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Gallstones are hardened deposits that form in the gallbladder when bile contains too much cholesterol, too much bilirubin, or not enough bile salts. Cholesterol stones are the most common type, accounting for about 80% of cases. Risk factors include obesity, rapid weight loss, a high-fat diet, female sex, pregnancy, and certain medications.

A gallstone attack, also called biliary colic, typically causes sudden, intense pain in the upper right or center of the abdomen that may radiate to the right shoulder or back. It often starts within an hour after eating a fatty meal and can last from 30 minutes to several hours. Nausea and vomiting frequently accompany the pain.

Some small cholesterol gallstones can be dissolved with ursodiol (Actigall), but this process can take months to years and stones may recur. Symptom management with pain relief and dietary changes can help reduce attack frequency. However, surgery (cholecystectomy) is the definitive treatment for recurrent or complicated gallstones and is often recommended by a physician.

It is generally recommended to limit high-fat foods such as fried foods, full-fat dairy, and fatty cuts of meat, as these stimulate gallbladder contractions that can trigger pain. A diet rich in fiber, fruits, and vegetables and low in refined carbohydrates may help reduce symptoms and slow gallstone progression.

You should seek emergency care immediately if you experience severe abdominal pain lasting more than a few hours, fever or chills with abdominal pain, jaundice (yellowing of the skin or eyes), or dark urine and pale stools. These may indicate cholecystitis, cholangitis, or gallstone pancreatitis, which are serious and require urgent treatment.

Yes. If gallstones are dissolved medically rather than removed surgically, there is a significant recurrence rate. Stones return in approximately 50% of patients within 5 years of stopping ursodiol therapy. Cholecystectomy (surgical removal of the gallbladder) eliminates the risk of recurrence because the gallbladder, where stones form, is removed entirely.

Doctronic uses an AI-guided evaluation to gather detailed information about your symptoms and health history. A licensed physician then reviews your information, may follow up with questions, and creates a personalized treatment or management plan. The process is fully online and designed to be thorough, convenient, and clinically sound.

Yes. Doctronic is staffed by licensed physicians whose work is doctor-reviewed and audited for quality. The platform is HIPAA-compliant, ensuring your personal health information is protected. Doctronic is available to adults 18 and older in any U.S. state.