Symptoms of Gallstones
Most people (80%) do not have any symptoms when ]]>gallstones]]> are present in the gallbladder. However, when gallstones grow large, they can travel to and block narrow passages (ducts) meant only for liquid bile. This blockage is called choledocholithiasis. When this happens, abdominal pain is usually the most common symptom. It can be constant pain or pain that comes and goes, especially after meals. Other commonly associated symptoms include intolerance to fatty meals, bloating, belching, and indigestion.
The cystic duct drains bile from the gallbladder. The hepatic duct drains bile from the liver. The hepatic duct and cystic duct join to form the common bile duct which carries bile to the small intestine. When gallstones block these ducts, they may lead to the following more serious conditions:
Biliary colic—right upper quadrant pain and cramping due to the gallstone blocking the cystic duct
Acute cholecystitis—inflammation of the gallbladder that occurs if the gallstone gets lodged in the cystic duct without passing into the common bile duct
Cholangitis—a serious infection and a medical emergency that can result if the common bile duct remains blocked by a gallstone, allowing bacteria to be trapped
]]>Pancreatitis]]>—inflammation of the pancreas that occurs as a result of gallstones blocking the lower part of the common bile duct
These conditions are likely to cause some of the following symptoms:
- Abdominal pain (usually recurrent right upper quadrant pain, especially in response to fatty foods)
- Nausea and vomiting
- Excess gas or flatus
- Clay-colored stools
If you experience any of these symptoms do not assume it is due to gallstones. These symptoms may be caused by other health conditions. If you experience any one of them, see your doctor.
Adler DG, Baron TH, Davila RE, et al. ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. Gastrointest Endosc. 2005;62:1-8.
Ahmed A, Cheung RC, Keefe EB. Management of gallstones and their complications. Am Fam Physician. 2000;61:1673-1678.
Beers MH, Berkow R. The Merck Manual. 18th ed. West Point, PA: Merck and Co; 2006.
Gallstones. DynaMed website. Available at: http://www.dynamicmedical.com/dynamed.nsf?opendatabase . Accessed December 19, 2005.
Gallstones. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/gallstones/DS00165 . Accessed January 3, 2006.
Gallstones. Medline Plus Medical Encyclopedia website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000273.htm . Accessed January 3, 2006.
Gallstones. National Digestive Diseases Information Clearinghouse (NDDIC) website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/gallstones/. Accessed January 3, 2006.
Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone disease.
Last reviewed June 2009 by ]]>Rosalyn Carson-DeWitt, MD ]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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