The Physicians' Clinic

Gallstones
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Gallstone care at The Physicians’ Clinic

We have vast experience in managing gallstones and their complications. As well as having access to on-site imaging, we can give you a fast track to procedures such as ERCP at nearby state-of-the-art hospitals. It’s all part of our determination to give all our patients reassurance, clear guidance and personalised support every step of the way.

Gallstones are hardened deposits that form in the bile, a fluid produced by the liver and stored in the gallbladder. They are more common in people over 40 and affect women twice as often as men.

Asymptomatic gallstones
Many people with gallstones experience no symptoms and are only diagnosed incidentally during scans for other conditions. Only about a third of people with gallstones develop problems.

Uncomplicated gallstone disease
The most common symptom is biliary colic – a sharp pain in the upper abdomen, often triggered by eating fatty foods. Pain occurs when gallstones block the cystic duct or bile duct, causing pressure on the gallbladder. The stone may pass naturally, relieving the pain, or the episode may recur. Most people only experience occasional discomfort, and around 5% develop more serious issues.

If a stone becomes lodged and blocks bile flow, more serious complications can arise, including:

  • Acute cholecystitis: gallbladder inflammation from infection
  • Acute cholangitis: infection of the bile ducts
  • Acute pancreatitis: inflammation of the pancreas from bile duct blockage

Symptoms include steady, severe upper or mid-abdominal pain, high temperature, shivering, nausea, vomiting and jaundice (yellowing of the skin or eyes). These complications require urgent investigation and treatment.

Our Gastroenterology team has particular expertise in gallstone management. Diagnosis may involve abdominal scans and blood tests.

  • Uncomplicated disease: Often, no treatment is needed. If symptoms recur, we may recommend further imaging and consider surgery to remove the gallbladder (cholecystectomy). Most operations are laparoscopic (keyhole), allowing faster recovery. Open surgery requires a longer hospital stay.
  • Complicated disease: Gallstones lodged in the bile duct are removed endoscopically via ERCP (endoscopic retrograde cholangiopancreatography), usually as a day-case procedure. After ERCP, cholecystectomy is typically recommended. Acute pancreatitis caused by gallstones requires hospital care and close monitoring.

Even without a gallbladder, your liver continues to produce bile and most people return to their normal activities quickly. You may need to make some adjustments to your diet, particularly with fatty foods, but life can continue comfortably and normally.

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