MB BCh · FRCS — Consultant General, Colorectal & Gastrointestinal Surgeon

Nuffield Health · The Vale & Cardiff Bay

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Gallbladder Problems

Understanding gallstones and gallbladder problems, and how they are treated.

OVERVIEW

What are gallbladder problems?

The gallbladder is a small organ beneath the liver that stores and concentrates bile, releasing it into the digestive tract to help break down fatty foods after a meal. Problems typically arise when gallstones form inside the gallbladder, usually as a result of an imbalance in the components of bile, most often excess cholesterol. Gallstones are extremely common and, in many people, cause no symptoms whatsoever, being discovered only incidentally during scans performed for other reasons. However, when a gallstone blocks the neck of the gallbladder or the bile duct, it can trigger sudden, severe pain, particularly after eating rich or fatty food, along with bloating, nausea or, in more serious cases, infection or jaundice. Because symptomatic gallstones tend to recur and can occasionally lead to complications such as inflammation of the gallbladder or pancreas, keyhole removal of the gallbladder is generally recommended once symptoms become established.

Symptoms to look out for

Causes & risk factors

TREATMENT OPTIONS

How gallbladder problems can be treated

01

Monitoring

Symptom-free gallstones found incidentally are often simply monitored.

02

Dietary Management

Reducing fatty food can ease mild symptoms for some patients.

03

Keyhole Gallbladder Removal

Laparoscopic cholecystectomy is the usual treatment where symptoms persist.

When should you seek advice?

Sudden severe pain, fever or jaundice needs urgent assessment. Mr Woodward offers appointments within 48 hours.

Common questions about gallbladder problems

Are gallstones dangerous?

Many gallstones cause no problems at all, but they can occasionally lead to infection or blockage that needs prompt treatment.

Mild symptoms may improve with dietary changes, but recurrent or severe symptoms usually require gallbladder removal.

Yes, most people digest normally after gallbladder removal, with only mild, temporary changes to digestion for some.