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 are hardened deposits of bile that can form in your gallbladder. Bile is a digestive fluid produced in your liver and stored in your gallbladder. When you eat, your gallbladder contracts and empties bile into your small intestine (duodenum).
  • Gallstones range in size from as small as a grain of sand to as large as a golf ball. Some people develop just one gallstone, while others develop many gallstones at the same time.

Types of gallstones

  1. Cholesterol gallstones : The most common type of gallstone, called a cholesterol gallstone, often appears yellow in color. These gallstones are composed mainly of undissolved cholesterol, but may contain other components.
  2.  Pigment gallstones : These dark brown or black stones form when your bile contains too much bilirubin.

 Causes

  • Bile contains too much cholesterol: Normally, your bile contains enough chemicals to dissolve the cholesterol excreted by your liver. But if your liver excretes more cholesterol than your bile can dissolve, the excess cholesterol may form into crystals and
    eventually into stones.
  • Bile contains too much bilirubin: Bilirubin is a chemical that’s produced when your body breaks down red blood cells. Certain conditions cause your liver to make too much bilirubin, including liver cirrhosis, biliary tract infections and certain blood disorders. The excess bilirubin contributes to gallstone formation.
  • Gallbladder doesn’t empty correctly: If your gallbladder doesn’t empty completely or often enough, bile may become very concentrated, contributing to the formation of gallstones.

Risk factors

Factors that may increase your risk of gallstones include:

  • Being female
  • Being age 40 or older
  • Being a Native American
  • Being a Hispanic of Mexican origin
  • Being overweight or obese
  • Being sedentary
  • Being pregnant
  • Eating a high- fat diet
  • Eating a high- cholesterol diet
  • Eating a low- f iber diet
  • Having a family history of gallstones
  • Having diabetes
  • Having certain blood disorders, such as sickle cell anemia or leukemia
  • Losing weight very quickly
  • Taking medications that contain estrogen, such as oral contraceptives or hormone therapy drugs
  • Having liver disease

Symptoms

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:

  • Sudden and rapidly intensifying pain in the upper right portion of your abdomen
  • Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone
  • Back pain between your shoulder blades
  • Pain in your right shoulder
  • Nausea or vomiting

Gallstone pain may last several minutes to a few hours.

Diagnosis

Tests and procedures used to diagnose gallstones:

  • Abdominal ultrasound : This test is the one most commonly used to look for signs of Abdominal ultrasound involves moving a device (transducer) back and forth across your stomach area. The transducer sends signals to a computer, which creates images that show the structures in your abdomen.
  • Endoscopic ultrasound (EUS) : This procedure can help identify smaller stones that may be missed on an abdominal ultrasound. During EUS your doctor passes a thin, f lexible tube (endoscope) through your mouth and through your digestive A small ultrasound device (transducer) in the tube produces sound waves that create a precise image of surrounding tissue.
  • Other imaging tests : Additional tests may include oral cholecystography, a hepatobiliary iminodiacetic acid (HIDA) scan, computerized tomography (CT), magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangio pancreatography (ERCP). Gallstones discovered using ERCP can be removed during the procedure.
  • Blood tests : Blood tests may reveal infection, jaundice, pancreatitis or other complications caused by gallstones.
  • Endoscopic retrograde cholangiopancreatography (ERCP) : uses a dye to highlight the bile ducts and pancreatic duct on X- ray images. A thin, f lexible tube (endoscope) with a camera on the end is passed down your throat and into your small intestine. The dye enters the ducts through a small hollow tube (catheter) passed through the endoscope.

Complications

Complications of gallstones may include:

  • Inflammation of the gallbladder: A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder (cholecystitis). Cholecystitis can cause severe pain and fever.
  • Blockage of the common bile duct: Gallstones can block the tubes (ducts) through which bile f lows from your gallbladder or liver to your small intestine. Severe pain, jaundice and bile duct infection can
  • Blockage of the pancreatic duct: The pancreatic duct is a tube that runs from the pancreas and connects to the common bile duct just before entering the duodenum. Pancreatic juices, which aid in digestion, f low through the pancreatic duct.

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.

  • Gallbladder cancer: People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare, so even though the risk of cancer is elevated, the likelihood of gallbladder cancer is still very small.

Prevention

  • Don’t skip meals: Try to stick to your usual mealtimes each day. Skipping meals or fasting can increase the risk of gallstones.
  • Lose weight slowly: If you need to lose weight, go slow. Rapid weight loss can increase the risk of gallstones. Aim to lose 1 or 2 pounds (about 0.5 to 1 kilogram) a week.
  • Eat more high- fiber foods: Include more f iber- rich foods in your diet, such as fruits, vegetables and whole
  • Maintain a healthy weight: Obesity and being overweight increase the risk of gallstones. Work to achieve a healthy weight by reducing the number of calories you eat and increasing the amount of physical activity you get. Once you achieve a healthy weight, work to maintain that weight by continuing your healthy diet and continuing to

Treatment

Most people with gallstones that don’t cause symptoms will never need treatment. Your doctor will determine if treatment for gallstones is indicated based on your symptoms and the results of diagnostic testing. 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.

Treatment options for gallstones include:

  • Surgery to remove the gallbladder (cholecystectomy) : Your doctor may recommend surgery to remove your gallbladder, since gallstones frequently recur. Once your gallbladder is removed, bile f lows directly from your liver into your small intestine, rather than being stored in your gallbladder. You don’t need your gallbladder to live, and gallbladder removal doesn’t affect your ability to digest food, but it can cause diarrhea, which is usually temporary.
  • Medications to dissolve gallstones : Medications you take by mouth may help dissolve gallstones. But it may take months or years of treatment to dissolve your gallstones in this way, and gallstones will likely form again if treatment is stopped.

Sometimes medications don’t work. Medications for gallstones aren’t commonly used and are reserved for people who can’t undergo surgery.

  • Laparoscopic cholecystectomy : Special surgical tools and a tiny video camera are inserted throughincisions in your abdomen during laparoscopic cholecystectomy. Your abdomen is inflated with carbon dioxide gas to allow room for the surgeon to work with surgical tools.