Gallstone Symptoms
Recognizing Gallstone Pain & Warning Signs
Overview
Gallstones can be 'silent' (no symptoms) or cause significant pain and complications. Understanding the symptoms helps in early diagnosis and prevents serious complications like cholecystitis and pancreatitis.
Symptoms
- Biliary colic: sudden, severe pain in upper right abdomen
- Pain after fatty, fried, or spicy meals
- Pain radiating to right shoulder or between shoulder blades
- Nausea and vomiting
- Bloating, gas, and indigestion
- Intolerance to fatty foods
- Fever and chills (if infection develops)
- Jaundice (if bile duct is blocked)
Causes & Risk Factors
- Gallstones blocking the cystic duct
- Gallbladder inflammation
- Bile duct obstruction
- Gallbladder infection
Diagnosis
- Detailed symptom history
- Physical examination
- Ultrasound of abdomen
- Blood tests
- MRCP if CBD stones suspected
Treatment Options
- Laparoscopic cholecystectomy for symptomatic stones
- Pain management during acute episodes
- Dietary modifications
- ERCP if CBD stones present
⚠️ When to Seek Immediate Treatment
- Pain lasting more than 5 hours
- Fever above 38°C
- Jaundice
- Persistent vomiting
- Rapid worsening of symptoms
Frequently Asked Questions
How do I know if my pain is from gallstones?
Gallstone pain (biliary colic) is typically sudden, severe, and located in the upper right abdomen. It often occurs after fatty meals and may last 1–5 hours. An ultrasound can confirm the diagnosis.
Can gallstones cause back pain?
Yes, gallstone pain often radiates to the right shoulder blade or upper back. This is called referred pain and is a classic symptom of biliary colic.