19 February 2024

Gallstones: symptoms, causes and treatment

Gallstones are hardened deposits that form in the gallbladder, a small organ located beneath the liver. These stones can vary in size and composition and may not always cause symptoms. However, when they do, common symptoms include:

  1. Abdominal Pain: The most common symptom of gallstones is severe abdominal pain, typically in the upper right abdomen. This pain can be intermittent or constant and may radiate to the back or shoulder blades.
  2. Nausea and Vomiting: Gallstone-related pain can cause nausea and vomiting, especially after eating fatty or greasy foods.
  3. Jaundice: If a gallstone blocks the bile duct, it can lead to jaundice, a condition characterized by yellowing of the skin and eyes.
  4. Fever and Chills: In some cases, gallstones can cause inflammation or infection of the gallbladder, leading to fever and chills.
  5. Changes in Stool Color: Gallstone-related blockages can affect the flow of bile, leading to pale-colored stools and dark urine.

The exact cause of gallstones is not always clear, but factors that may contribute to their formation include:

  • Excess Cholesterol: Gallstones can form when there is an imbalance of cholesterol, bile salts, and calcium in the bile.
  • Obesity: Being overweight or obese increases the risk of gallstone formation.
  • Rapid Weight Loss: Losing weight too quickly can increase the risk of gallstones.
  • Genetics: A family history of gallstones can predispose individuals to developing them.
  • Certain Medical Conditions: Conditions such as diabetes, liver disease, and certain blood disorders can increase the risk of gallstones.

Treatment for gallstones depends on the severity of the symptoms and may include:

  • Watchful Waiting: If gallstones are not causing symptoms, a doctor may recommend monitoring them over time without intervention.
  • Medications: Medications may be prescribed to dissolve gallstones or to manage symptoms such as pain and nausea.
  • Surgery: If gallstones are causing severe symptoms or complications, surgical removal of the gallbladder (cholecystectomy) may be necessary.

It's essential to consult with a healthcare professional for an accurate diagnosis and an appropriate treatment plan if you suspect you have gallstones or are experiencing symptoms associated with them.

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