![]() That’s because stones can block bile ducts and increase liver enzymes, posing an imminent health threat to the patient. While gallbladder disease symptoms are frequently the same for patients with or without stones, the presence of gallstones makes the disease much more critical. Those patients typically receive an ultrasound to rule out stones or an upper endoscopy to rule out ulcers or other diagnoses. By the time patients see a surgeon, many have gone years with intermittent symptoms that have worsened over time, often landing them in the emergency department at night with uncontrollable pain. Advanced cases that warrant immediate medical attention involve fever with chills and pain so intense you can’t get comfortable. Some patients will experience chronic nausea or pain in their right shoulder. However, indigestion won’t manifest with colicky pain that clears on its own, particularly after a fatty meal. It is also often mistaken for heart disease. Sometimes I see patients who mistake gallbladder symptoms for indigestion. Symptoms typically include colicky, epigastric pain in the upper right portion of the abdomen that builds up, intensifies and relaxes over several minutes, often after a fatty meal. Patients develop chronic inflammation in the wall of their gallbladder, which often results in the formation of stones. Family history is another “F” that can be included, as I’ve often operated on multiple generations of the same family in my 40-plus year career. In fact, doctors often refer to the 5-F rule when considering a diagnosis of gallbladder disease, or cholelithiasis: Fair (more prevalent in the Caucasian population) Fat (BMI over 30) Female Fertile (one or more children) and over Forty. According to the National Institutes of Health, approximately 20 percent of women and five percent of men ages 50 to 65 have gallstones, although it occurs in younger individuals as well. The incidence of gallstones often increases with age. Gallstones can be as tiny as a piece of sand, or as large as a golf ball. The gallbladder holds a digestive fluid called bile that’s released into your small intestine. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. Gallstones are hardened deposits of cholesterol and bile salts that can form in your gallbladder. As a surgeon who frequently performs gallbladder removal, or laparoscopic cholecystectomy, I am constantly talking to patients about symptoms and treatment of gallbladder disease. If you’re among the 20 million Americans living with gallstones, chances are you’re familiar with the abdominal pain and discomfort associated with gallbladder disease. Don’t dismiss symptoms of gallbladder disease, says Franklin surgeon ![]()
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