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When the gallbladder contracts, gallstones may be expelled or pushed into the biliary ducts. This can lead to a condition called biliary colic. Biliary colic is more commonly known as a gallbladder attack. The pain caused by biliary colic is extremely severe and often lasts for up to an hour. It may mimic the pain of a heart attack and usually prompts the person having the attack to seek medical attention.
If a gallstone becomes trapped in one of the bile ducts, bile may back up and cause the gallbladder to become infected and/or inflamed. This is called acute cholecystitis. Repeated attacks of biliary colic and acute cholecystitis can lead to chronic cholecystitis. When this happens the gallbladder ceases to function. Gallbladders found to have gallbladder cancer usually always have gallstones, but gallbladder cancer is rare.
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Causes of gallbladder disease
It is not known why some people develop gallbladder disease and others don’t. There are some factors, however, which make some people more likely to develop gallstones. These include:
Heredity. Gallstones tend to run in families
Gender. Females are twice as likely as men to have gallstones.
Pregnancy. Pregnancy, which causes estrogen levels to rise, also increases your risk
Body weight. Being even moderately overweight increases the amount of cholesterol in the bile. This extra cholesterol may form into crystals and eventually into gallstones.
Lifestyle. A diet high in fat and sugar along with a sedentary lifestyle can increase the risk for gallstones. It has also been found that fasting and low-calorie, rapid weight loss can disrupt the bile chemistry and make it more likely for gallstones to develop.
Age The chance of developing gallstones increases with age.
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Symptoms of Gallbladder Disease
Some people may not know they have gallbladder disease or gallstones until they have symptoms. Or, their disease may be discovered during a routine medical check-up. The most common symptoms include:
Chronic indigestion, including a feeling of bloating and “heartburn”, especially after a meal higher in fat. However, indigestion can result from a number of other factors as well.
Sudden, steady and severe pain which starts in the upper right part of the abdomen. This usually signals a gallbladder attack. The pain usually begins shortly after eating and can last up an hour. The pain may shift to the right shoulder and into the center of the back. These types of attacks do not usually occur on a daily basis and can often occur weeks or months apart.
Nausea and vomiting, which can sometimes occur with a gallbladder attack.
Sometimes gallstones will enter the bile duct leading from the liver, or occasionally, the duct leading to the pancreas. This can lead to more serious complications. You should seek medical attention immediately if you experience any of the following symptoms:
Pain that does not go away
Yellowing of your skin and the whites of your eyes (called jaundice)
Dark coloured urine
A high fever with shaking chills.
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Diagnosis of gallbladder disease
Symptoms such as the ones mentioned above will be investigated by your doctor. Investigations may include:
taking a medical history
doing a physical exam
abdominal ultrasound (using sound waves to show the gallbladder, liver and bile ducts)
blood tests
the use of a scope, which passed through the mouth into the duodenum (small bowel), to look at the openings of the bile and pancreatic ducts. This test is called an endoscopic retrograde cholangiopancreatography (ERCP).
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Treatment
The treatment of gallbladder disease depends on the cause. Treatment options may include:
surgery to remove the gallbladder (which may be done through an abdominal incision or through a laparoscope in some cases).
lithotripsy (the use of sound waves to break apart gallstones and allow them to pass through the bile ducts more easily.
drug therapies, which may help to dissolve certain types of stones. These drugs are often only effective for the period of time that you are taking them.
Newer treatment options are under investigation. Talk to your doctor about the best way to deal with your gallbladder problem
Disease of the gallbladder
Normally the gallbladder rarely causes problems in childhood or early adult life. However, from middle age onward, there is an increased risk of developing gallstones. Gallstones occur when the bile becomes chemically unbalanced and forms crystals. Over time, these crystals become hardened particles that eventually grow into stones. Gallstones can vary in size, shape, number and type. For example, they may contain substances such as cholesterol, pigment, calcium or a mixture of substances. Some people may only have one gallstone, while others may develop hundreds. Every year thousands of people develop gallstones, but only 20 percent of these people will develop symptoms. The remainder carry “silent” gallstones which produce no symptoms.
When the gallbladder contracts, gallstones may be expelled or pushed into the biliary ducts. This can lead to a condition called biliary colic. Biliary colic is more commonly known as a gallbladder attack. The pain caused by biliary colic is extremely severe and often lasts for up to an hour. It may mimic the pain of a heart attack and usually prompts the person having the attack to seek medical attention.
If a gallstone becomes trapped in one of the bile ducts, bile may back up and cause the gallbladder to become infected and/or inflamed. This is called acute cholecystitis. Repeated attacks of biliary colic and acute cholecystitis can lead to chronic cholecystitis. When this happens the gallbladder ceases to function. Gallbladders found to have gallbladder cancer usually always have gallstones, but gallbladder cancer is rare.
--------------------------------------------------------------------------------
Causes of gallbladder disease
It is not known why some people develop gallbladder disease and others don’t. There are some factors, however, which make some people more likely to develop gallstones. These include:
Heredity. Gallstones tend to run in families
Gender. Females are twice as likely as men to have gallstones.
Pregnancy. Pregnancy, which causes estrogen levels to rise, also increases your risk
Body weight. Being even moderately overweight increases the amount of cholesterol in the bile. This extra cholesterol may form into crystals and eventually into gallstones.
Lifestyle. A diet high in fat and sugar along with a sedentary lifestyle can increase the risk for gallstones. It has also been found that fasting and low-calorie, rapid weight loss can disrupt the bile chemistry and make it more likely for gallstones to develop.
Age The chance of developing gallstones increases with age.
--------------------------------------------------------------------------------
Symptoms of Gallbladder Disease
Some people may not know they have gallbladder disease or gallstones until they have symptoms. Or, their disease may be discovered during a routine medical check-up. The most common symptoms include:
Chronic indigestion, including a feeling of bloating and “heartburn”, especially after a meal higher in fat. However, indigestion can result from a number of other factors as well.
Sudden, steady and severe pain which starts in the upper right part of the abdomen. This usually signals a gallbladder attack. The pain usually begins shortly after eating and can last up an hour. The pain may shift to the right shoulder and into the center of the back. These types of attacks do not usually occur on a daily basis and can often occur weeks or months apart.
Nausea and vomiting, which can sometimes occur with a gallbladder attack.
Sometimes gallstones will enter the bile duct leading from the liver, or occasionally, the duct leading to the pancreas. This can lead to more serious complications. You should seek medical attention immediately if you experience any of the following symptoms:
Pain that does not go away
Yellowing of your skin and the whites of your eyes (called jaundice)
Dark coloured urine
A high fever with shaking chills.
--------------------------------------------------------------------------------
Diagnosis of gallbladder disease
Symptoms such as the ones mentioned above will be investigated by your doctor. Investigations may include:
taking a medical history
doing a physical exam
abdominal ultrasound (using sound waves to show the gallbladder, liver and bile ducts)
blood tests
the use of a scope, which passed through the mouth into the duodenum (small bowel), to look at the openings of the bile and pancreatic ducts. This test is called an endoscopic retrograde cholangiopancreatography (ERCP).
--------------------------------------------------------------------------------
Treatment
The treatment of gallbladder disease depends on the cause. Treatment options may include:
surgery to remove the gallbladder (which may be done through an abdominal incision or through a laparoscope in some cases).
lithotripsy (the use of sound waves to break apart gallstones and allow them to pass through the bile ducts more easily.
drug therapies, which may help to dissolve certain types of stones. These drugs are often only effective for the period of time that you are taking them.
Newer treatment options are under investigation. Talk to your doctor about the best way to deal with your gallbladder problem