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Best Doctors for gallstone
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    Dr. Sunil Gehlot (Rcx3qJQfjW)

    Dr. Sunil Gehlot

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    Dr. Dhamodhara Kumar C.B

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    26 Years Experience

    location icon PA Sayed Muhammed Memorial Building, Hospital Rd, opp.
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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
    26 Yrs.Exp.

    4.7/5

    26 Years Experience

    location icon Kimaya Clinic, 501B, 5th floor, One Place, SN 61/1/1, 6
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  • What are Gallstones?
    Symptoms of Gallstone
    When to See a Doctor for Gallstone?
    Causes of Gallstone
    Types of Gallstones
    Gallstones Severity
    Treatment Types
    Risk Factors
    Complications of Untreated Gallstones

    What are Gallstones?

    Gallstone (also known as cholelithiasis) is one of the most common conditions affecting the gallbladder, a small organ located beneath the liver that stores and releases bile, a digestive fluid.

    Gallstones are hard, stone-like substances that form when the bile contains too much cholesterol, bilirubin, or bile salts. These stones can range in size and number. Some people may have one large stone, while others may develop multiple smaller stones, also called calculi in the gallbladder.

    Symptoms of Gallstone

    Many people with gallstones may not have any noticeable symptoms. These are called “silent gallstones” and are often found by chance during tests for other conditions. However, when a gallstone blocks the bile duct, it can lead to a painful episode known as a gallbladder attack or biliary colic.

    Common symptoms of gallstone include:

    • Sudden, intense pain in the upper right side of the abdomen
    • Pain in the centre of the abdomen, just below the breastbone
    • Pain that may spread to the right shoulder or between the shoulder blades
    • Nausea and vomiting, especially after eating fatty meals
    • Bloating, indigestion, or a feeling of fullness
    • Gallbladder discomfort that may come and go

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    When to See a Doctor for Gallstone?

    If you are experiencing any symptoms linked to gallstones or gallbladder discomfort, it is important not to ignore them. In some cases, gallstone can lead to complications that require immediate medical attention.

    You should see a doctor if:

    • You have ongoing pain in the upper right or central part of your abdomen
    • You feel nauseous or vomit often, especially after meals
    • You notice bloating or digestion issues that don’t go away

    These may be signs of cholelithiasis or bile stones blocking the normal flow of bile.

    Seek urgent medical help if you experience:

    • Intense abdominal pain that prevents you from sitting still or getting comfortable
    • Yellowing of the skin or eyes (jaundice), which may indicate a gallstone in the common bile duct (CBD)
    • High fever with chills, which could be a sign of infection or inflammation
    • Sudden and severe gallbladder pain, especially after eating

    Causes of Gallstone

    The exact cause of gallstones is not always known. However, medical experts believe that they develop when the bile in your gallbladder has an imbalance of certain substances.

    Gallstones form when:

    • There is too much cholesterol in bile

    Your liver releases cholesterol into bile, a fluid that helps with digestion. If the bile cannot dissolve all the cholesterol, it may form into crystals, which can grow into bile stones.

    • There is too much bilirubin in bile

    Bilirubin is a natural substance created when your body breaks down red blood cells. Certain health conditions such as liver cirrhosis, biliary tract infections, or blood disorders can cause your liver to produce too much bilirubin. Excess bilirubin can lead to the formation of gallbladder stones.

    • The gallbladder does not empty properly

    If the gallbladder does not empty completely or often enough, bile can become too concentrated. This thickened bile increases the risk of forming calculi in the gallbladder, commonly known as gallstones.

    Types of Gallstones

    Gallstones vary in type based on what they are made of. The two main types are:

    • Cholesterol stones

    This is the most common type of gallstone. These stones are usually yellow or greenish in colour and are mainly made up of undissolved cholesterol. They can also contain other substances like calcium and bile salts. Cholesterol stones often form when bile contains too much cholesterol and not enough substances to keep it dissolved. These are more common in women and people who are overweight.

    • Pigment stones

    These stones are smaller and darker, usually black or brown. They are made up of excess bilirubin, a substance that is produced when the body breaks down red blood cells. Pigment stones are more likely to form in people with liver disease, infections in the bile ducts, or certain blood disorders.

    Some people may develop mixed stones, which have both cholesterol and pigment components.

    Gallstones Severity

    Gallstone can range from mild to severe. The severity depends on the size, location, and complications caused by the gallstones. Here is a simplified overview of the different stages:

    Stage 1: Lithogenic Stage

    The gallbladder may appear normal, but the bile has started to form conditions that can lead to gallstone formation. No stones are present yet.

    Stage 2: Silent Gallstones (Asymptomatic)

    Small gallstones are present but do not block the bile flow. Most people at this stage experience no symptoms or discomfort.

    Stage 3: Symptomatic Gallstones

    Stones begin to cause symptoms like gallbladder discomfort, bloating, or pain after eating, often referred to as a gall attack. The bile ducts may be partially blocked.

    Stage 4: Complicated Cholelithiasis

    This advanced stage includes serious complications that need immediate medical care. These include:

    • Acute Cholecystitis- Inflammation of the gallbladder due to blocked bile flow.
    • Choledocholithiasis- Stones in the common bile duct causing jaundice, pain, or infection.
    • Pancreatitis– Inflammation of the pancreas, often due to stones blocking the pancreatic duct.
    • Cholangitis– Infection and inflammation of the bile ducts.
    • Mirizzi Syndrome- A stone compresses the bile duct from outside, disrupting bile flow.
    • Bouveret Syndrome– A large stone creates an opening between the gallbladder and small intestine, leading to a blockage.

    Treatment Types

    If gallstones cause symptoms or complications, surgery is the most reliable solution.

    • Laparoscopic cholecystectomy is the preferred surgery to remove the gallbladder and stones safely through small incisions.
    • Patients can live well without a gallbladder as bile flows directly from the liver to the intestine.
    • For those unable to have surgery immediately, cholecystostomy may be performed to drain the gallbladder and relieve symptoms.
    • Medications to dissolve gallstones are rarely used because they work slowly and only on specific small cholesterol stones.
    • Non-surgical methods to remove stones without gallbladder removal are uncommon and usually not long-lasting.

    Risk Factors

    Several factors can increase your chances of developing gallstones. Understanding these can help in recognising who may be more vulnerable to this condition. Here are some common risk factors:

    • Gender: Being female increases the likelihood due to the influence of hormones like oestrogen.
    • Age: The risk goes up after the age of 40.
    • Family history: A close relative with gall stone raises your risk.
    • Obesity or overweight: Increases the cholesterol level in bile, leading to bile stones.
    • Rapid weight loss: Losing weight quickly can disrupt bile balance.
    • Pregnancy: Hormonal changes during pregnancy affect the flow of bile.
    • Diabetes: Higher triglyceride levels in people with diabetes can contribute to stone formation.
    • Sedentary lifestyle: Lack of physical activity may raise the risk of calculi in the gallbladder.
    • Unhealthy diet: A diet high in fat or cholesterol and low in fibre may trigger gallbladder issues.
    • Liver disease: Certain liver conditions may lead to gallstone formation.
    • Certain blood disorders: Conditions like sickle cell anaemia or leukaemia can increase bilirubin, causing pigment stones.
    • Hormone-related medications: Taking oestrogen-based pills or hormone therapy can increase cholesterol levels in bile.

    Complications of Untreated Gallstones

    If gallstones are not treated, they can lead to several complications. These can vary in severity and may sometimes require urgent medical attention or surgery. Common complications include:

    Inflammation of the gallbladder (Cholecystitis)

    When a gallstone blocks the neck of the gallbladder, it can lead to swelling and inflammation.

    Blockage of the bile duct (Choledocholithiasis)

    Sometimes, gallstones pass out of the gallbladder and block the common bile duct, a tube that carries bile from the liver and gallbladder to the small intestine.

    Blockage of the pancreatic duct (Gallstone pancreatitis)

    The pancreatic duct connects with the bile duct just before emptying into the small intestine. If a gallstone gets stuck at this point, it can block the flow of digestive juices from the pancreas, causing pancreatitis.

    Gallbladder cancer (Rare)

    Long-term gallstone disease increases the risk of developing gallbladder cancer. Though rare, this form of cancer is more likely in individuals with a history of:

    • Chronic gallbladder inflammation
    • Large calculi in the gallbladder
    • Conditions like porcelain gallbladder, where the gallbladder wall hardens due to calcium build-up
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    Frequently Asked Questions

    How serious are gallstones?

    Gallstones can be harmless if they don’t cause symptoms. However, if they block the bile ducts, they may cause pain, infection, or inflammation, which can become serious and require medical attention.

    How common are gallstones (cholelithiasis)?

    Gallstones are quite common in India, affecting millions of people. Factors like diet, obesity, and genetics increase the risk, especially in adults and females.

    What is gallstone pain like?

    Gallstone pain, often called a gall attack, is usually a sudden, intense pain in the upper right abdomen or middle of the belly. It may last from a few minutes to several hours and sometimes spreads to the back or right shoulder.

    Are gallstone symptoms different in a female?

    Women may experience gallstone symptoms more frequently, especially during pregnancy or hormonal changes, and are generally at higher risk of developing gallstones than men.

    What triggers gallstone pain?

    Eating fatty or heavy meals often triggers gallstone pain as the gallbladder contracts to release bile. Stress and rapid weight loss can also worsen symptoms.

    Can gallstones make you tired and dizzy?

    Gallstones themselves don’t usually cause tiredness or dizziness. However, complications like infection or blockage can lead to these symptoms, so medical advice is important if they occur.

    What tests can detect gallstones?

    Common tests include abdominal ultrasound, which is the most effective for spotting gallstones. Other tests like CT scans, MRCP, and ERCP help check for stones in the bile ducts or complications.

    Do gallstones ever go away on their own?

    Gallstones typically do not disappear without treatment. Small stones may remain symptomless, but if they cause blockage, medical or surgical treatment is usually necessary.

    How does it feel to pass a gallstone?

    Passing a gallstone can cause sharp pain as it moves through the bile ducts. Some people experience nausea and vomiting, but small stones may pass with minimal discomfort.

    Can you pass gallstones in your pee?

    No, gallstones form in the gallbladder and bile ducts and do not pass through the urinary system. They exit through the digestive tract if passed naturally.