Gallstones: Causes, Symptoms, and Treatment Options

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If you’ve ever felt a sudden, sharp pain in your upper right abdomen after eating, especially something greasy, you might be dealing with gallstones. I’ve seen many patients come into our clinic worried about what this pain could mean—and for a good reason. Gallstones are more common than most of us realize, but the good news is that they’re treatable.

Let’s walk through what gallstones are, why they form, the symptoms you should watch for, and the treatment options we usually recommend.

What Are Gallstones?

Gallstones are hardened deposits of digestive fluid, primarily bile, that form in your gallbladder. Your gallbladder is a small organ located under your liver that helps with digesting fats. When bile contains too much cholesterol or not enough bile salts, stones can form.

These stones can be as small as a grain of sand or as large as a golf ball. Some people only have one, while others may have many.

What Causes Gallstones?

We often tell our patients that gallstones are usually the result of an imbalance in the substances that make up bile. Some of the most common causes include:

Too much cholesterol in your bile
Excess bilirubin, which can occur due to liver disease or infection
Poor gallbladder emptying, which causes bile to become concentrated

Certain factors can increase your risk. These include:

Being female
Being over the age of 40
Pregnancy
Having a family history of gallstones
Being overweight or obese
Eating a high-fat or low-fiber diet
Losing weight rapidly

What Symptoms Should We Look For?

Some people have silent gallstones and never know they have them. But when gallstones cause a blockage or inflammation, we see symptoms like:

  • Sudden, intense pain in the upper right or center abdomen
  • Pain that radiates to the back or right shoulder blade
  • Nausea or vomiting
  • Indigestion, especially after fatty meals
  • Jaundice (yellowing of the skin or eyes) if the bile duct is blocked

If you or someone you love is experiencing these symptoms, especially if they come in waves or are triggered by meals, it’s time to get checked.

Treatment Options We Recommend

Pain is generally mild and well-controlled with standard medication, and scarring is minimal given the small incision size.

1. Watchful Waiting

If your gallstones aren’t causing symptoms, we may just monitor them over time. No need for surgery unless complications arise.

2. Medications

In some cases, we might try medications like ursodiol to dissolve cholesterol-based gallstones. This method takes months or even years and is often less effective than other options.

3. Surgery (Cholecystectomy)

The most common and effective treatment is surgical removal of the gallbladder, usually via a laparoscopic (minimally invasive) approach. I’ve performed this procedure on many patients, and most recover quickly with minimal discomfort.

You can live a completely normal life without a gallbladder—your body simply finds other ways to digest fats.

Can We Prevent Gallstones?

Yes—and here’s how we help patients reduce their risk:

  • Maintain a healthy weight
  • Avoid rapid weight loss
  • Eat a balanced diet with fiber and healthy fats
  • Exercise regularly

If you’re prone to gallstones, we might also suggest avoiding very high-fat meals or fasting for extended periods.

Final Thoughts

Gallstones may be common, but they don’t have to control your life. Whether you’re feeling sharp abdominal pain or you’ve just been diagnosed, we’re here to guide you through every step from diagnosis to treatment and recovery.

If you think you might be experiencing gallstone symptoms, don’t wait. Reach out today for an evaluation. Together, we’ll find the best way to protect your health and get you back to feeling your best.

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Dr. Girish Kumar Juneja

Laparoscopic, Bariatric & Robotic Surgeon, Dubai

With 30+ years of surgical experience across Europe and the UAE, Dr. Girish shares trusted, expert insights to help patients understand their conditions and treatment options.

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Dr. Girish Kumar Juneja is a leading general, laparoscopic and robotic surgeon in Dubai with over 30 years of experience, offering advanced minimally invasive surgical care across the UAE.

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Jumeirah 2, Dubai, UAE