Gallstones & Gallbladder Problems

Gallstones are small, stone-like deposits that form in the gallbladder, a small organ located beneath the liver that stores bile to help digest fats. Most gallstones do not cause symptoms, but if they block part of the biliary system, they can cause pain, inflammation, and other digestive problems. When gallstones cause symptoms or complications, this is known as gallstone disease (cholelithiasis).


Common causes of Gallstones

  • Excess cholesterol in bile 
  • Family history of gallstones 
  • Being overweight 
  • Rapid weight loss 
  • Increasing age 

When to Seek Medical Advice 

  • Recurring pain in the upper abdomen 
  • Symptoms after eating fatty foods 
  • Nausea or vomiting 
  • Jaundice (yellowing of the skin or eyes) 

Relevant Diagnostic Tests 

  • Ultrasound scan 
  • Blood tests 
  • MRI/MRCP scans 
  • Endoscopic investigations (ERCP)

Common Signs of Gallstones and Gallbladder Problems:

Even though many people with gallstones never experience symptoms, if a gallstone blocks a bile duct, it can trigger episodes of pain and digestive symptoms. This is often described as a gallbladder attack or biliary colic (pain caused by a temporary blockage in a bile duct). 

Common symptoms you may experience: 

  • Pain in the upper right side of the abdomen 
  • Pain in the centre of the abdomen, just below the breastbone 
  • Sudden episodes of intense abdominal pain 
  • Pain that lasts for 30 minutes or longer (typically in the upper abdomen) 
  • Pain that occurs after eating, particularly after fatty meals 
  • Pain that spreads to the back or right shoulder 
  • Recurring episodes of gallbladder pain  

Other symptoms people also experience: 

  • Nausea 
  • Vomiting 
  • Bloating 
  • Indigestion 
  • A feeling of heaviness under the ribs on the right-hand side 
  • Loss of appetite 
  • Jaundice if a bile duct becomes blocked 

What Causes Gallstones and Gallbladder Problems? 

Gallstones form when bile becomes imbalanced, usually because it contains too much cholesterol. Over time, these excess particles can develop into stones within the gallbladder.  

Lifestyle & Risk Factors 

Factors linked to an increased risk of gallstones include: 

  • Being overweight or obese
  • Rapid weight loss
  • Increasing age
  • Family history of gallstones
  • Pregnancy
  • Certain medications
  • Conditions such as diabetes or Crohn’s disease

Common Gallbladder Conditions 

Gallstone Disease (Cholelithiasis) 

Cholelithiasis (the medical term for gallstones) occurs when stones form within the gallbladder and begin causing symptoms or complications. 

Gallbladder Inflammation (Cholecystitis) 

Cholecystitis (inflammation of the gallbladder) usually occurs when a gallstone blocks the gallbladder’s main outlet. This can lead to persistent pain, fever, nausea and tenderness in the upper abdomen. 

Less Common or More Serious Complications 

Less commonly, gallstones may lead to: 

  • Infection of the bile ducts 
  • Acute pancreatitis (inflammation of the pancreas) 
  • Persistent jaundice 
  • Severe gallbladder inflammation requiring urgent treatment  

When Should You See a Doctor for Gallstones? 

Although many gallstones do not cause problems, recurring or persistent symptoms should not be ignored. 

Red Flag Symptoms 

It’s worth speaking to a healthcare professional if you experience: 

  • Frequent episodes of upper abdominal pain 
  • Pain that repeatedly occurs after eating 
  • Nausea or vomiting that keeps returning 
  • Loss of appetite 
  • Symptoms that are becoming more frequent or severe 
  • Jaundice  

When to Seek Urgent Care 

It’s important to contact NHS 111, seek urgent medical advice, or attend emergency services if you experience: 

  • Sudden, severe abdominal pain 
  • Pain lasting longer than 30 minutes (typically in the upper abdomen) 
  • Severe pain that spreads to your back or shoulder 
  • A high temperature, fever, or chills 
  • Jaundice 
  • Persistent vomiting 
  • Severe abdominal tenderness  

Diagnosing the Cause of Gallstones and Gallbladder Problems 

The good news is that gallstones can usually be diagnosed quickly, and effective treatment options are available when symptoms occur. 

Initial Consultation 

During your appointment, your gastroenterologist may ask about: 

  • The location and severity of your pain 
  • Whether symptoms occur after eating 
  • Previous gallbladder attacks 
  • Nausea, vomiting, or jaundice 
  • Family history of gallstones 
  • Current medications 
  • Any previous digestive conditions 

Diagnostic Tests & Procedures 

Ultrasound scan 

An ultrasound scan (a painless imaging test that uses sound waves to create pictures of organs inside the body) is usually the first test used to look for gallstones and signs of gallbladder inflammation. 

Blood tests 

Blood tests can help check for signs of infection, inflammation, liver problems, or bile duct obstruction. 

MRI or MRCP scan 

An MRCP scan (a specialised MRI scan used to examine the bile ducts, gallbladder and pancreas) may be recommended if there is concern that a gallstone has moved into a bile duct.  

ERCP 

Endoscopic retrograde cholangiopancreatography (ERCP) (a procedure that uses a flexible camera to identify and remove gallstones from the bile ducts) may be used when stones are causing a blockage.  


How are Gallstones Treated? 

If you’re looking for treatment for gallstones, the most appropriate option will depend on your symptoms, the location of the stones, and whether any complications have developed. 

Self-Care & Lifestyle Changes 

If gallstones are not causing significant symptoms, your specialist may recommend: 

  • Monitoring your symptoms 
  • Maintaining a healthy weight 
  • Losing weight gradually if weight loss is recommended 
  • Eating a balanced diet 
  • Identifying foods that may trigger symptoms 
  • Following a lower-fat diet if advised by your healthcare professional  

Medical & Prescription Treatments 

Treatment may include: 

  • Pain relief medication 
  • Antibiotics (if an infection is present) 
  • Medications to manage nausea and vomiting 

It’s important to note that while medication can help manage symptoms, it does not usually remove gallstones. 

Surgical & Specialist Interventions 

The most effective treatment for symptomatic gallstones is often surgery. 

Options may include: 

  • Laparoscopic cholecystectomy (keyhole surgery to remove the gallbladder) 
  • Gallbladder removal surgery 
  • ERCP  

These treatments can help prevent recurrent gallbladder attacks and reduce the risk of future complications. 


Private Digestive Care at Clarity 

Gallbladder pain can be unpredictable and disruptive, affecting everything from eating and sleeping to work and daily activities. At Clarity, our experienced specialists provide prompt access to diagnostic testing and personalised treatment plans to help you find answers and lasting relief. 

Why Choose Us? 

✅ Fast access to experienced specialist consultants 

✅ Advanced diagnostic imaging and investigations 

✅ Comprehensive assessment of gallstones and gallbladder problems 

✅ Personalised treatment plans tailored to your symptoms 

✅ Comfortable private facilities and ongoing support 

Clarity Consult is a free consultation

Introducing Clarity Consult:

Your Free Digestive Health Consultation


As the first step in your private digestive health journey, Clarity Consult is an entirely FREE consultation.

This is designed to be a clear, consultant-led private pathway for patients experiencing digestive symptoms, with fast access, transparent costs and flexible appointments.

Book Your Free Consultation Today

Frequently Asked Questions About Gallstones 

How do I prepare for a private gastroenterology appointment?

Keeping a record of your gallstone symptoms, dietary triggers, medications, and previous test results can help your consultant gain a clearer understanding of your condition. 

Do all gallstones need surgery?

No. Surgery is usually only recommended if gallstones are causing symptoms, recurring gallbladder attacks, or complications such as gallbladder inflammation or pancreatitis. 

What is cholecystitis?

Cholecystitis is inflammation of the gallbladder, usually caused by a gallstone blocking the gallbladder’s outlet. It can cause persistent pain, fever, nausea and tenderness in the upper abdomen. 

Can gallstones go away on their own?

While gallstones do not usually disappear on their own, many people with gallstones never develop symptoms and may not need treatment. 

What does a gallbladder attack feel like?

A gallbladder attack typically causes sudden pain in the upper right side of the abdomen or beneath the breastbone. The pain may spread to the back or right shoulder and can last from 30 minutes to several hours. 

Take Control of Your Digestive Health Today 

If you’re experiencing symptoms of gallstones, gallbladder pain, recurrent gallbladder attacks, or gallstone disease, early assessment at Clarity can help identify the cause and get you started on the right treatment plan.