Gallstones: Session 4
Gallstones: Session 4
Gallstones: Session 4
GALLSTONES
Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your
gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your
liver. The gallbladder holds a digestive fluid called bile that's released into your small intestine.
Gallstones range in size from as small as a grain of sand to as large as a golf ball. Some people
develop just one gallstone, while others develop many gallstones at the same time.
People who experience symptoms from their gallstones usually require gallbladder removal
surgery. Gallstones that don't cause any signs and symptoms typically don't need treatment. If a
gallstone lodges in a duct and causes a blockage, signs and symptoms may result, such as:
Sudden and rapidly intensifying pain in the upper right portion of your abdomen.
Sudden and rapidly intensifying pain in the center of your abdomen, just below your
breastbone.
Back pain between your shoulder blades.
Pain in your right shoulder.
Yellowing of your skin and the whites of your eyes.
It's not clear what causes gallstones to form. Doctors think gallstones may result when:
Your bile contains too much cholesterol. Normally, your bile contains enough chemicals to
dissolve the cholesterol excreted by your liver. But if your liver excretes more cholesterol than
your bile can dissolve, the excess cholesterol may form into crystals and eventually into
stones.
Your bile contains too much bilirubin. Bilirubin is a chemical that's produced when your body
breaks down red blood cells. Certain conditions cause your liver to make too much bilirubin,
including liver cirrhosis, biliary tract infections and certain blood disorders. The excess bilirubin
contributes to gallstone formation.
Your gallbladder doesn't empty correctly. If your gallbladder doesn't empty completely or
often enough, bile may become very concentrated and this contributes to the formation of
gallstones.
Cholesterol gallstones. They are the most common type of gallstones which often appear
yellow in color. These gallstones are composed mainly of undissolved cholesterol, but may
contain other components.
Pigment gallstones. These dark brown or black stones form when your bile contains too much
bilirubin.