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     What are the symptoms of gallstones?


    The most common symptom of uncomplicated gallstones is pain in the abdomen, known as biliary colic. This is a pain that usually lasts between one and five hours (but sometimes up to eight) which can vary from mild indigestion or discomfort, to severe pain. You may feel it:1 

    • in the centre of your abdomen between your breast bone and belly button
    • just under your right ribs with a sharp pain spreading to your side or shoulder blade.

    Sometimes it may be mistaken for a heart attack or a peptic ulcer. This pain is due to strong contractions as the gallbladder tries to expel a stone. The pain usually begins after eating fatty foods, though it can also wake you up during the night. These attacks are usually infrequent and some people find walking about can relieve the pain. 

    Other symptoms may include nausea, vomiting or excessive sweating.

    Symptoms which indicate a complication has arisen (complicated gallstone disease) include:1

    • a high temperature of 38oC (100.4F) or above
    • persistent pain
    • a rapid increase in the rate of your heartbeat
    • jaundice – a condition in which the whites of the eyes go yellow and, in more severe cases, the skin also turns yellow (for more information see useful words)
    • itchy skin
    • diarrhoea
    • shivering attacks – a sudden chill with severe shivering and a high temperature, similar to 'flu’, is a sign that infection is building up
    • mental confusion
    • a loss in appetite.   

     

    When should I see a doctor?
    If you have some of the symptoms listed but they last less than eight hours, you should make an appointment to see your GP.

    If you have a high temperature, persistent pain (lasting longer than two hours) or jaundice, you feel like your condition is worsening or your symptoms are changing, it is important that you are seen by a medical professional. When speaking to your doctor, you may find it helpful to refer to this publication. If your symptoms continue, go to A&E immediately.