Gall Bladder

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The gallbladder is a small, pear-shaped organ located beneath the liver on the right side of the abdomen. It plays a key role in the digestive system, particularly in the digestion of fats.

Function of the Gallbladder

  • Stores bile, a digestive fluid produced by the liver.
  • Releases bile into the small intestine (via the bile ducts) when you eat, especially fatty meals.
  • Bile helps break down fats and absorb fat-soluble vitamins (A, D, E, K).

🔹 Common Gallbladder Problems

  1. Gallstones (Cholelithiasis)
    • Hardened deposits of cholesterol or pigment in the gallbladder.
    • May be “silent” or cause pain, nausea, or complications.
  2. Cholecystitis
    • Inflammation of the gallbladder, often due to a gallstone blocking the cystic duct.
    • Symptoms: severe abdominal pain, fever, vomiting.
  3. Choledocholithiasis
    • Gallstones that move into and block the common bile duct.
    • Can lead to jaundice, pancreatitis, or serious infections.
  4. Gallbladder Polyps
    • Small growths on the inner wall of the gallbladder.
    • Most are benign, but large or growing polyps may require removal.
  5. Gallbladder Cancer (rare)
    • Often diagnosed late due to vague symptoms.
    • Risk factors: gallstones, chronic inflammation, gallbladder polyps.

🔹 Symptoms of Gallbladder Disease

  • Pain in the upper right abdomen (especially after fatty meals)
  • Nausea or vomiting
  • Bloating or indigestion
  • Fever and chills (if infection is present)
  • Jaundice (yellowing of skin or eyes)

🔹 Diagnosis

  • Ultrasound (most common initial test)
  • CT scan or MRI
  • HIDA scan (to assess gallbladder function)
  • Blood tests (liver function, white cell count, pancreatic enzymes)

🔹 Treatment Options

🏠 Lifestyle & Diet Management

  • Eat low-fat, high-fiber meals
  • Maintain a healthy weight
  • Avoid rapid weight loss

💊 Medications

  • Rarely used; include bile acid pills like ursodiol to dissolve cholesterol stones (slow and not always effective)

🩺 Surgical Treatment

Cholecystectomy – surgical removal of the gallbladder

  • Laparoscopic cholecystectomy (minimally invasive): Most common
  • Open surgery: Used in complex or emergency cases

👉 Life without a gallbladder is normal; the liver still makes bile, which flows directly into the intestine.

🔹 Life After Gallbladder Removal

  • Most people digest food normally
  • Some may experience temporary diarrhea or bloating
  • Small, frequent, low-fat meals help during recovery
  • Avoid fatty, greasy, or spicy foods initially

❗️When to See a Doctor

  • Recurring pain in the upper abdomen, especially after eating
  • Signs of infection: fever, chills, nausea
  • Yellowing of skin or eyes
  • Vomiting or inability to eat
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