Gallstones

Gallstones are solid lumps of cholesterol crystals or pigment material that form in the gallbladder.

your quick guide to this page

what are gallstones?

Gallstones are solid lumps of cholesterol crystals or bilirubin (pigment material) formed in the gallbladder, an organ that stores bile (a fluid that is released after a meal to digest fats). Gallstones form when fatty components not easily dissolved in bile accumulate and form crystals of varying sizes.

fast facts

  • Gallstones are found in 10-20% of individuals who live in a developed country.
  • Gallstones are more commonly found in women.
  • The chance of developing gallstones increases with age.

symptoms

Most people with gallstones do not experience any symptoms. When symptoms are present, patients with gallstones may experience:

  • Severe abdominal pain
  • Jaundice (yellowing of the skin and eyes)
  • Inflammation of the gallbladder, bile ducts, liver or pancreas

lifestyle impacts

Most individuals with gallstones do not experience any symptoms and therefore live normal lives. If symptoms do occur, individuals may experience extreme abdominal pain if gallstones obstruct the flow of bile which may impact daily activities.

what can I do?

prevention

The main method to prevent gallstones is to maintain a balanced diet. This is a diet rich in fruits and vegetables, whole grains, and healthy fats like fish, avocado, or olive oil. Limiting your intake of fatty foods and processed sugars is the best method to prevent gallstones.

diagnosis

Gallstones are usually diagnosed by ultrasound, but other procedures, such as x-rays, may also be used. Often gallstones that do not cause symptoms are detected accidently during the investigation of another problem.

treatment

Several gallstone therapies are available to people who experience symptoms. The most common method to remove gallstones is by ingesting a medication called ursodeoxycholic acid used to help dissolve the gallstones without surgery. This method is best for individuals with very small gallstones and have mild symptoms.

If the gallstones are causing significant pain and damage, there are two surgical methods to remove the gallbladder and its gallstones under general anesthesia:

  • Open cholecystectomy is the classic surgical treatment for gallstones which requires an abdominal incision. The patient remains in the hospital for five to seven days to recover.
  • Laparoscopic cholecystectomy where the gallbladder is removed through small abdominal incisions using a lighted tube (called a laparoscope). Because there is no cutting through the muscle of the abdominal wall, the recuperation period is much shorter.

additional resources

Here are a few questions to ask your doctor or medical team:

  • Will my symptoms get better without treatment?
  • What lifestyle modifications can I include to prevent gallstones?
  • Are my gallstones causing any damage to other organs?
  • What are the treatment options available for gallstones?