Understanding the Gallbladder

Symptoms, Gallstones, and Treatment Options

 

What is the gallbladder?

The gallbladder is a small organ located beneath the liver on the right side of the abdomen. Its primary function is to store bile, a digestive fluid produced by the liver that helps break down fats. When you eat, the gallbladder releases bile into the small intestine through bile ducts. While helpful, the gallbladder is not essential, and most people live normal lives without it.

Common Gallbladder Problems

Gallstones

Gallstones are hardened deposits of bile that form inside the gallbladder. They may be very small or large and can be present without causing symptoms. When gallstones block bile flow, they can cause pain or infection.

Acute Cholecystitis

Acute cholecystitis is inflammation of the gallbladder, most commonly caused by a gallstone blocking the cystic duct. This condition can be serious and often requires prompt medical treatment.

Common Symptoms of Gallbladder Disease

  • Right upper abdominal pain, sometimes radiating to the back or right shoulder
  • Pain after eating, especially fatty or greasy foods
  • Nausea or vomiting
  • Bloating or indigestion
  • Fever or chills, which may indicate infection
  • Tenderness in the right upper abdomen

Seek medical attention urgently if symptoms are severe, persistent, or associated with fever, jaundice, or vomiting.

Diagnosis

Gallbladder disease is diagnosed using a combination of physical examination, blood tests, and imaging studies such as ultrasound, CT scan, or HIDA scan.

Non-Surgical Management

In select cases, especially with mild symptoms, treatment may include dietary changes, pain control, and antibiotics if infection is suspected. Recurrent symptoms or complications usually require surgery.

Surgical Treatment: Cholecystectomy

Cholecystectomy is the surgical removal of the gallbladder and is one of the most common abdominal surgeries performed.

Laparoscopic Cholecystectomy

This minimally invasive approach uses small incisions and a camera to remove the gallbladder. It typically results in less pain, faster recovery, and same-day discharge.

Robotic Cholecystectomy

Robotic cholecystectomy is also minimally invasive and uses robotic assistance for enhanced precision. Outcomes and recovery are similar to laparoscopic surgery.

Life After Gallbladder Removal

Most patients return to normal activities within one to two weeks. Temporary digestive changes such as loose stools may occur but usually improve over time.

When Surgery is Recommended

Surgery is recommended for symptomatic gallstones, acute cholecystitis, recurrent gallbladder attacks, or complications such as infection, bile duct blockage, or pancreatitis.

Key Takeaways

Gallbladder disease is common and treatable. Gallstones are the most frequent cause of symptoms.

Acute cholecystitis requires prompt care. Minimally invasive surgery is safe and effective, and most people do very well without a gallbladder.

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