What should you know?
Gallstones are solid particles that form in the gallbladder. They may remain silent, but obstruction of the gallbladder outlet or bile duct can cause colic, inflammation, jaundice or pancreatitis.
Typical biliary pain is felt in the upper or right upper abdomen, often after a fatty meal, and may radiate to the back or right shoulder blade.
Common symptoms and signs
- Strong or gripping right upper abdominal pain
- Nausea and vomiting
- Attacks after fatty food
- Incidental stones without symptoms
Diagnosis and the role of ultrasound
Ultrasound is the first-line test and evaluates stones, gallbladder wall, surrounding fluid and bile duct dilatation. Results are correlated with examination and blood tests.
- Stone size, number and mobility
- Gallbladder wall thickness
- Common bile duct diameter
- Signs of acute inflammation
Ultrasound findings must be interpreted together with symptoms, examination and, when needed, laboratory or other imaging results. An image alone should not be used for self-diagnosis or self-treatment.
Treatment and next steps
Silent stones often require no treatment. Recurrent biliary pain or complications may lead to surgical consultation for gallbladder removal. Acute inflammation or duct obstruction requires prompt care.
Management is individual and depends on age, symptoms, imaging findings, other health conditions and pregnancy plans. Medication or a procedure should be selected with the appropriate clinician.
When is urgent care needed?
- Pain lasting several hours
- Fever, chills or persistent vomiting
- Jaundice, dark urine or pale stools
Related reading
- Abdominal ultrasound
- Fatty liver disease — how does it appear on ultrasound?
- Bloating — causes, relief and warning signs
When should you consult radiologist Lana Ezieshvili?
Radiologist Lana Ezieshvili performs targeted ultrasound examinations, describes findings using standard imaging criteria and explains the report in clear language.
If you have symptoms, a referral or need follow-up imaging, use the form below to book a visit with Lana Ezieshvili. Timely, appropriately selected imaging can reduce uncertainty and help determine the right next step.
This article is for education and does not replace medical advice. Seek urgent care for severe or rapidly worsening symptoms.