, all of which should be treated by a doctor as soon as possible. […] Gallstone complications can occur if your bile ducts stay blocked. Left untreated, blockages of the bile ducts or pancreatic duct can be fatal.
- #19 Signs and Symptoms of Gallbladder Problems | CommonSpirit Healthhttps://www.commonspirit.org/blog/signs-and-symptoms-of-gallbladder-problems
Pain in the mid- to upper-right section of your abdomen is the most common sign that there is a problem with your gallbladder. […] An infection of the gallbladder can result in an unexplained fever or chills. […] If someone is experiencing a lighter-colored stool or dark urine, its important to consult a physician, as this is a sign of a bile duct blockage. […] An additional sign of a bile duct block or stone is jaundice, or yellow-tinted skin and eyes. […] Symptoms of a bad gallbladder that linger such as abdominal pain, jaundice, or a fever can be indicative of a more serious issue.
- #20https://www.healthxchange.sg/digestive-system/gallbladder/gallbladder-disease-stages-symptoms
Acute gallbladder disease is one of the most frequent causes for emergency hospital admissions. This includes obstructive jaundice due to obstructed bile ducts, acute cholecystitis (inflammation of the gallbladder) and acute pancreatitis. […] When the gallstones obstruct the common bile duct, you can get jaundice. Symptoms include a yellow discolouration of the skin and whites of eyes, itchy skin, pale bowel motions and dark urine. Jaundice together with fever can be extremely serious, and you should seek urgent medical attention. […] Patients with acute cholecystitis will have a persistent right or upper abdominal pain, and fever. This pain can be made worse by movement or coughing. Nausea and vomiting are also common. […] Typically, patients with acute gallstone pancreatitis will present with sudden severe upper abdominal pain, often associated with back pain. The pain is usually severe enough to bring the patient to the emergency room. If the gallstones obstruct the pancreatic duct, there may be back pressure in the pancreas, causing pancreatitis. Most attacks of pancreatitis are mild, while some are severe and life-threatening. […] Any of the above symptoms may signal complicated gallbladder disease, which warrants immediate attention.
- #21 Gallstones | Symptoms, Causes and Treatmenthttps://patient.info/digestive-health/gallstones-and-bile
Inflammation of the gallbladder. This is called cholecystitis. This can lead to infection in the gallbladder. Symptoms usually develop quickly and include abdominal pain, high temperature (fever) and being generally unwell. […] Jaundice. This is an uncommon complication of gallstones. It occurs if a gallstone comes out of the gallbladder but causes blockage of the bile ducts. […] Pancreatitis. This is an inflammation of the pancreas. […] Gallstones are harmless in themselves but a small number of people with gallstones may develop serious problems if the gallstones block a bile duct or move into another part of the bowel (gut). These complications are much more dangerous and include cholecystitis, gallbladder abscess (empyema of the gallbladder), infection of the bile ducts (acute cholangitis), acute pancreatitis, cancer of the gallbladder, and gallstone ileus. […] Diarrhoea is not a common symptom of gallstones but if gallstones block a bile duct or move into the pancreas or gut (bowel) then the gallstones may cause diarrhoea.
- #22 Gallstone – Wikipediahttps://en.wikipedia.org/wiki/Gallstone
Gallstones typically form in the gallbladder and may result in symptoms if they block the biliary system. […] Most people with gallstones (about 80%) are asymptomatic. However, when a gallstone obstructs the bile duct and causes acute cholestasis, a reflexive smooth muscle spasm often occurs, resulting in an intense cramp-like visceral pain in the right upper part of the abdomen known as a biliary colic (or „gallbladder attack”). This happens in 14% of those with gallstones each year. […] Symptoms of these complications may include pain that lasts longer than five hours, fever, yellowish skin, vomiting, dark urine, and pale stools. […] Acute cholecystitis, or inflammation of the gallbladder, is caused by gallstones in 90-95% of cases. It presents very similarly to biliary colic: a sudden onset of severe pain in the right upper side of the abdomen or epigastric area. However, this pain differs from a gallstone attack because it lasts more than 6 hours and does not subside like a normal attack would.
- #22 Gallstone – Wikipediahttps://en.wikipedia.org/wiki/Gallstone
Choledocholithiasis refers to a gallstone obstructing the common bile duct. Patients typically experience right upper quadrant pain, back pain, jaundice (or yellowing of the skin), decreased appetite, nausea, vomiting, and/or fever. […] Ascending cholangitis is a complication of choledocholithiasis. When a gallstone obstructs the common bile duct, inflammation and infection of the biliary tree can occur. Approximately 2/3 of patients present with the classic Charcot’s triad: jaundice, fever or chills, and right upper quadrant pain. […] Gallstone pancreatitis occurs when a gallstone slips down the biliary tree and gets stuck in either the pancreatic duct or at the ampulla of Vater. Gallstone pancreatitis presents the same as acute pancreatitis: a sudden onset of epigastric pain that moves towards the back, decrease in appetite, nausea, and vomiting.
- #22 Gallstone – Wikipediahttps://en.wikipedia.org/wiki/Gallstone
Large gallstones can potentially erode through the gallbladder wall and into the neighboring small intestine. This large stone then travels through the small intestine until it is too narrow for the stone to continue, causing a small bowel obstruction. […] Rarely, gallbladder cancer may occur as a complication in the setting of chronic gallstones.
- #23 Gallbladder Disease: Symptoms & Causes | NewYork-Presbyterianhttps://www.nyp.org/digestive/liver-diseases/gallbladder-disease
Upper abdominal pain is the main symptom of gallbladder disease. […] Other symptoms of gallbladder problems include: Fever, Nausea, Vomiting, Jaundice. […] Different gallbladder diseases present with different symptoms, which include: Gallstones are hard, pebble-like cholesterol or bilirubin stones that develop in your gallbladder. They are the leading cause of gallbladder disease and may block your bile ducts causing sudden pain known as a gallbladder attack. […] Biliary colic is an intense, dull ache in the upper right side of the abdomen or in the upper middle abdomen. The pain can sometimes travel to the back or right shoulder blade. The pain caused by biliary colic can be triggered by eating a meal that’s high in fat. […] Acute cholecystitis is inflammation of the gallbladder. The main symptom is a sudden sharp pain in the upper right side of the abdomen that spreads toward the right shoulder. Unlike biliary colic, this pain lasts for hours and does not typically go away without treatment.
- #23 Gallbladder Disease: Symptoms & Causes | NewYork-Presbyterianhttps://www.nyp.org/digestive/liver-diseases/gallbladder-disease
Chronic cholecystitis or dysfunctional gallbladder occurs due to swelling and irritation of the gallbladder, continuing with repeated attacks over weeks or months. Symptoms include severe pain in your upper right or center abdomen that can spread to your right shoulder or back and tenderness over your stomach when touched. […] Choledocholithiasis occurs when at least one gallstone is present in the common bile duct. Symptoms may or may not occur unless the gallstones cause a blockage, at which time the obstruction can cause severe pain and inflammation.
- #24 Patient education: Gallstones (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/gallstones-beyond-the-basics/print
Biliary colic, also known as gallstone pain or biliary pain, is the most common initial symptom of gallstones. It manifests as attacks of abdominal pain, often located in the right upper belly just under the lower ribs. Sometimes it is felt in the upper center of the abdomen or even in the lower chest, causing it to be confused with angina or a heart attack. You may also feel nausea, vomiting, and pain in the right shoulder or back. […] Once you have a first attack of biliary colic, there is a good chance you will have more symptoms in the future. Such recurrent symptoms are usually more severe and occasionally associated with complications. […] Acute cholecystitis â This refers to inflammation of the gallbladder. It happens when there is a complete blockage of the gallbladder, caused by a gallstone. Unlike biliary colic, which resolves within a few hours, pain is constant with acute cholecystitis and fever is common.
- #25 What Are the Symptoms of a Gallbladder Attack | The Surgical Clinichttps://thesurgicalclinics.com/symptoms-gallbladder-attack/
The most obvious sign of acute cholecystitis is the sudden onset of intense pain near the upper right of the abdomen or under the right shoulder blade, which radiates outward. The pain gets worse with deep breathing as the diaphragm will put pressure on the liver, which then irritates the gallbladder further. […] Symptoms include: Pain in the upper right abdomen […] If these gallbladder attack symptoms last more than two hours or you have a fever, you may need to go to the hospital for emergency medical care. Gallbladder attack symptoms are often excruciating and even replicate symptoms of heart attacks and appendicitis. Severe pain needs to be checked out to identify the problem and reveal inflammation or infection. […] If you notice sudden fevers after a gallbladder attack, you should seek help immediately. Fevers can be a sign of inflammation of the gallbladder or an infection.
- #26 Gallstones – myDr.com.auhttps://mydr.com.au/gastrointestinal-health/gallstones/
Symptoms include: sudden, severe pain in the upper abdomen that lasts more than 12 hours; tenderness when the abdomen is touched; nausea and vomiting; and fever. […] Acute cholecystitis is distinguished from biliary colic, which is the pain caused when gallstones temporarily obstruct a bile duct, but no gallbladder inflammation is present. […] Pancreatitis (inflammation of the pancreas) is a potentially serious disorder that occasionally develops in people with gallstones. It is more common in people with numerous small stones, and occurs when gallstones obstruct the duct leading from the pancreas (pancreatic duct). […] Symptoms of gallstone ileus include: abdominal pain; abdominal bloating; nausea and vomiting; and constipation.
- #27 Gallstones & Gallbladder Disease Symptoms & Treatments | MedStar Healthhttps://www.medstarhealth.org/services/gallbladder-disease-and-gallstones
Many people with gallstones never experience symptoms and dont need treatment. However, gallstones can become painful, especially if they grow or block the biliary tract. Because this can lead to serious complications, symptomatic gallstones require treatment. […] If gallstones become larger or clog the bile duct, they can cause symptoms and serious complications. The most common symptom of gallbladder disease is pain that occurs in the upper right side of the abdomen near the rib cage. This is often called biliary colic, and gallstones are the most common reason for this type of pain. […] The symptoms of acute cholecystitis (gallbladder inflammation) are similar to biliary colic but more painful and longer lasting. Cholecystitis is also most frequently caused by gallstones that block the biliary duct from properly draining. Symptoms may include: Pain in the upper right or mid abdomen that is severe and constant. It may last for days. Pain frequently increases when drawing a breath. Pain may also radiate to the back or occur under the shoulder blades, behind the breastbone, or on the left side. About a third of patients have fever and chills. Nausea and vomiting may occur.
- #28 Cholecystitis (gallbladder inflammation) | healthdirecthttps://www.healthdirect.gov.au/cholecystitis-gallbladder-inflammation
intravenous (IV) fluids fluids given through a drip […] antibiotics […] pain-relief medicines […] surgery to remove your gallbladder. […] Surgery to remove your gallbladder is called a cholecystectomy. This is standard treatment if your cholecystitis is caused by gallstones. […] Complications of cholecystitis can be life-threatening.
- #29 Gallbladder Disease: Symptoms, Treatment & What it Ishttps://my.clevelandclinic.org/health/diseases/22976-gallbladder-disease
A persistent blockage, infection or tumor in your gallbladder can cause acute inflammation, which feels like a more intense version of biliary colic. […] Chronic symptoms are often milder than acute symptoms and may go unnoticed for some time. […] Backed-up bile is the most common cause of gallbladder inflammation (cholecystitis), but sometimes a separate infection causes it. […] Gallbladder disease can cause inflammation, infection and/or blockage of the bile ducts, especially if a gallstone passes from the gallbladder into the bile ducts. […] When bile backs up into your liver, as a result of gallbladder problems or bile duct problems or both, it causes inflammation and eventually scarring of the liver (cirrhosis). […] A gallstone that travels from the gallbladder into the bile ducts and pancreas duct opening can cause a blockage that backs up into the pancreatic duct and the pancreas.
- #29 Gallbladder Disease: Symptoms, Treatment & What it Ishttps://my.clevelandclinic.org/health/diseases/22976-gallbladder-disease
Gallstones are the most common cause of gallbladder problems, but they dont always cause problems. […] You can have gallstones without symptoms and never know they are there. But they can cause problems if they block the flow of bile in the gallbladder or bile ducts. […] Cholecystitis is the most common symptom of gallbladder disease, and it can cause problems of its own. […] Its most often caused by gallstones blocking the flow of bile. […] Chronic inflammation can cause scarring of the gallbladder tissue and, eventually, gangrene and even perforation (tearing). […] Gallstones affect as much as 15% of the population, but only 20% of those with gallstones will have complications or symptoms. […] Symptoms of gallbladder disease fall into a few different categories. […] Biliary colic is a type of visceral pain associated with gallbladder disease.
- #30https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw107151
The most common problem caused by gallstones occurs when a gallstone blocks the cystic duct that drains the gallbladder. It often causes bouts of pain that come and go as the gallbladder contracts and expands. The bouts of pain are often severe and steady. Pain can last 15 minutes to 24 hours. Continuous pain for 1 to 6 hours is common. The pain may get worse after a meal. Symptoms usually improve within a few days. […] If the pain is severe or if you have had gallbladder pain before, you may need to have your gallbladder removed. […] In rare cases, gallstones can cause pancreatitis, an inflammation of the pancreas. Gallstones back up the flow of digestive enzymes made by the pancreas. Pancreatitis may cause sudden, severe belly pain, loss of appetite, nausea and vomiting, and fever.
- #31 Gallstones: Treatments, symptoms, and causeshttps://www.medicalnewstoday.com/articles/153981
If a gallstone leaves the gallbladder and gets stuck in the bile duct it may block the passage of bile into the intestine. The bile will then seep into the bloodstream, causing signs of jaundice. […] If a small gallstone passes through the bile duct and blocks the pancreatic duct, or causes a reflux of liquids and bile into the duct, an individual may develop pancreatitis.
- #32 Gallstones | HealthLink BChttps://www.healthlinkbc.ca/healthwise/gallstones
Most people who have gallstones don’t have symptoms. If you have symptoms, you likely will have pain in your stomach or the upper right part of your belly. Pain may spread to your right upper back or shoulder blade area. When gallstones block a bile duct, you may have pain with fever and chills. […] The progression of gallstones depends on whether you have symptoms. Most people with gallstones have no symptoms and do not need treatment. […] The most common problem caused by gallstones occurs when a gallstone blocks the cystic duct that drains the gallbladder. It often causes bouts of pain that come and go as the gallbladder contracts and expands. The bouts of pain are often severe and steady. The pain can last from 15 minutes to up to 6 hours. And the pain may get worse after a meal. Symptoms usually improve within a few days.
- #33 Gallstones – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/gallstones/diagnosis-treatment/drc-20354220
Most people with gallstones that don’t cause symptoms will never need treatment. […] Your doctor may recommend that you be alert for symptoms of gallstone complications, such as intensifying pain in your upper right abdomen. […] If gallstone signs and symptoms occur in the future, you can have treatment.
- #34 Gallstones: Symptoms, Causes, Treatment, and Morehttps://www.healthline.com/health/gallstones
Gallstones are hard, crystalized deposits of digestive fluid made of substances found in bile, like cholesterol. If they cause symptoms, you may need to have your gallbladder removed. […] However, around 1 in 10 people with gallstones will develop noticeable symptoms within 5 years. […] In most cases, gallstones dont cause any symptoms and are only identified during a routine checkup. […] Gallstones themselves dont usually cause symptoms until they block the movement of bile from the gallbladder (biliary obstruction). This may cause sudden, sharp pain in the abdomen that can radiate to the back or shoulder blade. […] This is sometimes called a gallbladder attack, or biliary colic. It can last up to 5 hours. […] Abdominal pain will usually go away once the gallstones clear the gallbladder duct.
- #34 Gallstones: Symptoms, Causes, Treatment, and Morehttps://www.healthline.com/health/gallstones
Its important to get immediate medical attention if you experience any of the following symptoms: nausea, vomiting, fever, yellowing of the skin and whites of the eyes (jaundice). […] These symptoms could be a sign of gallbladder complications or other serious medical conditions, such as pancreatitis, appendicitis, and gastroesophageal reflux disease (GERD). […] Gallstones most often dont cause any symptoms. However, if they block your gallbladder duct, you may experience severe abdominal pain that could last up to 5 hours. […] In most cases, you only require gallstone treatment if you experience symptoms. Sometimes, untreated gallstones may lead to complications like pancreatitis, jaundice, and gallbladder infection or inflammation. […] Most people dont experience any symptoms of gallstones, but they could cause severe abdominal pain if they get caught in a bile duct.
- #35 What Does Gallbladder Pain Feel Like: Location, Duration, and Morehttps://www.healthline.com/health/what-does-gallbladder-pain-feel-like
Many people with gallstones do not experience symptoms, but about 10% will develop symptoms within five years, and 20% will do so within two decades of their diagnosis. […] A common source of gallbladder pain is when gallstones get trapped in the cystic duct, eventually coming out on their own. […] Sometimes, however, you can also develop cholecystitis (gallbladder inflammation) if the gallstones obstruct the bile duct, which leads to bile buildup. […] If untreated, cholecystitis can lead to serious, even life threatening complications, such as a gallbladder rupture or gangrene. […] Gallbladder pain is usually caused by gallstones that block bile ducts. This common condition can cause severe pain.
- #36 How Do I Know if I Have Gallstones?https://www.medicinenet.com/how_do_i_know_if_i_have_gallstones/article.htm
This pain takes about an hour to reach the highest level of intensity, but it may take up to several hours for the pain to subside. The pain may feel like an ache or a sharp, knifelike stab. […] Besides abdominal pain, another symptom of gallstones is pain or discomfort in other parts of the body. […] The pain doesnt subside until the gallstone can move, and it wont be relieved by using the toilet, passing gas, or vomiting. […] In addition to pain, you may experience several other symptoms of a gallbladder attack. Other possible symptoms include: nausea, vomiting, fever, chills, jaundice (yellowing of the skin or eyes), gas, heartburn, diarrhea, loss of appetite. […] Gallstones usually move on their own, but in certain cases, you should see a doctor. If you have any of these symptoms of gallstones during or after a gallbladder attack, you should seek medical attention: pain that lasts longer than 5 hours, sweating, chills, low fever, clay-colored stools. […] If you have a gallbladder attack, most of the time your doctor will suggest that you wait a few hours to see if it will subside on its own. If you have frequent attacks, your doctor may recommend gallbladder surgery. After your first attack, your chance of having another one increases by up to 70%.
- #37 Gallstones: Watch and wait, or intervene? | Cleveland Clinic Journal of Medicinehttps://www.ccjm.org/content/85/4/323
Most patients with gallstone symptoms describe a constant and often severe pain in the right upper abdomen, epigastrium, or both, often persisting for 30 to 120 minutes. […] Onset of symptoms more than an hour after eating or in the late evening or at night also very strongly suggests biliary pain. […] In any year, approximately 1% to 3% of patients with gallstones experience a gallstone-related complication. […] Gallbladder inflammation (cholecystitis) is the most common complication, occurring in up to 10% of symptomatic cases. […] Patients with symptomatic gallstones are at high risk of biliary complications. Laparoscopic cholecystectomy is recommended for patients who can undergo surgery. […] For patients experiencing acute cholecystitis, laparoscopic cholecystectomy within 72 hours is recommended. […] The management of patients with asymptomatic gallstones typically is based on the risk of developing symptoms or complications. Standard treatment for these patients is expectant management. Cholecystectomy is not recommended for patients with asymptomatic gallstones.
- #38 Symptoms of Gallstones | Brown University Healthhttps://www.lifespan.org/centers-services/general-and-gastrointestinal-surgery/about-gallstones/symptoms-gallstones
However, people who do have symptoms are likely to continue to have symptoms. Furthermore, in a large percentage of symptomatic patients, the frequency and severity of the attacks increase over time. […] Continued distention of the gallbladder leads to reduced blood flow to the wall of the gallbladder and to inflammation. This is associated with pain in the right side of the upper abdomen. The nausea, vomiting and bloating are a non-specific intestinal response (visceral response) to these insults. […] However, if there was a lot of inflammation, some residual discomfort may remain for hours to days. The length of time this residual pain is present is related to the severity of the attack. […] Therefore, you can expect attacks in the future if you have had them in the past. The question is when they will occur.
- #38 Symptoms of Gallstones | Brown University Healthhttps://www.lifespan.org/centers-services/general-and-gastrointestinal-surgery/about-gallstones/symptoms-gallstones
Patients may have one small stone and have severe and repetitive symptoms while others with multiple large stones may have none. However, it is important to note that the type of symptoms and complications of gallstone disease are related to the size of the stones. […] Patients with gallstones greater than one centimeter in size are more likely to get acute cholecystitis than those with gallstones less than one centimeter in size. Patients with gallstones greater than 3 centimeters in diameter are more likely to get gallbladder cancer than those with stones smaller than 3 centimeters or no stones. […] Patients, on the other hand, with small, less than 1/2 centimeter stones are more likely to get passage of the stones through the cystic duct into the common duct. This can lead to two severe and life threatening problems: pancreatitis and obstructive jaundice.
- #39https://www.gleneagles.com.sg/conditions-diseases/gallstones/symptoms-causes
Gallstones can be present as one large gallstone that is the size of a golf ball, little stones, or a combination. […] The symptoms of gallstones depend on how, if, and where the gallstones get blocked or lodged in. However, it is important to note that the size or number of gallstones per se is not as important as its presence, as it only takes a single stone to cause symptoms or problems. […] Pain is a common symptom, which manifests in different ways. For some, it occurs in the upper right part of the abdomen or in the centre of the abdomen just below the breastbone. Others may experience it in the right shoulder or as back pain between the shoulder blades. […] The symptoms of gallstones usually occur after having a fatty and/or oily meal, and commonly at night. […] Some people with gallstones do not show any symptoms, and in such cases, these are referred to as silent stones. These stones do not affect the gallbladder, liver or pancreas function. […] Occasionally, gallstones may present without significant prior symptoms, with a gallstones-related complications as its first symptoms.
- #40 Gallstone Signs and Symptoms | Gastro Associateshttps://gastroassociates.com/gallstone-signs-and-symptoms/
Typical signs and symptoms include: right upper quadrant pain, nausea, vomiting. […] If a patient develops these symptoms and has gallstones, it typically requires laparoscopic surgery to remove the gallbladder. […] Gallstones are generally diagnosed by abdominal ultrasound. […] A murphys sign or tenderness over the gallbladder area is usually associated with cholecystitis. […] Most patients do not realize that there is a risk of common bile duct stones even years after the gallbladder has been removed. […] If stones are suspected in the bile duct before surgery, then it is standard practice to clear the bile duct with a procedure called an ERCP before gallbladder surgery. […] If unexpected bile duct stones are found at the time of surgery, then an ERCP can be performed after surgery.
- #41 Gallbladder – gallstones and surgery | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gallbladder-gallstones-and-surgery
Gallstones are small stones made from cholesterol, bile pigment and calcium salts, which form in a persons gall bladder. […] Medical treatment isnt necessary unless the gallstones cause symptoms. […] In approximately 70% of cases, gallstones cause no symptoms. […] The symptoms of gallstones may include: pain in the abdomen and back. Pain is generally infrequent, but severe; increase in abdominal pain after eating a fatty meal; jaundice; fever and pain, if the gallbladder or bile duct becomes infected. […] If gallstones cause no symptoms, you rarely need any treatment. Complications that may require prompt medical treatment include: biliary colic a gallstone can move from the body of the gallbladder into its neck (cystic duct), leading to obstruction. Symptoms include severe pain and fever; inflammation of the gallbladder (cholecystitis) a gallstone blocks the gallbladder duct, leading to infection and inflammation of the gallbladder. Symptoms include severe abdominal pain, nausea and vomiting; jaundice if a gallstone blocks a bile duct leading to the bowel, trapped bile enters the persons bloodstream instead of the digestive system. The bile pigments cause a yellowing of the persons skin and eyes. Their urine may also turn orange or brown; pancreatitis inflammation of the pancreas, caused by a blocked bile duct low down near the pancreas. Pancreatic enzymes irritate and burn the pancreas and leak out into the abdominal cavity; cholangitis inflammation of the bile ducts, which occurs when a bile duct becomes blocked by a gallstone and the bile becomes infected. This causes pain, fever, jaundice and rigors (shaking); infection of the liver; cancer of the gallbladder (occurs rarely). […] Around 80% of people with gallstone symptoms will need surgery.
- #42 âGALLSTONESâ might be more severe if it is left untreated! | Bangkok Hospital Headquarterhttps://www.bangkokhospital.com/en/content/gall-stone
Gallstones might be more severe if it is left untreated! […] If gallstones lodge in a bile duct and cause a blockage, it eventually results in severe life-threatening complications such as bile duct inflammation and infection, pancreatitis or cholecystitis (an inflammation of gallbladder). […] In addition, if left untreated, it might increase risk of gallbladder cancer. […] Knowing the early signs of gallstones must be aware in order to get the disease diagnosed in due time and receive appropriate medical treatment. […] Gallstones may cause no signs or symptoms. However, if a gallstone lodges in a duct and causes a blockage, the consequent signs and symptoms may include: […] The risk to develop gallbladder cancer is strongly associated with a larger size of gallstones. […] If gallstones remain negligently untreated, it might lead to life-threatening conditions such as cholecystitis and sepsis. […] Moreover, it might potentially trigger the risk to develop gallbladder cancer in the future.
- #43https://www.nhs.uk/conditions/gallstones/
Gallstones often have no symptoms. […] But if a gallstone becomes trapped in an opening (duct) inside the gallbladder, it can trigger a sudden, intense pain in your tummy that usually lasts between 1 and 5 hours. […] This type of abdominal pain is known as biliary colic. […] Some people with gallstones can also develop complications, such as inflammation of the gallbladder (cholecystitis). […] This can cause: persistent pain, yellowing of the skin and eyes (jaundice), a high temperature. […] When gallstones cause symptoms or complications, it’s known as gallstone disease or cholelithiasis. […] Treatment is usually only necessary if gallstones are causing: symptoms, such as tummy pain, complications, such as jaundice or acute pancreatitis. […] Gallstone disease is usually easily treated with surgery. […] Very severe cases can be life threatening, particularly in people who are already in poor health. […] But deaths from gallstone disease are rare in the UK.
- #44 Gallstones | Cedars-Sinaihttps://www.cedars-sinai.org/health-library/diseases-and-conditions/g/gallstones.html
Each persons symptoms may vary. Symptoms may include: Steady, severe pain in your upper belly (abdomen) that quickly gets worse, Pain in your back between the shoulder blades, Pain in your right shoulder, Nausea, Vomiting, Fever, Chills, Yellowing of the skin or eyes (jaundice). […] See your healthcare provider right away if you have any of these symptoms during or after a gallbladder attack: Pain that lasts more than 5 hours, Sweating, Chills, Low-grade fever, Yellowish color of the skin or whites of the eyes, Clay-colored stools. […] The symptoms of gallstones may look like other health problems. Always see your healthcare provider to be sure. […] Gallstones that do cause symptoms should be treated. The likelihood of recurrent gallstone attacks is high. In addition to being very painful, each attack runs the risk of complications like an infection of the gallbladder or pancreas.
- #45https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/gallstones
Sometimes with gallstones, symptoms are absent and require no treatment, or they may be very painful and require surgery to remove the gallbladder. […] One of the most noticeable symptoms of gallstone is when you have pain in the upper right or center of your abdomen that gets worse after a meal particularly a meal of fatty or greasy foods. Other symptoms of gallstones may include: Bloating, Nausea or vomiting, Sweating, Fever, Chills, Pain in the right shoulder, Pain between the shoulder blades, Jaundice (yellowing of the skin and eyes). […] If you have possible gallstones symptoms that concern you, especially abdominal pain that lasts longer than a few hours, pain that is severe and accompanied by fever and chills, or if your skin or eyes look yellowish, schedule an appointment with your doctor.
- #46 Gallstones (Cholelithiasis): Symptoms, Causes, and Treatmentshttps://www.webmd.com/digestive-disorders/gallstones
You can have gallstones and not know it. Symptoms typically happen only when one or more gallstones get stuck and block the flow of bile from your gallbladder to your small intestine (where your food goes right after it leaves your stomach). This is called a gallbladder attack or biliary colic. […] Some symptoms of gallstones include: Pain in the upper right side of your belly just under your ribs, Pain in your lower chest, right shoulder, or back, An upset stomach, Nausea or vomiting, Other digestive problems, including indigestion, heartburn, and gas. […] Gallstones may pass on their own. But in some cases, you might need immediate medical care. […] See your doctor or go to the hospital if: Your belly pain lasts more than 2 hours or is severe, You have a fever along with chills, Your skin or eyes look yellow.
- #47 Gallstones | Sepsis Alliancehttps://www.sepsis.org/sepsisand/gallstones/
If you experience any of these signs, please seek emergency help: Abdominal pain so intense that you cant sit still or find a comfortable position, Yellowing of your skin and the whites of your eyes, Tea-colored urine, High fever with chills. […] Treatment for gallstones depends on how much they affect you and if you are at risk for more stones and blockages. […] Gallbladder surgery removes your gallbladder, so you will no longer have stones. […] Not all gallstones can be prevented, but you can reduce your risk by following a healthy diet and losing weight in a healthy manner (not too drastically or quickly) if you are overweight.
- #48 Gallstones | Healthifyhttps://healthify.nz/health-a-z/g/gallstones
Serious symptoms of gallstones that require immediate attention include: fever, sweating and chills; persistent vomiting where you can’t eat or drink, leading to dehydration; jaundice a yellowing of your skin or whites of your eyes. […] In most cases, gallstones dont cause any problems, and 7 out of 10 people have no symptoms. […] If you are found to have silent gallstones you should avoid fatty meals. […] Gallstones aren’t usually treated unless you have symptoms. […] Some people find eating a low-fat diet controls their symptoms of gallstones.
- #49 Gallstones – NIDDKhttps://www.niddk.nih.gov/health-information/digestive-diseases/gallstones
When gallstones block your bile ducts, bile builds up in your gallbladder, causing a gallbladder attack. Gallbladder attacks usually cause pain in the upper right abdomen; gallstones may form if bile contains too much cholesterol, too much bilirubin, or not enough bile salts. […] If you are having a gallbladder attack or other symptoms, you need to have your gallstones treated right away, most likely with surgery to remove the gallbladder.
- #50 Gallstones | Great Ormond Street Hospitalhttps://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/gallstones/
Sometimes there are no symptoms and the gallstones are discovered when looking for other abdominal problems. Most gallstones without symptoms do not cause problems and in some cases resolve without treatment. […] In 95 per cent of children, removing the gallbladder means the end of problems associated with gallstones. It is rare to notice any long term side effects of having the gallbladder removed. Rarely, children notice some looser bowel motions, but commonly this resolves.
- #51 Gallstones (Cholelithiasis): Practice Essentials, Background, Pathophysiologyhttps://emedicine.medscape.com/article/175667-overview
Complications of gallstone disease may require specialized management to relieve obstruction and infection. […] Less than half of patients with gallstones become symptomatic. […] The mortality rate for an elective cholecystectomy is 0.5% with less than 10% morbidity. […] Approximately 10%-15% of patients have an associated choledocholithiasis.
- #52 Gallstones: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/000273.htm
Gallstones are hard deposits that form inside the gallbladder. These may be as small as a grain of sand or as large as a golf ball. […] Many people with gallstones do not have any symptoms. These are often found during a routine x-ray, abdominal surgery, or other medical procedure. […] However, if a large stone blocks a tube or duct that drains the gallbladder, you may have a cramping pain in the middle to right upper abdomen. This is known as biliary colic. The pain goes away if the stone passes into the first part of the small intestine. […] Symptoms that may occur include: Pain in the right upper or middle upper abdomen for at least 30 minutes. The pain may be constant or cramping. It can feel sharp or dull. Fever. Yellowing of skin and whites of the eyes (jaundice). […] Other symptoms may include: Clay-colored stools, Nausea and vomiting. […] The chance of symptoms or complications from gallstone surgery is low. Nearly all people who have their gallbladder taken out by surgery do not have their symptoms return.
- #53 Gallstones Types, Treatment, Causes, Diet, Symptoms, Pain & Surgeryhttps://www.emedicinehealth.com/gallstones/article_em.htm
Untreated gallstone disease can become life-threatening, particularly if the gallbladder becomes infected or if the pancreas becomes severely inflamed. […] If gallstones block one of the biliary ducts, the result is inflammation and swelling of the organs „upstream” of the blocked duct. […] This complication alone can cause symptoms and warrants treatment, possibly surgery. […] If untreated, it can lead to more serious conditions such as infection and damage to the gallbladder, liver, and pancreas (pancreatitis). […] If a person chooses not to have their gallbladder removed, it is likely they will have recurring abdominal pain and possibly complications.