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GI and Laparoscopic

Gallbladder Stone


Gallbladder Stone Treatment in Hyderabad

Gallbladder stone treatment options include surgery (cholecystectomy) to remove the gallbladder or nonsurgical methods such as medication to dissolve the stones or lithotripsy to break them up.

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Dr Krishna Chaitanya
Dr. Krishna Chaitanya
(Fellowship in Minimal Access Surgery)
GI and Laparoscopic Surgeon
Timings : 10 am - 6 pm
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---- Overview ----

Gallbladder Stone

Gallbladder stones, also known as gallstones, are solid deposits that form in the gallbladder, a small organ located beneath the liver. These stones can vary in size and composition, often consisting of cholesterol or bilirubin. They can cause symptoms such as abdominal pain, nausea, and vomiting. Treatment options for gallbladder stones include surgical removal of the gallbladder (cholecystectomy), medication to dissolve the stones, or procedures like lithotripsy to break them up. Treatment depends on the severity of symptoms and individual circumstances.

what are the causes of Gallbladder Stone?

The exact cause of gallbladder stone formation is not fully understood, but several factors contribute to their development. The primary causes of gallbladder stones include:

  • Excess cholesterol: When the bile contains too much cholesterol, it can crystallize and form stones.
  • Bilirubin imbalances: Increased levels of bilirubin, a substance produced when red blood cells break down, can lead to the formation of pigment stones.
  • Gallbladder motility issues: If the gallbladder fails to empty properly or has impaired contractions, bile can become concentrated and contribute to stone formation.
  • Obesity: Being overweight or obese increases the risk of gallstones due to higher cholesterol levels and altered bile metabolism.
  • Genetic factors: Certain genetic conditions can predispose individuals to gallstone formation.
  • Rapid weight loss: Losing weight quickly, especially through crash diets or bariatric surgery, can increase the likelihood of gallstone development.
  • Gender and age: Women are more prone to gallstones than men, and the risk increases with age.
  • Hormonal factors: Estrogen, a female hormone, can increase cholesterol levels in bile and contribute to gallstone formation.

It's important to note that these factors increase the likelihood of developing gallstones, but not everyone with these risk factors will necessarily develop them.


what are the Symptoms of Gallbladder Stone?

Gallbladder stones can cause a range of symptoms, although some people may experience no symptoms at all. Common symptoms of gallbladder stones include:

  • Abdominal pain: The most common symptom, typically occurring in the upper right or center of the abdomen. The pain may be sharp, cramp-like, or constant and can radiate to the back or right shoulder.
  • Nausea and vomiting: These symptoms may accompany the abdominal pain and can occur sporadically or persistently.
  • Jaundice: If a gallstone obstructs the bile duct, it can lead to yellowing of the skin and eyes, dark urine, and pale stools.
  • Indigestion and bloating: Some individuals may experience discomfort, gas, and bloating after meals.
  • Fever and chills: In cases of infection or inflammation of the gallbladder (cholecystitis), fever and chills may be present.
  • Back pain: The pain may radiate from the abdomen to the back or right shoulder blade.

It's important to note that these symptoms can also be indicative of other conditions, so it's crucial to consult a healthcare professional for an accurate diagnosis.


what are the Investigations of Gallbladder Stone?

To investigate and diagnose gallbladder stones, several tests and procedures can be conducted. These include:

  • Ultrasound: This is the most common and effective imaging technique used to detect gallstones. Ultrasound uses sound waves to create images of the gallbladder and can identify the presence, size, and location of gallstones.
  • Blood tests: Blood tests may be conducted to check for elevated levels of liver enzymes, which can indicate inflammation or obstruction in the bile ducts.
  • CT scan: A computed tomography (CT) scan may be performed to obtain detailed cross-sectional images of the abdomen, providing additional information about the gallbladder and any associated complications.
  • HIDA scan: A hepatobiliary iminodiacetic acid (HIDA) scan involves injecting a radioactive tracer into the bloodstream, which is then taken up by the liver and excreted into the bile. This scan can assess the functioning of the gallbladder and detect any blockages.
  • Endoscopic retrograde cholangiopancreatography (ERCP): This procedure combines endoscopy and X-rays to examine the bile ducts and locate any gallstones that may have migrated from the gallbladder.

These investigations help determine the presence, location, and severity of gallbladder stones, aiding in the diagnosis and guiding appropriate treatment decisions.


what are the treatment options for Gallbladder Stone?

The treatment options for gallbladder stones depend on the severity of symptoms and individual circumstances. The main treatment options include:

  • Cholecystectomy (Surgical Removal): The most common and definitive treatment for gallbladder stones is surgical removal of the gallbladder. This can be done through open surgery or minimally invasive laparoscopic surgery. Cholecystectomy is recommended for symptomatic gallstones or for individuals at high risk of complications.
  • Medications: Medications can be prescribed to dissolve certain types of gallstones, particularly those made of cholesterol. These medications are typically taken orally over a period of months or years. However, they are not effective for all types of gallstones, and the stones may recur after treatment.
  • Endoscopic Procedures: Endoscopic techniques can be used to remove gallstones or relieve blockages in the bile ducts. These procedures include endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiography (PTC).
  • Extracorporeal Shock Wave Lithotripsy (ESWL): ESWL uses shock waves to break up gallstones into smaller pieces that can be passed naturally through the bile ducts. This non-surgical procedure is typically used for patients who are not suitable candidates for surgery.

The choice of treatment depends on factors such as the size and composition of the stones, the severity of symptoms, the presence of complications, and the patient's overall health. It is important to consult with a healthcare professional to determine the most appropriate treatment approach for gallbladder stones.

---- FAQs ----

Gallbladder Stone

While it is not always possible to prevent gallbladder stone formation, certain lifestyle modifications may help reduce the risk. Maintaining a healthy weight, following a balanced diet low in saturated fats and cholesterol, and engaging in regular physical activity can be beneficial. It is also important to avoid rapid weight loss or crash diets, as these can increase the risk of stone formation.

No, not all gallbladder stones cause symptoms. Some people may have gallstones without experiencing any noticeable symptoms. These "silent" stones are often discovered incidentally during medical imaging for unrelated conditions. However, even asymptomatic stones can lead to complications in some cases, so it is important to monitor their presence and consult a healthcare professional for guidance.

While some alternative or natural remedies are claimed to dissolve gallstones, there is limited scientific evidence to support their effectiveness. It is important to approach such remedies with caution and consult with a healthcare professional before trying any alternative treatments. It is generally recommended to follow evidence-based medical treatments, such as surgery or medication, for the management of symptomatic gallbladder stones.

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