Gallstone attack

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Gallstone Attack

A gallstone attack, also known as a biliary colic, is a condition characterized by severe pain in the upper right abdomen or center of the abdomen. The pain may also radiate to the right shoulder or back. It is primarily caused by gallstones blocking the bile ducts, leading to an increase in pressure in the gallbladder. This condition is a common gastrointestinal disorder that affects a significant portion of the population.

Causes[edit | edit source]

Gallstone attacks are primarily caused by the presence of gallstones in the biliary tract. Gallstones are hard particles that form in the gallbladder, a small organ located under the liver. These stones can be composed of cholesterol, bilirubin, and other components of bile. Factors that increase the risk of gallstone formation include obesity, rapid weight loss, certain diets, and genetics.

Symptoms[edit | edit source]

The primary symptom of a gallstone attack is intense pain in the upper abdomen, which can last from a few minutes to several hours. Other symptoms may include:

  • Nausea
  • Vomiting
  • Fever
  • Jaundice (yellowing of the skin and eyes)
  • Clay-colored stools

Diagnosis[edit | edit source]

Diagnosis of a gallstone attack typically involves a combination of physical examination, medical history, and imaging tests. The most commonly used imaging test is an ultrasound, which can detect the presence of gallstones in the gallbladder. Other diagnostic tests may include blood tests to check for signs of infection or inflammation and an MRI or CT scan to get a detailed view of the biliary tract.

Treatment[edit | edit source]

Treatment for a gallstone attack may vary depending on the severity of the symptoms and the presence of complications. Initial treatment often focuses on pain management, which may include the use of pain relievers and anti-inflammatory medications. In cases where gallstones repeatedly cause symptoms or complications, surgery to remove the gallbladder (cholecystectomy) may be recommended. Other treatment options include medications to dissolve gallstones or procedures to remove or break up gallstones using endoscopic techniques.

Prevention[edit | edit source]

Preventive measures for gallstone attacks primarily focus on reducing the risk factors for gallstone formation. These measures may include maintaining a healthy weight, eating a balanced diet rich in fiber, and avoiding rapid weight loss.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD