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Ask An Expert

Gallstone Symptoms and Treatment

Caroline Schreiber

Caroline Schreiber, M.D.

Alta Bates Summit Medical Center - Alta Bates Campus

Question:

What does gallbladder pain feel like? How do I know if I need medical attention?

Answer:

The gallbladder is a sack about the size of a fig that is attached to the underside of the liver. Its function is to store bile, which is a substance made in the liver that is necessary to digest fat. When you eat fatty food, or even think about food, your gallbladder is stimulated automatically and lets some bile into the small intestine to digest the fat.

Sometimes stones can form in the gallbladder. They may simply be there and be of no consequence, but often they temporarily clog the channel, or duct, that bile passes through on the way to the intestine. This causes a crampy pain, usually severe, in the upper right side of the abdomen, just below the ribs, where the liver and gallbladder are located. Many people with this problem go to the ER because the pain is severe. It is most likely to occur after eating, especially if it is a meal high in fat.

The stone usually passes into the intestine eventually, but a person who has stones is likely to have a recurrence. In some cases, a stone stuck in the duct can cause an infection, which can be life-threatening. The treatment for gallstones is to have the gallbladder removed surgically, which is usually done laparoscopically and doesn't require an overnight stay in the hospital. The body adapts to not having the storage sack for bile and instead gets it directly from the liver.

As for when to seek medical attention, if the pain is unremitting, go to the ER for pain control and an evaluation to confirm what the problem is. If it passes, usually because the stone passes, a person can talk to his or her doctor about whether to have the gallbladder removed. In the meantime, avoid fat in the diet to reduce the chance of pain. If the pain is associated with fever, it is a medical emergency and should be treated in the ER ASAP.

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