Gallstones biliary colic characteristics

This article was endorsed by Rao Adeel - Doctor of Medicine from Hebei Medical University

Symptoms, causes and treatment of biliary colic

What is a biliary colic?

Cholelithiasis refers to the presence of gallstones. Biliary colic is a pain that occurs when a gallstone transiently obstructs the cystic duct and the gallbladder contracts. Cholecystitis is the inflammation of the cystic duct by gallstones.

A biliary colic is produced by the expulsion of a stone from the gallbladder. The person feels a sharp pain in the belly. He drew

The biliary colic or colic of the gallbladder is an episode of acute pain caused by the expulsion of stones from the gallbladder or gallstones.

When a stone is large, or is expelled from the gallbladder into the bile ducts ( choledocus ), there may be painful episodes ( gallstones ).

This type of attack usually occurs after a large meal , especially if it has been abundant in food, fats , chocolates , cold cuts, butter , pastries, cream , cakes, etc.

Colic usually occurs at night and within a few hours after ingestion.

It is extremely painful. If it does not dissolve, the stone can block the ducts and affect both the gallbladder itself and the liver or pancreas .

A gallstone may have no symptoms, especially when they are small stones or found inside the gallbladder.

Why does biliary colic occur?

The cause of biliary colic is the stones formed in the gallbladder. Biliary colic occurs when a gallstone or stone in the gallbladder leaves this organ and travels into the bile ducts ( coledochus ) into the intestine .

When the stones are small, they are sometimes removed without symptoms. In some cases, they may remain blocking the passage through the duct and cause sharp pain until they are expelled or diluted.

Symptoms of gallbladder colic or gallbladder stones

The main symptoms of biliary colic are:

  • Gas, flatulence, heavy digestions, Abdominal pain
  • Back or shoulder pain
  • Nausea, dizziness, or vomiting
  • Little high fever
  • Sternum pain
  • Yellowing of the skin ( jaundice )
  • Etc.

Diagnosis of biliary colic

The diagnosis of biliary colic must be made by the doctor or specialist. In the presence of some of the above symptoms, you should visit the doctor to make a correct diagnosis, differentiating biliary colic from other possible problems that may have similar symptoms.

The following tests are mainly used to diagnose biliary colic:

  • Sonograms : allow you to see the existence of stones, which is its size, what material are formed and their situation in the urinary tract.
  • Blood tests : They allow checking the state of the liver and pancreas.
  • Other possible tests : Cholangiograms , for example, are done to find out if the stone has left the gallbladder and is found in the bile ducts.

Routine treatment of biliary colic is done first with the administration of pain relievers and other medications intended to combat dizziness or vomiting.

Subsequently, the treatments are aimed at eliminating the stones that are causing the problem. This is done fundamentally in the following ways:

How to prevent biliary colic?

grasas saturadas
Saturated fats are the main cause of gallstones

To avoid biliary colic, those factors that prevent the formation of stones or gallstones in the gallbladder should be taken into account. Among others, we should take into account the following considerations:

  • Drink a lot of water : Dehydration increases the concentration of bile and can favor the formation of stones. Water is the medium in which all toxins and minerals dissolve, and is expelled through the pores of the skin and urine. Regular and abundant urination prevents the sedimentation of the crystals of certain minerals that, when grouped together, form the stones in the kidney ( renal lithiasis ) and in the gallbladder.

You should drink between 2 and 5 liters a day , especially when it is very hot or you have done a strong physical exercise and in other circumstances such as excessive sweating or diarrhea .

Control feeding

Since there are many stones that re-form, controlling the diet is very important to avoid the formation of new stones. 80% of the stones in the gallbladder are made up of cholesterol.

Eating plenty of saturated animal fats and foods high in cholesterol should be avoided. A diet rich in fiber helps eliminate cholesterol and change the composition of bile.

It is better to adopt a vegetarian diet in which natural foods rich in fiber and carbohydrates abound .

Control obesity

Being obesity one of the triggers of this problem, a weight control would be very suitable, for it to adopt a balanced diet and

Treatment and diet for biliary colic

Elimination of stones with the dissolution of stones formed mainly by cholesterol:

In stones smaller than 1 cm by administering medications orally (bile salts) or through direct injections into the gallbladder.

– With the dissolution of stones larger than 1 cm by shock waves

Stone removal with surgery in stones not formed by cholesterol or in stones that cannot dissolve:

In this case, a cholecystectomy is used , which is an operation in which the gallbladder is removed (removal of the gallbladder). It is a type of intervention that usually does not present too many complications although, as in any surgical intervention, it has the added risk of anesthesia.

People undergoing a cholecystectomy operation can consult the type of diet to follow

punto rojo More information about biliary colic

Written by Editorial Botanical-online team in charge of content writing

20 June, 2020

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