Gallstones

10 min read

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that’s released into your small intestine. Gallstones range in size from as small as a grain of sand to as large as a golf ball.

Causes of Gallstones

Gallstones form when substances in bile harden. Bile is made up of water, cholesterol, fats, proteins, and bilirubin. When too much cholesterol or bilirubin is present, it can form stones. Other causes of gallstones include:

  • Being overweight or obese
  • Eating a high-fat diet
  • Having diabetes
  • Having a family history of gallstones
  • Being a woman over age 40
  • Taking certain medications

Complications of Gallstones

Gallstones can cause complications, such as:

  • Inflammation of the gallbladder (cholecystitis)
  • Blockage of the common bile duct
  • Infection of the bile ducts (cholangitis)
  • Pancreatitis

Diagnosis of Gallstones

Your doctor may diagnose gallstones based on your symptoms and medical history. Tests that may be used to diagnose gallstones include:

  • Ultrasound
  • CT scan
  • HIDA scan
  • Endoscopic retrograde cholangiopancreatography (ERCP)

Prevention of Gallstones

You may be able to reduce your risk of developing gallstones by:

  • Maintaining a healthy weight
  • Eating a balanced diet
  • Exercising regularly
  • Limiting your intake of fatty and sugary foods

Symptoms

Pain

The most common symptom of gallstones is pain in the upper right side of the abdomen. This pain may be sharp and sudden, or it may be a dull ache that lasts for several hours. The pain may also spread to the back or below the right shoulder blade. In some cases, the pain may be accompanied by nausea and vomiting.

Indigestion

People with gallstones may also experience indigestion, which is a feeling of fullness or discomfort after eating. This can be accompanied by bloating, belching, and gas.

Fever

If the gallstones become infected, you may experience a fever. This is usually accompanied by chills and sweating.

Jaundice

Jaundice is a yellowing of the skin and eyes caused by a buildup of bilirubin in the body. This can be a sign of gallstones blocking the bile ducts.

Dark Urine

Dark urine is another sign of gallstones blocking the bile ducts. This can cause the urine to become a dark yellow or brown color.

Light-Colored Stools

Light-colored stools can also be a sign of gallstones blocking the bile ducts. This can cause the stools to become pale or clay-colored.

When to See a Doctor

If you experience any of the symptoms of gallstones, it’s important to see a doctor. They can diagnose the condition and recommend treatment options.

Take the Gallstones Assessment

Causes

Risk Factors for Gallstones

  • Being overweight or obese
  • Eating a high-fat diet
  • Having a family history of gallstones
  • Being female
  • Being over the age of 60
  • Having diabetes
  • Having a rapid weight loss
  • Taking certain medications

If you have any of these risk factors, it is important to talk to your doctor about ways to reduce your risk of developing gallstones. This may include making lifestyle changes such as eating a healthier diet and exercising regularly.

Getting a Diagnosis

Imaging Tests

Imaging tests are the most common way to diagnose gallstones. These tests use sound waves or X-rays to create images of the gallbladder and surrounding organs. Common imaging tests used to diagnose gallstones include ultrasound, computed tomography (CT) scan, and magnetic resonance imaging (MRI).

Blood Tests

Blood tests can be used to diagnose gallstones. These tests measure levels of certain substances in the blood that can indicate the presence of gallstones. Common blood tests used to diagnose gallstones include liver function tests, bilirubin tests, and alkaline phosphatase tests.

Endoscopic Procedures

Endoscopic procedures are used to diagnose gallstones in some cases. These procedures involve inserting a thin, flexible tube with a camera into the body to view the gallbladder and surrounding organs. Common endoscopic procedures used to diagnose gallstones include endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS).

Conclusion

Gallstones can cause pain and other symptoms. Diagnosis of gallstones is important to ensure proper treatment. Imaging tests, blood tests, and endoscopic procedures can all be used to diagnose gallstones.

Questions for Your Doctor

Questions to Ask Your Doctor About Gallstones

  • What tests do I need to diagnose gallstones?
  • What are the treatment options for gallstones?
  • What are the risks and benefits of each treatment option?
  • What lifestyle changes can I make to reduce my risk of developing gallstones?
  • Are there any medications I should avoid if I have gallstones?
  • What can I do to manage my symptoms?

Tips for Talking to Your Doctor About Gallstones

  • Write down your symptoms and any questions you have before your appointment.
  • Bring a list of all medications and supplements you are taking.
  • Be honest about any lifestyle habits that may be contributing to your symptoms.
  • Ask your doctor to explain any medical terms you don't understand.
  • If you don't feel comfortable with your doctor's recommendations, get a second opinion.

Talking to your doctor about gallstones can help you get the treatment you need to manage your symptoms and reduce your risk of complications. With the right information and support, you can take control of your health and get back to living your life.

Treatment

Medication

Medication is often the first line of treatment for gallstones. Medications such as ursodeoxycholic acid (UDCA) can help dissolve gallstones and reduce the risk of complications. Other medications, such as chenodiol, can help reduce the size of gallstones.

Surgery

If medications don’t work, surgery may be necessary to remove the gallstones. The most common type of surgery is called a cholecystectomy, which involves removing the gallbladder. This procedure is usually done laparoscopically, meaning it’s done through small incisions in the abdomen. Other types of surgery, such as lithotripsy, can be used to break up the gallstones.

Dietary Changes

Making dietary changes can also help reduce the risk of gallstones. Eating a low-fat diet and avoiding foods high in cholesterol can help reduce the risk of gallstones. Eating more fiber-rich foods, such as fruits, vegetables, and whole grains, can also help reduce the risk of gallstones.

Lifestyle Changes

Making lifestyle changes can also help reduce the risk of gallstones. Exercising regularly, maintaining a healthy weight, and avoiding smoking can all help reduce the risk of gallstones. Additionally, reducing stress can help reduce the risk of gallstones.

Conclusion

Gallstones can be painful and lead to complications, but there are treatments available to help manage and treat them. Medication, surgery, dietary changes, and lifestyle changes can all help reduce the risk of gallstones and help manage symptoms.

Drugs & Medications

Types of Drugs for Gallstones

The type of drug used to treat gallstones depends on the size and number of stones present. Smaller stones may be treated with medications that dissolve the stones. These medications include ursodeoxycholic acid (UDCA) and chenodeoxycholic acid (CDCA). Larger stones may require surgery to remove them.

Side Effects of Drugs for Gallstones

Drugs used to treat gallstones can cause side effects, including nausea, vomiting, diarrhea, and abdominal pain. In some cases, they can also cause allergic reactions. It is important to talk to your doctor about any side effects you experience while taking these medications.

Risks of Drugs for Gallstones

Drugs used to treat gallstones can increase the risk of developing certain conditions, such as pancreatitis and cholecystitis. They can also increase the risk of developing gallbladder cancer. It is important to talk to your doctor about the risks associated with taking these medications.

Conclusion

Gallstones can cause a variety of symptoms and can lead to serious complications. Fortunately, there are a variety of drugs available to treat gallstones. It is important to talk to your doctor about the risks and side effects associated with taking these medications.

Diet

What to Eat

When it comes to diet for gallstones, there are certain foods that can help reduce your risk. These include:

  • Fruits and vegetables: Eating plenty of fruits and vegetables can help reduce your risk of gallstones. Fruits and vegetables are high in fiber, which can help reduce cholesterol levels and keep your digestive system running smoothly.
  • Whole grains: Whole grains are high in fiber and can help reduce cholesterol levels. Eating whole grains can also help keep your digestive system running smoothly.
  • Lean proteins: Lean proteins such as fish, chicken, and turkey are low in fat and can help reduce your risk of gallstones. Eating lean proteins can also help keep your digestive system running smoothly.
  • Low-fat dairy: Low-fat dairy products such as yogurt and skim milk are low in fat and can help reduce your risk of gallstones. Eating low-fat dairy can also help keep your digestive system running smoothly.

What to Avoid

When it comes to diet for gallstones, there are certain foods that can increase your risk. These include:

  • High-fat foods: High-fat foods such as red meat, butter, and fried foods can increase your risk of gallstones. Eating high-fat foods can also make it harder for your digestive system to function properly.
  • Refined carbohydrates: Refined carbohydrates such as white bread, white rice, and sugary foods can increase your risk of gallstones. Eating refined carbohydrates can also make it harder for your digestive system to function properly.
  • Alcohol: Alcohol can increase your risk of gallstones. Drinking alcohol can also make it harder for your digestive system to function properly.

Conclusion

Eating a healthy diet and avoiding certain foods can help reduce your risk of developing gallstones. Eating plenty of fruits and vegetables, whole grains, lean proteins, and low-fat dairy can help reduce your risk. Avoiding high-fat foods, refined carbohydrates, and alcohol can also help reduce your risk. Talk to your doctor if you have any questions about diet for gallstones.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is important for managing gallstones. Choose foods that are low in fat and cholesterol, such as fruits, vegetables, whole grains, and lean proteins. Avoid processed and fried foods, as well as foods high in sugar. Eating smaller meals more frequently can also help reduce the risk of gallstones.

Maintain a Healthy Weight

Being overweight or obese increases the risk of gallstones. Losing weight can help reduce the risk of gallstones and other health problems. Aim for a healthy weight by eating a balanced diet and exercising regularly.

Exercise Regularly

Regular exercise can help reduce the risk of gallstones. Aim for at least 30 minutes of moderate-intensity physical activity most days of the week. This can include walking, jogging, swimming, or biking. Talk to your doctor before starting any new exercise program.

Reduce Stress

Stress can increase the risk of gallstones. Try to reduce stress by taking time for yourself, practicing relaxation techniques, and getting enough sleep. Talk to your doctor if you are having trouble managing stress.

Avoid Alcohol and Caffeine

Alcohol and caffeine can increase the risk of gallstones. Avoid or limit alcohol and caffeine to reduce the risk of gallstones and other health problems.