Gallstones

What to Know
- Gallstones are common.
- Most people who have them go their entire life without symptoms.
- When gallstones cause pain and other health problems, it’s time to consider treatment.
- Gallbladder removal surgery is usually the best way to treat them.
- Learn more about gallstones, how doctors find and treat them, and what to expect if you need surgery.
What are Gallstones?
Gallstones are tiny, hard pieces that form in your gallbladder.
Your gallbladder is a small bag under your liver. It holds bile, which is a fluid that helps break down the food you eat.
Gallstones can be very small or bigger, even the size of a golf ball. Most people don’t know they have them because they don’t have symptoms. Others may get stomach pain or feel sick and need treatment.
Symptoms of Gallstones
People with gallstones may have symptoms such as:
- Stomach pain that feels like squeezing, cramping or a band wrapping around the upper right side of your belly
- Feeling bloated, feeling sick to your stomach or vomiting, especially after eating fatty or greasy foods
- Fever
- Yellow skin or eyes (jaundice) if gallstones get stuck in the common bile duct (between the gallbladder and the small intestine)
Most people who have gallstones don’t have any symptoms at all.
What Causes Gallstones?
Gallstones form when particles in your bile harden inside your gallbladder.
The main causes are:
- Too much cholesterol in your bile
- Too much bilirubin (a yellow substance made from your red blood cells) in your bile
- When bile thickens because your gallbladder doesn’t empty all the way
Diagnosing Gallstones
If you’re having symptoms, your primary care doctor can order imaging tests to check for gallstones, such as:
- Ultrasound
- Computed tomography (CT)
- Nuclear medicine studies
Treatment Options for Gallstones
Eating a low-fat diet can relieve symptoms of gallstones. While this works for some, surgery is the most common choice to treat gallstones.
Gallbladder Removal Surgery
Most people with painful gallstones need gallbladder removal surgery (cholecystectomy).
This is a minimally invasive surgery, which means:
- We make a few small cuts in your belly.
- We use special tools and a tiny camera to remove your gallbladder.
- You’ll go home on the same day.
- You'll heal and recover faster than other types of surgery.
Recovery After Gallbladder Removal Surgery
Most people recover quickly, which means:
- Going home the same day
- Having mild pain for a few days
- Getting back to regular activities in about a week
You can live a healthy life without your gallbladder. Removing it does not harm your body.
When Should I See a Doctor?
See a doctor if you have:
- Severe or constant stomach pain after fatty or greasy meals
- Nausea or vomiting
- Fever
- Yellow skin or eyes
Getting care early helps prevent worse health problems.
Start with your primary care doctor. They will ask questions about your history, order imaging tests and guide you to the right specialist.
Q&A: Understanding Gallstones and Gallbladder Health
The gallbladder is a small organ located under your liver. Its main job is to store and release bile, a fluid that helps your body break down the fat you eat.
Here’s how it works:
- Stores bile: The liver makes bile, and the gallbladder holds it until your body needs it.
- Releases bile: The gallbladder sends bile into your small intestine to break down the fat in your food.
Even though the gallbladder is helpful, you can live without it if it needs to be removed. Your liver will still make bile, and your body will adjust over time.
Yes, gallstones are common.
They are more common in:
- Women
- People more than 40 years old
- People who are overweight
- People who eat a lot of high-calorie foods
- Pregnant people
- People whose family members had gallstones
Untreated gallstones can cause:
- Pain in your belly or back (gallbladder attacks)
- Infections of the gallbladder or bile ducts
- Pancreatitis (inflammation of the pancreas)
- Blocked bile flow, which can cause inflammation in your gallbladder (cholecystitis) and harm your liver
To lower your risk:
- Eat healthy foods that are high in fiber (such as fruits, vegetables, whole grains) and healthy fats (olive oil and fish with Omega 3 fatty acids).
- Exercise regularly to maintain a healthy weight.
- Avoid rapid weight loss. Discuss risks if you are starting a weight loss medication with your doctor.
If you have gallstone symptoms, do not eat a lot of foods that can make your symptoms worse, such as:
- Fried foods or foods high in fat
- Processed snacks like chips and cookies
- High-cholesterol foods like fatty meats or cheese
- Sugary drinks and desserts






