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 The gallbladder, located beneath the liver, produces bile.Source: MedicineNet What is gallbladder pain?Gallbladder pain is (often misspelled "gall bladder") an all-inclusive term used to describe any pain due to disease related to the gallbladder. The major gallbladder problems that produce gallbladder pain are biliary colic, cholecystitis, gallstones, pancreatitis, and ascending cholangitis. Symptoms vary and may be triggered by eating certain foods. The pain may be described as intermittent, constant, abdominal, radiating to the back, mild to severe depending on the underlying cause. A brief review of the gallbladder anatomy and function may help readers better understand gallbladder pain. The gallbladder is connected to the liver via ducts that supply bile to the gallbladder for storage. These bile ducts then form the common hepatic duct that joins with the cystic duct from the gallbladder to form the common bile duct that empties into the GI tract (duodenum). In addition, the pancreatic duct usually merges with the common bile duct just before it enters the duodenum. Hormones trigger the gallbladder to release bile when fat and amino acids reach the duodenum after eating a meal (see illustration below), which facilitates the digestion of these foods. Statistics suggest that women may have up to twice the incidence of gallstones than men. What Causes Gallbladder Pain?One of the most common causes of gallbladder pain is gallstones (also called gallstone disease, or cholelithiasis). Gallstones occur when cholesterol and other substances found in bile form stones. When the stone passes from the gallbladder into the small intestine or become stuck in the biliary duct it can cause pain. This is called biliary colic, otherwise known as a gallbladder attack. Pain in your gallbladder can also be caused when bile backs up into the gallbladder. This causes the gallbladder to swell, and you may feel:
The major gallbladder problems that produce gallbladder pain are biliary colic, cholecystitis, gallstones, pancreatitis, and ascending cholangitis.Source: Getty Images What are the causes of gallbladder pain?
Illustration of gallstones forming in the gallbladder As stated previously, the major gallbladder problems that produce gallbladder pain are biliary colic, cholecystitis, gallstones, pancreatitis, and ascending cholangitis. There are two major causes of pain that either originates from the gallbladder or involve the gallbladder directly. They are due to 1) intermittent or complete blockage of any of the ducts by gallstones; or 2) gallstone sludge and/or inflammation that may accompany irritation or infection of the surrounding tissues, when partial or complete obstruction of ducts causes pressure and ischemia (inadequate blood supply due to a blockage of blood vessels in the area) to develop in the adjacent tissues. Gallstone formation usually happens in the gallbladder, but may form in any of the ducts. When the gallbladder is compressed (squeezed by musculature), bile usually goes out through the bile ducts into the GI tract; however, if gallstones or gallstone sludge is present, there can be partial or complete blockage of the ducts with pressure on the surrounding tissue, sometimes enough to cause local ischemia. Other processes such as trauma can cause gallbladder pain. Infection of the biliary ducts and the gallbladder, usually occurring after gallstone obstruction also can cause pain. What is biliary colic?Biliary colic is a term used to describe the type of pain related to the gallbladder, when the gallbladder contracts and the cystic duct is partially or completely blocked by a gallstone. The symptoms are described below. Gallstones from the gallbladder can block the pancreatic duct and cause pancreatitis (inflammation of the pancreas) with upper abdominal pain that may radiate to the back, tender abdomen, more pain after eating, with nausea and vomiting.Source: Getty Images What are other signs and symptoms of gallbladder pain?
Gallbladder pain may vary or feel different depending on the cause. Many people with gallstones never experience pain. However, there are some variations in gallbladder pain that help the doctor to make a diagnosis.
A few laboratory blood tests such as liver function tests, lipase, amylase, complete blood count (CBC), and an abdominal X-ray are done to determine the exact problem is causing the pain.Source: iStock How do doctors diagnose gallbladder pain?The history and physical exam help to establish a presumptive diagnosis. Murphy's sign (pain or temporary respiratory arrest on deep right subcostal palpation) has been estimated to be over 95% specific for acute cholecystitis. A few laboratory blood tests such as liver function tests, lipase, amylase, complete blood count (CBC), and an abdominal X-ray are done to determine the exact problem is causing the pain. Ultrasound can detect gallstones, and CT scans may delineate organ structural changes. A HIDA scan (uses radioactive material) can measure gallbladder emptying while an ERCP test uses an endoscope to place a dye in the ducts of the pancreas, gallbladder, and liver. Magnetic resonance imaging (MRI) is sometimes used to detail the organ structures (liver, gallbladder, and pancreas); other tests also may be considered. The results of these tests help pinpoint the problem and establish the diagnosis. IMAGESGallbladder Pain (Gall Bladder Pain) See a medical illustration of the gallbladder plus our entire medical gallery of human anatomy and physiology See ImagesThe definitive treatment is gallbladder removal surgery (and/or the obstructing gallstones).Source: Medscape What is the treatment of gallbladder pain?
If you have no gallbladder pain (even if you have gallstones but never had pain), you need no treatment. Some patients who have had one or two gallstone attacks may elect to avoid treatment. Pain during an acute gallstone attack is often treated with morphine. Medical treatments include
The definitive treatment is gallbladder removal surgery (and/or the obstructing gallstones). Currently, the surgical method of choice is laparoscopic surgery, where the gallbladder is removed by instruments using only small incisions in the abdomen. However, some patients may require more extensive surgery. Usually, people do well once the gallbladder is removed unless there is an underlying cause that mimics gallbladder pain (for example, biliary dyskinesia, a motility disorder of the sphincter of Oddi). Women who are pregnant are treated like women who are not pregnant, although pregnant women more commonly have cholesterol gallstone development than non-pregnant women. Although supportive care is tried in women who are pregnant, acute cholecystitis is the second most common surgical emergency in pregnancy (appendicitis is the first). Health NewsSome health care professionals recommend decreasing dairy and grains in the diet after gallbladder removal.Source: iStock What are home remedies for relief of gallbladder pain?
What are the complications of gallbladder pain?
The complications of gallbladder pain include
Other complications of gallbladder disease include
QUESTIONWhat are symptoms of gallstones? See AnswerMedically Reviewed on 3/10/2022 References Heuman, D. "Gallstones (Cholelithiasis)." Medscape. Apr. 1, 2019. <http://emedicine.medscape.com/article/175667-overview>. What are the symptoms of an inflamed gallbladder?Symptoms. Severe pain in your upper right or center abdomen.. Pain that spreads to your right shoulder or back.. Tenderness over your abdomen when it's touched.. Nausea.. Vomiting.. Fever.. How do you settle an inflamed gallbladder?How can cholecystitis be treated?. Fasting, to rest the gallbladder.. IV fluids to prevent dehydration.. Pain medication.. Antibiotics to treat infection.. Removing the gallbladder. ... . Draining the gallbladder to treat and prevent the spread of infection. ... . Removing gallstones in the area blocking the common bile duct.. Can you feel your gallbladder if it's swollen?The Courvoisier sign, sometimes called Courvoisier's law, refers to a gallbladder that's enlarged due to bile buildup. When this happens, you can usually see or feel your gallbladder through your skin.
What does pain from an inflamed gallbladder feel like?Gallbladder pain feels different than any other kind of pain you've ever felt in your abdomen. You may feel a sudden, sharp pain in your upper right abdomen. It may feel like someone is cutting you with a knife. The pain is constant and severe.
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What does it feel like when your gallbladder is inflamed
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