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Gallbladder headache: Is There a Link Between Headaches and Gallbladder Problems

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Signs of a Gallbladder Problem – Dr. Elijah Mobley – General Surgeon Victorville CA

Apr72014

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In the United States, gallbladder disease is fairly common but it is not always discussed. High Desert patients should understand the signs and symptoms of a gallbladder problem, so that they know when to contact a medical professional if needed. People in Apple Valley who are having issues with their gallbladder may find that they experience one or more of the common symptoms, and those symptoms may be a sign of a gallbladder attack or even a sign of gallstones in the organ. A general surgeon can help provide the patient with a diagnosis as well as a treatment option if necessary.

What are the Symptoms of Gallbladder Problems?

There is a variety of problems that can happen to the gallbladder throughout the course of time. In some cases, patients may not even realize that their signs or symptoms are results of issues with their gallbladder. Some of the most common symptoms of gallbladder problems include pain between the shoulders or around the right side of the rib cage or a headache over the right eye. Stools may be light colored or fatty, and people may suffer from indigestion. Nausea, bloating and gas can be signs of issues with the gallbladder. Diarrhea and constipation are also issues that may be associated with a problem with the gallbladder.

What are the Symptoms of a Gallbladder Attack?

Gallbladder attacks can occur suddenly and without warning, and they are very painful. Many patients choose to have their gallbladder removed after they experience an attack. However, there are other treatment options available.

Medical help should be sought immediately if a person thinks they are having a gallbladder attack, especially if the symptoms of the attack are combined with a fever.

Common symptoms to watch out for including severe back, shoulder or pain around the right side of the rib cage, nausea, vomiting or gas. Most attacks occur at night and several attacks will occur after overindulging in a greasy meal. Attacks can last as short as 15 minutes or as long as 15 hours.

What are the Symptoms of Gallstones?

Gallstones often are the cause of gallbladder attacks. It is important to understand the symptoms associated with most gallbladder issues, because these can be a sign of gallstones. About 70 percent of gallstones are silent gallstones that show no signs or symptoms, and do not cause many gallbladder attacks. The other 30 percent of gallstones may result in pain, indigestion and other symptoms of gallbladder issues.

Recognizing the signs and symptoms of the various gallbladder issues, patients can be more proactive about seeking medical help when necessary. Only a specialized doctor can diagnose and treat gallbladder issues, and provide patients with the relief that they need. A general surgeon is an expert in this region of the body, and will help patients find a treatment option that not only allows them to feel better, but helps to fix the problem in the future, as well.

Hidden Causes of Headaches or Migraines

Hidden Causes of Headaches or Migraines | Total Health Inc Menomonee Falls & New Berlin Wisconsin

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Authored by: Martin Johnson, DHM, Owner and Natural Health Consultant



The Most Common Potential Cause

Over the 25 plus years of working with people in natural health, I’ve discovered various atypical patterns of imbalances that can lead to headaches or migraines often not seen or missed by conventional medical testing. The most common pattern I see is, what I call, “the liver/gallbladder headache.”

When the liver or gallbladder are not clearing toxins as efficiently as they are normally supposed to, there is stress or a dis-stress signal sent along, what is called, a meridian pathway. Meridians are invisible energy pathways or channels that run through the body. There are 12 regular meridians in the traditional Chinese medicine model. Each regular meridian is believed to correspond to an organ, originating from different parts of the brain and grounding out, so to speak, through different parts of the hands and feet. Most acupuncture and acupressure points lie on a meridian. Stimulating these points using acupuncture needles or acupressure, helps correct and rebalance the flow of energy. The liver can be 40% under functioning and blood work liver enzymes can still be within normal range.

When the liver or gallbladder is stressed, meridian lines for these organs running through the neck up by the temples and through the optic nerve can cause tightness in the neck muscles. This can trigger temple headaches, headache behind the eyes, or from the back of the head, up over the head, and behind the eyes. When a person has a headache, often times the natural thing to do is to rub the temples, forehead, above the eyes, or back of the head just below the bone where the skull starts. Rubbing these points will often bring temporary relief. This is due to the person naturally rubbing over the meridians, performing a crude form of acupressure.

Another Cause of Common Headaches or Migraines

If a liver is functioning inefficiently, another common headache or migraine pattern we see is cyclical. Cyclical meaning with a woman’s menses cycle, or even with both menses and ovulation. The most common pattern is just with menses, starting anywhere from 2-3 days before to 2-3 days after. At this point in a woman’s cycle, it is crucial for the liver to clear or metabolize out excess estrogen, so the hormones keep in balance. This is done in the liver. So if the liver is less efficient in doing this, estrogen will dominate and throw off the balance between it and progesterone, triggering a headache or migraine.

Correcting the Liver or Gallbladder Problems

When working to correct these issues, it is important to look at factors that can lead to liver toxicity. This includes diet, environmental exposure, or even pharmaceutical medication a person may be taking. Providing education on how to minimize exposure, change diet, and providing the correct targeted therapeutic supplement support to help clear the liver/gallbladder channel is what we at Total Health find to be efficient in handling the issues discussed above. Sometimes further testing is needed to determine if some people have a genetic inefficiency to clear toxins in the liver. The need for these further tests is usually determined by how the client is responding to the initial mentioned treatment. If the person is not responding well, then we go on to further testing.

Final Potential Cause for Migraines or Headaches

A third and final potential cause of migraines or headaches is hidden infections in the jaw from teeth issues. This is not as common, but if nothing is working to give relief, it is worth exploring. It is a known fact, often not talked about, that past tooth extractions or root canals can have infections brewing in the jaw bone for years, without there being localized, physical pain. However, if these infections are being circulated throughout the body, it can cause a host of hidden health problems ranging from chronic fatigue, heart issues, joint pain, auto immune diseases, headaches or migraines. There are several books written on these topics, such as “The Root Canal Cover-Up” by George E Meinig, “The Root of Disease” by Thomas E Levy, and “The Toxic Tooth: How a root canal could be making you sick” by Robert Kulac.

The starting point we take to exploring this possibility is sending a client to trusted holistic dentists. They have the equipment, the experience, and opened mind to explore the possibility of a hidden infection or what is called cavitations in the jaw. If found, they either have the expertise to address the issue, or are networked with the right people who specialize in these issues.

Conventional Medicine is not the Solution

From my experience, many headache issues are rarely addressed at the root cause through conventional medicine. Almost all treatment is a chemical drug bandage to suppress the symptom, making a person even more toxic in the long run.

If you suffer from headaches and haven’t considered some of the things talked about in this blog, give us a call and schedule a no-charge phone consultation with one of our practitioners, to see if you might be a good fit for what we have to offer.

 

We Can Help!

If you struggle with migraines, poor digestive health, weight loss resistance, allergies, fatigue, brain fog, joint pain, or even an autoimmune disease, I would encourage you to get to the root cause and don’t settle for it being covered up with medication. It can get worse over time.  

Give us a call 262-251-2929 to schedule a no-charge 10-minute phone consult with a natural health practitioner, to see how we can help! You can also learn more at one of our Free Seminars!

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symptoms, diagnosis and effective treatment

Contents

  • 1 Diagnosis and treatment of gallbladder constriction: causes, symptoms and treatment
    • 1. 1 Gallbladder constriction: symptoms, diagnosis and treatment
    • 1.2 Gallbladder constriction : what is it?
    • 1.3 What are the symptoms of gallbladder constriction?
    • 1.4 Diagnosis of gallbladder constriction
    • 1.5 Who is most likely to have gallbladder constriction?
    • 1.6 Gallbladder constriction: complications
      • 1.6.1 What can happen?
    • 1.7 Avoiding gallbladder constriction: tips and tricks
      • 1.7.1 Eat right
      • 1.7.2 Drink enough water
      • 1.7.3 Watch your weight
      • 1.7.4 Maintain a healthy lifestyle
    • 1.8 Need for gallbladder ligation: when is surgery required?
    • 1.9 Preparation for gallbladder ligation surgery
      • 1.9.1 Planning of surgery
      • 1.9.2 Tests and examinations
      • 1.9.3 Puncture of the gallbladder wall
      • 1.9.4 Diet before surgery
    • 1.10 O gallbladder ligation surgery
      • 1.10.1 Preparation for surgery
      • 1. 10.2 Operation progress
      • 1.10.3 Postoperative period
    • 1.11 Recovery after gallbladder ligation surgery: what you need to know?
    • 1.12 Postoperative period: what should be considered after gallbladder ligation?
    • 1.13 Related videos:
    • 1.14 Q&A:
        • 1.14.0.1 What are the symptoms of gallbladder constriction?
        • 1.14.0.2 What diagnosis will help to determine the constriction of the gallbladder?
        • 1.14.0.3 Has a specific virus or bacterium been identified that causes gallbladder constriction?
        • 1.14.0.4 What methods should be used to treat gallbladder constriction?
        • 1.14.0.5 How does the duration of pain during gallbladder constriction affect the degree of the gallbladder’s ability to heal on its own?
        • 1.14.0.6 Can the symptoms of gallbladder constriction appear suddenly and disappear on their own, without recurring for several days or weeks?

Learn all about gallbladder constriction: diagnosis, symptoms and treatment. Professional information and advice from doctors. Help in understanding your health. Our site is your reliable assistant in matters of health.

The gallbladder is an important organ in the digestive system and has the function of storing bile necessary for the breakdown of fats. In the case of constriction of the gallbladder, its work may be disrupted, which can lead to various symptoms and even complications. This problem occurs in many people, regardless of age and gender.

Symptoms of gallbladder constriction can vary from subtle to very severe. Some people may not feel any obvious signs, while others may experience symptoms such as pain in the right upper quadrant of the abdomen, nausea, vomiting, bitter taste in the mouth, heartburn, frequent colic and other discomforts.

An accurate diagnosis of gallbladder constriction can only be established by a doctor after a comprehensive examination. In this case, research methods such as ultrasound, MRI, CT, as well as laboratory blood and urine tests can be used. The choice of further treatment depends on the correctness of the diagnosis.

Gallbladder constriction can be treated conservatively or surgically. Depending on the condition of the organ and the individual characteristics of the body, the doctor may recommend treatment with medications or an operation, such as cholecystectomy. In any case, self-medication is undesirable and can lead to negative consequences.

Gallbladder Constriction: Symptoms, Diagnosis and Treatment

Gallbladder Constriction is a condition where the gallbladder is not completely emptied during biliary peristalsis. It can cause various symptoms associated with disruption of the digestive system.

Ultrasound screening, computed tomography, or magnetic resonance imaging may be ordered to diagnose gallbladder constriction. Such studies can help identify signs of constriction of the gallbladder and assess the degree of violation of its function.

Treatment for gallbladder constriction may include nutritional advice, exercise, drugs, and surgery. Determining the appropriate treatment depends on the degree of gallbladder dysfunction and associated symptoms.

Gallbladder constriction: what is it?

Gallbladder constriction is a condition in which the gallbladder becomes overfilled with bile, which can cause it to increase in size and shape. As a result, the normal process of bile excretion is disrupted and acute or chronic cholecystitis may occur.

Gallbladder constriction can occur due to various causes: cholelithiasis, biliary dyskinesia, biliary congestion and other diseases of the gallbladder and biliary tract.

Typically, gallbladder constriction presents with several symptoms, such as pain in the right hypochondrium, nausea, vomiting, belching, enlargement of the gallbladder, and changes in body shape. To diagnose this disease, it is necessary to conduct an ultrasound examination of the abdominal organs, as well as other diagnostic methods.

What are the symptoms of gallbladder constriction?

Gallbladder constriction can present with a variety of symptoms. One of the most common symptoms is pain in the right upper abdomen. The pain may worsen after eating fatty or spicy foods, as well as during physical exertion.

In some cases, gallbladder constriction may be asymptomatic, but this does not mean that the disease does not need to be treated – in such cases, the disease can progress and lead to various complications.

It is important to remember that the symptoms of gallbladder constriction can be similar to those of other diseases, so an examination by a specialist is required for diagnosis.

Diagnosis of gallbladder constriction

Gallbladder constriction may be asymptomatic or mild, making diagnosis difficult. However, in some cases, clinical manifestations of constriction are possible.

The doctor makes a diagnosis based on the patient’s complaints and examination results. For examination, methods such as:

  • Ultrasound (ultrasound) – helps to see changes in the size of the gallbladder, walls, to establish the thickness and freedom of the bile duct.
  • Cholangiography is an X-ray examination in which a contrast agent is injected into the peripheral bile duct. This method allows you to diagnose biliary dyskinesia, bile duct dilation, narrow areas, etc.
  • MRI (Magnetic Resonance Imaging) is a more accurate examination that shows the structure of the biliary tract, the shape and size of the gallbladder.

In case of suspicion of constriction of the gallbladder, it is imperative to contact a qualified doctor for diagnosis. Early detection of pathology allows you to choose the most effective treatment and avoid complications.

Who is most likely to have gallbladder constriction?

Gallbladder constriction can occur in people of all sexes and ages. However, women over 40 years of age are most susceptible to this disease. This is due to fluctuations in hormonal levels and metabolism during menopause.

The risk of gallbladder constriction is also increased in the presence of obesity and diabetes. Excess weight and improper metabolism stimulate the formation of stones, which can lead to disease.

Genetic predisposition can also cause constriction of the gallbladder. If someone from a close relationship already had this disease, then the person may have a hereditary disposition to “stones” in the gallbladder.

  1. Characteristic \signs of pathology are sharp pains in the right hypochondrium, heartburn, frequent belching and excessive gas formation.
  2. To confirm the pathology, it is necessary to undergo a series of diagnostic procedures. The most accurate method is an ultrasound examination of the biliary system.

In any case, if you have these symptoms, you should seek help from a gastroenterologist or surgeon. Only qualified treatment will help to avoid complications and restore full health.

Gallbladder constriction: complications

What can happen?

Gallbladder constriction is a pathological process that can lead to serious complications. Among them:

  • Cholangitis – inflammation of the bile duct;
  • Gallstone disease – the formation of stones in the bile ducts;
  • Pancreatitis – inflammation of the pancreas;
  • Jaundice – violation of the outflow of bile, which can lead to yellow coloration of the skin and sclera;
  • Sepsis is a common infection in response to inflammation;
  • Perforation – rupture of the gallbladder and the release of contents into the abdominal cavity.

To prevent complications, it is necessary not to delay treatment and consult a doctor at the first signs of gallbladder constriction, such as pain in the right hypochondrium, nausea, vomiting, stool disorders and fever.

Tips and Tricks to Avoid Gallbladder Constriction

Eat Healthy

Eat regularly and healthy nutritious meals. Avoid fatty, spicy, spicy, heavy and canned foods, which can impair gallbladder function. Stick to the diet recommended by your doctor. Eat simply, lightly and properly to keep your gallbladder in good shape.

Drink enough water

Enough water will help keep your gallbladder from overworking. It helps dissolve bile and improve the digestion of food. Be sure you drink enough water throughout the day to reduce the risk of gallbladder constriction.

Watch your weight

Being overweight can make gallbladder problems worse. Therefore, try to monitor your weight, avoiding excess adipose tissue on the body. Weight gain can raise blood cholesterol levels, which puts the gallbladder under a lot of strain.

Live a Healthy Lifestyle

Oil and fat are bad choices for gallbladder health. To avoid gallbladder constriction, you need to lead a healthy lifestyle – exercise, do yoga, avoid alcohol, smoking and drugs, improve your lifestyle so as not to create additional stress on your gallbladder.

Need for gallbladder ligation: when is surgery required?

The gallbladder is an organ that plays an important role in digestion. However, sometimes it may be necessary to constrict the gallbladder.

Also, gallbladder constriction may be necessary in the formation of stones in the bile ducts. This can lead to obstructed flow of bile, which in turn can cause pain, jaundice, and other health problems.

If you have these symptoms, it is very important to see a doctor to diagnose and determine if surgery is necessary.

Preparing for gallbladder ligation surgery

Planning for surgery

If your doctor has ordered gallbladder ligation surgery, you should carefully read the treatment and preparation plan for surgery. The doctor should give detailed information about the procedure, complications, and answer all your questions. If you have chronic diseases, notify your doctor about them.

Tests and examinations

Before the operation, it is necessary to undergo a number of tests and examinations. This includes blood tests, urine tests, x-rays, and an ECG. For a more accurate diagnosis, additional examinations, such as an ultrasound of the gallbladder, may be required.

Gallbladder puncture

Some patients may have a gallbladder puncture prior to surgery. This allows you to establish the presence of inflammation or infection in the bladder. In the case of a positive result, the operation may be postponed for several days or weeks in order to carry out additional treatment.

Diet before surgery

A special diet must be followed before surgery. You will be forbidden to eat fatty, spicy and sweet foods. For the main meal, it is recommended to choose lighter dishes such as rice, chicken, vegetables. It is important not to eat two hours before the operation so as not to induce vomiting during the procedure.

By following all the doctor’s recommendations and the basic preparation rules, you can minimize the risks associated with gallbladder ligation surgery.

Gallbladder ligation surgery

Preparing for surgery

Before surgery for gallbladder ligation, it is necessary to undergo an examination and examination by a surgeon. To prepare for surgery, a course of conservative therapy may be prescribed to reduce inflammation and reduce pain. For 12 hours before the operation, you must refuse to eat and drink.

Procedure

Gallbladder ligation surgery can be performed either laparoscopically or openly. During the operation, the surgeon removes the gallbladder, removing stones from it and pulling it. In place of the removed gallbladder, a bile duct is formed, which must remain passable.

Postoperative period

After gallbladder ligation surgery, the patient is recommended to undergo a rehabilitation course that includes drug therapy and physiotherapy. In the first days after the operation, it is necessary to follow a special diet and avoid physical activity. The recovery period can last from several weeks to several months, depending on the complexity of the operation and the condition of the patient.

Recovery after gallbladder ligation surgery: what you need to know?

Gallbladder ligation is a surgical procedure that may be required if you have gallstones or other conditions. Recovery after such an operation can take several weeks, and attention is required precisely when the patient is discharged home.

You may also need to take antibiotics to prevent infections. It is important to remember that recovery requires the patient to follow all the recommendations of doctors and monitor their condition. Usually, within a week or two after the operation, the patient can return to a normal lifestyle, however, the duration of recovery may vary depending on the individual characteristics of the body.

If you experience any complications during recovery, you should definitely contact your doctor for help. It is also important to follow the doctor’s recommendations for further treatment and prevention of possible relapses of the disease.

Postoperative period: what should be considered after gallbladder ligation?

Gallbladder ligation is a major surgical procedure requiring careful rehabilitation. The postoperative period is very important to control in order to avoid possible complications and restrictions in normal life.

Symptoms: In the first days after surgery, the patient may experience some discomfort: pain in the right side or shoulder, nausea, vomiting, stomach discomfort. These symptoms usually go away after a few days.

Diet: In the first few days after surgery, the patient is advised to follow a very light diet, which is free from fatty, spicy, deep-fried foods and anything that can adversely affect the gastrointestinal tract. After a week, you can make gradual changes to your diet, starting with fiber-rich foods.

Activity: the patient can lead a normal life 10-14 days after the operation. However, it is not recommended to load the animal area for several weeks, as well as to lift weights over 5 kg. This may increase the risk of developing a hernia.

See a doctor: If you experience any complications such as high fever, severe pain, vomiting or bloody discharge, be sure to see your doctor for advice and professional help.

Related videos:

Q&A:

What are the symptoms of gallbladder constriction?

Patients with gallbladder constriction present with right upper quadrant pain, nausea, vomiting, belching, heartburn, gas, constipation, diarrhea, fatigue, bitter taste in the mouth. Due to the dosage of bile in the blood, jaundice and itching of the skin appear. Statistics also show that more than half of patients with gallbladder constriction suffer from shortness of breath, tachycardia and high blood pressure.

What diagnosis will help to determine the constriction of the gallbladder?

Common methods used to diagnose gallbladder constriction include ultrasound of the gallbladder, bile duct contrast radiography, computed tomography, magnetic resonance imaging, and laparoscopy. Each of these methods has its own advantages and disadvantages, and the choice of method depends on the characteristics of the patient and the severity of the symptoms.

Has a specific virus or bacterium been identified that causes gallbladder constriction?

No, at the moment there is no unequivocal opinion regarding the specific virus or bacterium that causes gallbladder constriction. Currently, experts are inclined to believe that the occurrence of a constriction is associated with prolonged exposure to various factors – for example, an unbalanced diet, alcohol abuse, a sedentary lifestyle, metabolic problems, urinary system pathologies, allergies, etc.

What methods should be used to treat gallbladder constriction?

The treatment of gallbladder constriction is often non-surgical and consists of the following measures: diet, drugs aimed at improving the excretion of bile, the use of special physical exercises and massage. If the gallbladder is not corrected and continues to cause pain symptoms, non-specific therapies are inappropriate or do not work, perform surgical removal of the gallbladder after consultation with the surgeon.

How does the duration of pain during gallbladder constriction affect the degree of the gallbladder’s ability to self-heal?

Gallbladder constriction pain usually lasts for quite a long time, usually from several weeks to several months. The duration of pain is one of the most important factors affecting the ability of the gallbladder to self-heal. If the pain does not go away for a long time, proper treatment allows you to achieve a full recovery, including without surgery.

Can the symptoms of gallbladder constriction appear suddenly and disappear on their own, without recurring for several days or weeks?

Yes, the symptoms of gallbladder constriction may appear suddenly and disappear on their own, without recurring for several days or weeks. However, this does not mean that the problem can be ignored. The longer the treatment is delayed, the more difficult it will be to solve it and the greater the risk of complications.

Deformation of the gallbladder treatment

If, with the deformity of the gallbladder established by ultrasound , you are bothered by unpleasant symptoms associated with eating and there is an increase in the level of bilirubin, consultation and observation of a gastroenterologist is necessary for treatment in order to prevent possible complications.

If a deformity of the gallbladder is detected on ultrasound, but nothing bothers you , no specific treatment is necessary. It is enough to do an ultrasound scan once a year to check and visit a doctor. It may be necessary to take prophylactic choleretic drugs twice a year, which the doctor will prescribe.

In case of congenital deformity of the gallbladder, treatment may be required only in the presence of significant disorders, since repeated bends, they can contribute to the retention of bile in the gallbladder.

Deformation of the gallbladder acquired due to cholecystitis or cholelithiasis, which is accompanied by a violation of its contractile function, a change in the quality and quantity of bile and a violation of digestion, requires mandatory treatment.

The patient will receive
  1. No symptoms and improved quality of life as a result of treatment.
  2. Restoration of the functions of the gallbladder.
  3. Prevention of complications and prolongation of remission.
  4. Elimination of risk factors.
Tips and tricks

A sparing diet and diet can help prevent and improve well-being. It is advisable to eat at the same time, do not overeat and do not starve. Fried, fatty, spicy and smoked foods, chocolate, mushrooms should be excluded from the diet.

Reference information

Gallbladder deformity is a common pathology that can be congenital or acquired throughout a person’s life. The gallbladder is a small, hollow organ that stores bile. It is an elongated bag, shaped like a pear when filled with bile. In the gallbladder, the upper narrowed part is distinguished – the neck, from which the cystic duct departs, the middle – the body, and the lower bottom. The most common deformities are kinks, twisting and constriction of the gallbladder in the cervical region.

Main symptoms

If the deformation of the gallbladder does not affect the flow of bile into the duodenum, it may not manifest itself in any way and is detected only by ultrasound. If the deformation interferes with the normal outflow of bile, the following symptoms are observed:

  • heaviness in the stomach after eating;
  • bitter taste in the mouth;
  • nausea and vomiting after eating fatty foods;
  • pain in the right hypochondrium, and in laboratory tests there is an increase in the level of bilirubin.
Mechanism of the development of the disease

Congenital deformity of the gallbladder occurs under the influence of various factors during fetal development, usually it does not manifest itself in any way and is detected only on an ultrasound examination.

Acquired deformation of the gallbladder has many causes, among them are:

  • diseases of the gastrointestinal tract . For example, long-term cholecystitis, acute cholecystitis, or gallstone disease can lead to inflammation of the outer wall of the gallbladder – pericholecystitis and adhesion formation;
  • sudden movements and heavy lifting may cause short-term incomplete twisting of the gallbladder around its axis. This deformity is asymptomatic and usually resolves without treatment;
  • pronounced prolapse of internal organs in the elderly, stretching and sagging of the gallbladder with its enlargement and the presence of stones in it;
  • malnutrition , fatty and heavy food stimulates the secretion of large amounts of bile and leads to stretching and deformation of the gallbladder.
When to see a doctor
  • if you have mild pain in the right hypochondrium, nausea, belching, heaviness in the stomach and a bitter taste in the mouth;
  • for preventive examination in case of identified deformity on ultrasound;
  • In case of severe pain, urgent medical attention is needed.
Complications

The most dangerous is a rare deformity in which the gallbladder twists around its longitudinal axis several times. Such twisting leads to impaired blood circulation in the bladder wall, necrosis and perforation of the wall, bile enters the abdominal cavity and bile peritonitis develops.