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Gallstones

WHAT YOU SHOULD KNOW

The gallbladder is a small pouch near the liver where bile is stored. Bile helps to break down food, especially fats. The gallbladder can become irritated and swollen. A common cause of gallbladder disease is gallstones. Pain from gallstones is also called ""biliary (BILL-ee-air-ee) colic.'' Many people have gallstones but do not know it. Often, gallstones stay in the gallbladder or pass through it without causing problems. However, if one gets stuck on its way out of the gallbladder, intense pain can result.

Causes

You are more likely to have gallstones if your parents had them. Your chances of developing gallstones also increase if you weigh too much, have many children, take birth control pills, drink too much alcohol, and have a high-fat diet. Whenever the gallbladder cannot completely empty, gallstones may develop. For instance, infection and swelling of the tubes that carry bile out of the liver can produce gallstones.

Signs/Symptoms

You may not have any symptoms, or you may have stomach pain, nausea, vomiting, fever, or jaundice (yellow skin or eyes). You may also feel bloated, not be able to eat fatty food, and burp more than usual.

Care

Your doctor may suggest aspirin, acetaminophen, or ibuprofen for pain. Rest until you feel better. You may need to go into the hospital for more tests and treatment. If your gallstones or other gallbladder disease causes problems such as infection, you may need to have the gallstones broken apart or removed. Surgery may be needed to remove your gallbladder.

Risks

The disease is not life-threatening, but could get worse if you do not get treatment.

WHAT YOU SHOULD DO

  • You may take aspirin, acetaminophen, or ibuprofen for pain.
  • Rest in bed until you are feeling better.
  • During an attack, drink clear fluids if you are able. Don't eat anything.
  • To prevent further attacks, don't eat foods that give you indigestion. Make sure everything you eat is low in fat.

Seek Care Immediately If...

  • You have a high temperature.
  • You have severe pain in the upper right side of your abdomen or between your shoulder blades.
  • You start to vomit.
  • You have shortness of breath.
  • Your skin or eyes turn yellow, or your urine is dark brown.

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Abdominal Ultrasound: This painless test to look at your gallbladder is done while you're lying down. A dab of a jelly-like lotion is placed on your stomach. The person doing the test will gently move a small handle through the lotion and across the skin. A TV-like screen is attached to the handle.
  • Lithotripsy (lith-uh-TRIP-see): Your gallstones may be broken apart with medicine, shock waves, or both.
  • Surgery: You may need to have surgery to remove your gallbladder.
  • Antibiotic Medicines: You may be given these drugs by IV, shot, or mouth. They fight infection.
  • Pain Medicine: This medicine may be given in your IV, as a shot, or by mouth. If your pain is not better after you take the medication, tell your nurse at once.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Pulse Oximeter: If you are getting oxygen, you may be hooked up to a pulse oximeter (ox-IM-uh-ter). It is placed on your ear, finger, or toe, and is connected to a machine that measures the oxygen in your blood.
  • IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • Blood: Usually taken from a vein in your hand or from the bend in your elbow. Tests will be done on the blood.
  • Chest X-ray: This picture of your lungs and heart shows how they are handling the illness.

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