Biliary colic
About Biliary colic
Pain caused by a gallstone in the gallbladder. The gallbladder is an organ next to the liver that contains bile. Biliary colic occurs when the bile forms a gallstone, and the gallstone blocks one of the bile ducts of the gallbladder. The pain is thought to come from irritation of the lining of the gallbladder wall. Not all gallstones cause pain and some patients have gallstones without any symptoms. Sometimes gallstones can cause serious infections of the gallbladder (cholecystitis). Gallstones are usually made up of cholesterol or bile. Gallstones are more common in Hispanics, women, women with multiple pregnancies, obesity, age greater than 40, and in families with a history of gallstones.Symptoms
The pain is typically in the right upper abdomen, right upper back, or upper central abdomen (epigastric area). Although more rare the pain can also be in the chest. Food, especially fatty food, can bring on the pain and some patients are awakened with the pain during the night. The pain can be severe and be associated with nausea, vomiting and sweating. The pain is described as sharp, dull or achy.Tests & Diagnostics
A history and physical exam will be done. An ultrasound is performed to identify the gallstones.Common tests: Ultrasound.
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
Pain medication such as non-steroidal anti-inflammatory drugs (NSAID/ibuprofen) or opiates can be prescribed. Surgical removal of the gallbladder (cholecystectomy) is done if the pain is severe or recurrent.Medical specialties
General Surgery · Gastroenterology · Internal Medicine · Pediatrics · Pediatric Surgery · Family Practice · Pediatric Gastroenterology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Biliary colic.