The majority of people
with gallstones has no signs or symptoms and do not realize the presence of
gallstones. (The gallstones are silent). These gallstones are often found as a
result of tests (for example, ultrasound or x-rays of the abdomen) that are performed
during the evaluation of non-gallbladder medical conditions. Symptoms can
appear later in life, after many years without symptoms. Thus, over five years,
about 10% of patients with silent gallstones
have symptoms. Once symptoms appear, they are likely to last and often get
worse. When signs and symptoms of gallstones occur, they almost always
occur because gallstones block the bile duct.
The most common
symptoms of gallstones are biliary
colic. Biliary colic is a very specific type of pain and occurs as the primary
or only symptom in 80% of people with gallstones and who develop symptoms.
Biliary colic occurs when the bile ducts (common ducts or ducts or the common
bile duct) are suddenly blocked. Progressing obstruction slowly, as in the case
of a tumor, does not cause biliary colic. Behind the blockage, the fluid
accumulates and produces channels and gallbladder. In the case of hepatic duct
or common bile duct obstruction, this is due to the continued secretion of bile
from the liver. In the case of the clogged duct, the gallbladder wall produces
fluid in the gallbladder. Inflammation of ducts or gallbladder causes biliary
colic.
Characteristically,
biliary colic suddenly comes or rapidly develops to a peak within a few minutes.
• Continuous
suffering. It can change in intensity while it exists, but it does not come and
go. IT is not cramped
• Lasts from 15
minutes to 4-5 hours. If the pain lasts for 4-5 hours, it means complications
(usually cholecystitis)
• Pain is usually
severe, but exercise does not aggravate pain. In fact, patients experiencing
biliary colic often walk (or twist) in bed to find a comfortable posture
• Biliary colic is
often accompanied by nausea
• Most commonly,
biliary colic is felt in the middle of the abdomen just above the sternum
• The second most
common location of the pain in the upper right abdomen just below the margin of
the ribs
• Sometimes the pain
may be felt in the back of the right shoulder lower end
• In rare cases, the
pain may be felt under the sternum and may be mistaken for angina or a heart
attack
• Symptoms of biliary
colic progressively settle to prevent bile from moving into the ducts and
becoming no longer an obstacle
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