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Condition

Gallstones

Sharp abdominal pain after fatty meals — evaluation, ERCP, and surgical coordination.

Overview

Gallstones are hardened deposits that form in the gallbladder — the small organ under the liver that stores bile. They're very common, often silent, but when a stone blocks the flow of bile, it causes sharp pain (biliary colic) — typically in the upper right abdomen, often after fatty meals. Untreated blockages can lead to gallbladder inflammation, infection, jaundice, or pancreatitis.

Common symptoms

  • Sudden, sharp pain in the upper right abdomen
  • Pain that worsens after fatty or heavy meals
  • Pain radiating to the back or right shoulder blade
  • Nausea and vomiting
  • Bloating and indigestion
  • Fever or jaundice (signs of complication — see promptly)

When to see a doctor

See us if you have recurring abdominal pain after meals, jaundice with abdominal pain, fever with belly pain, or persistent vomiting. Stones blocking the bile duct — signalled by jaundice, fever, or pancreatitis — need urgent evaluation.

How we help

We diagnose gallstones with ultrasound and assess for complications (bile duct stones, pancreatitis, infection) with blood tests and MRCP where needed. Most patients with symptomatic gallstones benefit from elective gallbladder removal — we coordinate the surgical referral. When stones are stuck in the bile duct, ERCP can clear them in the same admission. Asymptomatic gallstones often don't need treatment, but we discuss the situation individually.

This is general information, not a substitute for medical advice. For guidance specific to your case, please consult Dr. Ch. Saikumar or another qualified specialist.

Patient questions

Gallstones — common questions

Answers to the questions we hear most often about gallstones.

Do all gallstones need surgery?
No — silent (asymptomatic) gallstones often don't need treatment. Symptomatic gallstones — those causing repeated pain after meals, or complications like jaundice, infection, or pancreatitis — usually benefit from elective gallbladder removal.
Can I live without a gallbladder?
Yes — the gallbladder stores bile, but the liver still makes it. Most patients have no significant digestive changes after gallbladder removal; some experience temporary loose stools that settle in a few weeks.
What causes gallstones?
Most are cholesterol stones. Risk factors include female sex, age over 40, obesity, rapid weight loss, family history, and certain medications. A smaller share are pigment stones, linked to chronic haemolysis or biliary infection.
How is gallbladder surgery done?
Laparoscopically — keyhole surgery through 3–4 small incisions. Most patients go home the next day and return to normal activity within 1–2 weeks. Open surgery is uncommon nowadays.
What's the difference between gallstones and kidney stones?
Different organs, different causes, different symptoms. Gallstones form in the gallbladder and cause upper-right abdominal pain after fatty meals. Kidney stones form in the urinary system and cause severe flank pain with blood in the urine.