How do doctors diagnose gallstones. What tests are used to identify gallbladder problems. What are the warning signs of gallbladder disease. How can ultrasound help in detecting gallstones. When should you seek medical attention for gallbladder symptoms.

Understanding Gallstones: Causes and Risk Factors

Gallstones are solid, pebble-like deposits that form in the gallbladder, a small organ located beneath the liver. These stones can vary in size and composition, often causing discomfort and potentially serious health issues if left untreated. To properly diagnose and treat gallstones, healthcare professionals employ a variety of methods and tests.

Several factors can increase the likelihood of developing gallstones:

• Obesity
• High-fat diet
• Rapid weight loss
• Family history of gallstones
• Age (over 40)
• Gender (more common in women)
• Certain medical conditions (e.g., diabetes, liver disease)

Understanding these risk factors can help individuals take preventive measures and seek timely medical attention when necessary.

Recognizing Gallstone Symptoms: When to Seek Medical Help

While many people with gallstones may not experience any symptoms, others may encounter a range of discomforts that signal the need for medical attention. Recognizing these symptoms is crucial for early diagnosis and treatment.

Common symptoms of gallstones include:

• Sudden, intense pain in the upper right abdomen or center of the abdomen
• Pain that radiates to the right shoulder or back
• Nausea and vomiting
• Fever and chills
• Jaundice (yellowing of the skin and eyes)
• Clay-colored stools

Are these symptoms always indicative of gallstones? Not necessarily. However, if you experience persistent or severe abdominal pain, especially after meals, it’s essential to consult a healthcare professional for proper evaluation.

The Diagnostic Process: Medical History and Physical Examination

When a patient presents with symptoms suggestive of gallstones, the diagnostic process typically begins with a thorough medical history and physical examination. This initial step helps healthcare providers gather crucial information and narrow down potential causes of the patient’s symptoms.

Medical History Assessment

During the medical history assessment, the healthcare professional will inquire about:

• The nature and duration of symptoms
• Any triggers or factors that worsen or alleviate the symptoms
• Family history of gallbladder problems or gallstones
• Dietary habits and lifestyle factors
• Previous medical conditions and surgeries
• Current medications and supplements

Physical Examination

The physical examination typically involves:

• Palpation of the abdomen to check for tenderness or swelling
• Assessing for signs of jaundice
• Checking vital signs, including temperature and heart rate
• Examining for any visible signs of discomfort or distress

How does the physical examination contribute to diagnosis? While it may not definitively confirm the presence of gallstones, it can provide valuable clues and help guide further testing.

Laboratory Tests: Blood Work and Liver Function Analysis

Laboratory tests play a crucial role in the diagnosis of gallstones and related gallbladder issues. These tests can provide valuable information about the patient’s overall health and potential complications associated with gallbladder disease.

Complete Blood Count (CBC)

A CBC can reveal signs of infection or inflammation, which may be present in cases of cholecystitis (inflammation of the gallbladder). Elevated white blood cell counts can indicate an ongoing infection or inflammatory process.

Liver Function Tests

Liver function tests assess the health of the liver and can provide insights into potential gallbladder problems. These tests typically include:

• Alanine aminotransferase (ALT)
• Aspartate aminotransferase (AST)
• Alkaline phosphatase (ALP)
• Bilirubin
• Gamma-glutamyl transferase (GGT)

Elevated levels of these enzymes may indicate liver dysfunction or bile duct obstruction, which can be associated with gallstones.

Lipase and Amylase

These enzymes are typically measured to rule out pancreatitis, which can sometimes occur as a complication of gallstones.

What can laboratory tests reveal about gallbladder health? While they cannot definitively diagnose gallstones, they can provide crucial information about potential complications and guide further diagnostic steps.

Imaging Techniques: Visualizing the Gallbladder and Biliary System

Imaging tests are essential for confirming the presence of gallstones and assessing the condition of the gallbladder and biliary system. These non-invasive techniques provide detailed visual information that helps healthcare professionals make accurate diagnoses.

Ultrasound: The Gold Standard for Gallstone Detection

Ultrasound is considered the most reliable and commonly used imaging technique for diagnosing gallstones. This method uses high-frequency sound waves to create real-time images of the gallbladder and surrounding structures.

Benefits of ultrasound for gallstone diagnosis include:

• Non-invasive and painless
• No radiation exposure
• High accuracy in detecting gallstones (sensitivity of 95% for stones > 2mm)
• Ability to assess gallbladder wall thickness and presence of inflammation
• Real-time imaging allows for dynamic assessment

How effective is ultrasound in detecting gallstones? Ultrasound can detect gallstones as small as 2mm with high accuracy, making it the preferred initial imaging test for suspected gallbladder disease.

Computed Tomography (CT) Scan

While not as sensitive as ultrasound for detecting gallstones, CT scans can provide valuable information about the gallbladder and surrounding organs. CT scans are particularly useful for:

• Identifying complications such as inflammation or infection
• Assessing the biliary tract for obstructions
• Evaluating the pancreas and other nearby structures
• Detecting gallbladder wall thickening or abscesses

Magnetic Resonance Imaging (MRI) and Magnetic Resonance Cholangiopancreatography (MRCP)

MRI and MRCP provide detailed images of the gallbladder, bile ducts, and pancreatic duct without using radiation. These techniques are particularly useful for:

• Visualizing the biliary tree in detail
• Detecting small stones in the common bile duct
• Assessing for biliary obstruction or strictures
• Evaluating complex cases or when other imaging methods are inconclusive

When might an MRI or MRCP be recommended over other imaging techniques? These methods are often used when there’s suspicion of bile duct stones or when more detailed imaging of the biliary system is required.

Advanced Diagnostic Procedures: HIDA Scan and ERCP

In some cases, additional specialized tests may be necessary to further evaluate gallbladder function or to address complications related to gallstones. Two such procedures are the HIDA scan and Endoscopic Retrograde Cholangiopancreatography (ERCP).

HIDA Scan (Cholescintigraphy)

The HIDA scan, also known as cholescintigraphy or hepatobiliary scintigraphy, is a nuclear medicine test that assesses gallbladder function and detects potential blockages in the bile ducts.

Key aspects of the HIDA scan include:

• Injection of a radioactive tracer that is taken up by liver cells and excreted into bile
• Imaging of the tracer’s movement through the biliary system
• Assessment of gallbladder emptying (ejection fraction)
• Ability to detect obstruction or inflammation in the biliary tract

What can a HIDA scan reveal that other tests cannot? The HIDA scan provides functional information about the gallbladder, allowing doctors to assess how well it contracts and empties, which can be crucial in diagnosing conditions like biliary dyskinesia.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

ERCP is both a diagnostic and therapeutic procedure that allows direct visualization and intervention in the biliary and pancreatic ducts. This procedure involves:

• Insertion of an endoscope through the mouth into the duodenum
• Injection of contrast dye into the bile and pancreatic ducts
• X-ray imaging to visualize the ducts and identify any abnormalities
• Potential for immediate intervention, such as stone removal or stent placement

When is ERCP typically recommended? ERCP is usually reserved for cases where there’s a high suspicion of bile duct stones or when therapeutic intervention is likely needed, as it carries a small risk of complications.

Interpreting Diagnostic Results: Making an Accurate Diagnosis

Once all necessary tests have been performed, healthcare professionals must carefully interpret the results to make an accurate diagnosis. This process involves considering multiple factors and correlating various findings.

Combining Clinical Presentation with Test Results

Accurate diagnosis of gallstones and related conditions requires a comprehensive approach that considers:

• Patient symptoms and medical history
• Physical examination findings
• Laboratory test results
• Imaging study outcomes
• Results of any specialized tests (e.g., HIDA scan, ERCP)

How do healthcare professionals weigh different diagnostic findings? They look for consistency across various tests and consider the overall clinical picture to arrive at the most likely diagnosis.

Differential Diagnosis

It’s important to note that symptoms similar to those of gallstones can be caused by other conditions. Healthcare providers must consider alternative diagnoses, such as:

• Peptic ulcer disease
• Gastroesophageal reflux disease (GERD)
• Irritable bowel syndrome (IBS)
• Pancreatitis
• Hepatitis
• Kidney stones

By carefully evaluating all available information, healthcare professionals can differentiate between these conditions and provide an accurate diagnosis of gallbladder disease when appropriate.

Treatment Options and Follow-up Care for Gallstones

Once a diagnosis of gallstones has been confirmed, healthcare providers will discuss treatment options with the patient. The appropriate treatment depends on various factors, including the severity of symptoms, the size and number of gallstones, and the patient’s overall health.

Conservative Management

For patients with asymptomatic gallstones or mild symptoms, conservative management may be recommended. This approach typically involves:

• Dietary modifications (e.g., reducing fat intake)
• Weight management
• Regular monitoring and follow-up
• Pain management for occasional symptoms

Medical Treatment

In some cases, medications may be prescribed to dissolve small gallstones or manage symptoms. However, this approach is generally less effective than surgical intervention for most patients with symptomatic gallstones.

Surgical Intervention

Cholecystectomy, or surgical removal of the gallbladder, is the most definitive treatment for gallstones. This procedure is typically performed laparoscopically, offering several advantages:

• Minimally invasive approach
• Shorter hospital stay and recovery time
• Reduced risk of complications compared to open surgery
• High success rate in resolving symptoms

When is surgery recommended for gallstones? Surgery is typically advised for patients with symptomatic gallstones, recurrent attacks of biliary colic, or complications such as cholecystitis or pancreatitis.

Follow-up Care and Lifestyle Modifications

Regardless of the treatment approach, follow-up care is essential to ensure optimal outcomes. This may include:

• Regular check-ups to monitor for recurrence or complications
• Dietary counseling to prevent future gallstone formation
• Management of underlying risk factors (e.g., obesity, diabetes)
• Education about potential long-term effects of gallbladder removal

By providing comprehensive care and ongoing support, healthcare professionals can help patients effectively manage gallstone disease and improve their overall quality of life.

Diagnosis of Gallstones – NIDDK

How do doctors diagnose gallstones?

Doctors use your medical history, a physical exam, and lab and imaging tests to diagnose gallstones.

A health care professional will ask you about your symptoms. He or she will ask if you have a history of health conditions or health concerns that make you more likely to get gallstones. The health care professional also may ask if you have a family history of gallstones and what you typically eat. During a physical exam, the health care professional examines your body and checks for pain in your abdomen.

A health care professional will ask if you have a history of health conditions that make you more likely to get gallstones.

What tests do health care professionals use to diagnose gallstones?

Health care professionals may use lab or imaging tests to diagnose gallstones.

Lab tests

A health care professional may take a blood sample from you and send the sample to a lab to test. The blood test can show signs of infection or inflammation of the bile ducts, gallbladder, pancreas, or liver.

Imaging tests

Health care professionals use imaging tests to find gallstones. A technician performs these tests in your doctor’s office, an outpatient center, or a hospital. A radiologist reads and reports on the images. You usually don’t need anesthesia or a medicine to keep you calm for most of these tests. However, a doctor may give you anesthesia or a medicine to keep you calm for endoscopic retrograde cholangiopancreatography (ERCP).

Ultrasound. Ultrasound is the best imaging test for finding gallstones. Ultrasound uses a device called a transducer, which bounces safe, painless sound waves off your organs to create an image or picture of their structure. If you have gallstones, they will be seen in the image. Sometimes, health care professionals find silent gallstones when you don’t have any symptoms.

Computed tomography (CT) scan. CT scans use a combination of x-rays and computer technology to create images of your pancreas, gallbladder, and bile ducts. CT scans can show gallstones, or complications such as infection and blockage of the gallbladder or bile ducts. However, CT scans also can miss gallstones that you may have.

Magnetic resonance imaging (MRI). MRI machines use radio waves and magnets to produce detailed images of your organs and soft tissues without x-rays. MRIs can show gallstones in the ducts of the biliary tract.

MRIs can show gallstones in the ducts of the biliary tract.

Cholescintigraphy. Cholescintigraphy—also called a hydroxyl iminodiacetic acid scan, HIDA scan, or hepatobiliary scan—uses a safe radioactive material to produce pictures of your biliary tract. You’ll lie on a table while a health care professional injects a small amount of the radioactive material into a vein in your arm. The health care professional may also inject a substance that causes your gallbladder to squeeze. A special camera takes pictures of the radioactive material as it moves through your biliary tract. Doctors use cholescintigraphy to diagnose abnormal contractions of your gallbladder or a blockage in the bile ducts.

Endoscopic retrograde cholangiopancreatography (ERCP). ERCP combines upper gastroendoscopy and x-rays to treat problems of your bile and pancreatic ducts. ERCP helps the health care professional locate the affected bile duct and the gallstones. This test is more invasive—or involves more instruments inside your body—than other tests. Doctors use it selectively, usually to remove a gallstone that is stuck in the common bile duct.

Diagnostic Tests for Gallbladder Disease

The gallbladder — a sac located near the liver that serves as a storage space for bile — can be stricken with various problems, such as gallbladder cancer or inflammation (called cholecystitis).

Gallstones are also a common gallbladder problem, and infection can occur if the gallbladder remains blocked by a gallstone or continues to be inflamed.

Gallbladder disease is the term used to describe many of these maladies that can plague the gallbladder. But in many forms of gallbladder disease, a person may have no symptoms — up to 90 percent of people with gallstones, for example, don’t have any symptoms at all. So how can gallbladder disease be diagnosed?

Gallbladder Disease: When Diagnostic Tests Are Needed

Your doctor isn’t going to test you for something that you’re not complaining about, so generally, the only time diagnostic tests for gallbladder problems are done is when a person experiences symptoms. Warning signs of gallbladder problems include:

• Bouts of severe pain in the right upper abdomen and sometimes the right chest or back
• Pain after eating, particularly high-fat foods, or at night
• Fever, with shaking and chills, especially if occurring with, or after, abdominal pain
• Nausea and perhaps vomiting
• Heartburn and indigestion
• A feeling of fullness in the abdomen, or excess gas

If you don’t have symptoms, that doesn’t mean your gallbladder is perfectly normal. Often, doctors will spot signs of gallbladder problems during diagnostic testing for some other symptom or health condition.

Gallbladder Disease: Eliminating Other Causes

If you have some combination of these symptoms, your doctor probably will start by asking detailed questions about them. He may ask for more details about the pain — what it feels like, when it happens, and where in your belly it hurts. Your doctor will also ask questions to look for other possible causes of abdominal pain, like:

• Irritable bowel syndrome (IBS)
• Crohn’s disease or ulcerative colitis
• Cancer or inflammation of the pancreas
• Kidney stones or urinary tract infections
• Pneumonia (when it involves the lower part of the right lung, it can be confused with gallbladder discomfort)
• Viral hepatitis
• Appendicitis
• Gastroesophageal reflux or ulcers in the stomach
• Diverticulitis or diverticulosis — conditions affecting the lining of the colon

Gallbladder Disease: Diagnostic Imaging Tests

After asking questions about your symptoms, doing a physical exam, and eliminating some causes from the list of possibilities, your doctor probably will perform some imaging tests to look at your gallbladder.

Imaging tests used to diagnose gallbladder problems include:

• An ultrasound. This is the most commonly used of the diagnostic tests for gallbladder problems. While very effective in diagnosing even very small gallstones, it can’t always clearly diagnose cholecystitis (inflammation of the gallbladder).
• X-rays. An abdominal X-ray can spot gas and some types of gallstones containing calcium. Some X-ray types require that a patient swallow a dye or have dye injected into the body so the X-ray can capture a clearer picture of the gallbladder.
• Computed tomography (CT) scan. This imaging test uses a computer and X-rays to spot gallbladder problems, but isn’t the most effective method of diagnosing gallstones. CT scans can help spot ruptures (tears in the gallbladder wall) and infections inside the gallbladder or its bile ducts.
• Magnetic resonance imaging (MRI) . Regular MRI, or another type called magnetic resonance cholangiography (MRC), can help diagnose stones in the bile ducts. MRC uses regular MRI imaging technology plus a dye administered into the bile duct. This test is very useful for diagnosing biliary tract (gallbladder and surrounding ducts) cancer, but may not be able to spot tiny stones or persistent infections.
• Endoscopic retrograde cholangiopancreatography (ERCP) . This test uses an endoscope (a tube fitted with a tiny camera and light) that is inserted into the throat, down through the stomach, and into the small intestine. This test can help spot gallstones or problems in the bile ducts of the gallbladder — it’s considered the “gold standard” when it comes to diagnosing stones blocking bile ducts, and allows for removal (using a small basket-like device) during the test. But there is a risk of complications, so the test is typically only given to people who are thought to be very likely to have stones blocking the bile ducts.
• Cholescintigraphy (also called DISIDA, HIDA scan, or gallbladder radionuclide scan). A small amount of radioactive dye is administered, and then a scanning device is used to track the dye as it moves into the gallbladder. This screening method can spot a blocked duct and acute inflammation, but not chronic gallbladder inflammation or gallstones.

Gallbladder Disease: Blood and Urine Tests

A blood test may also be performed to help diagnose gallbladder disease. A complete blood count, or CBC, can help confirm an infection if there is a high white blood cell count. Other specific blood tests can also reveal high bilirubin levels (the cause of jaundice, a complication of gallbladder problems) or elevated enzymes suggesting an obstruction in the gallbladder.

Urine tests may also be performed to help diagnose problems with the gallbladder by looking for abnormal levels of chemicals like amylase, which is an enzyme that aids in the digestion of carbohydrates, and lipase, another enzyme that helps break down fats.

Even if signs and symptoms are not directly suggesting gallbladder disease, your doctor has many ways to visualize the gallbladder. With these tests, your gallbladder disease can usually be promptly diagnosed — and just as importantly, properly treated.

What Are Common Gallbladder Problems? Symptoms, Causes, Diagnosis, Treatment, and Prevention

The gallbladder stores bile, which helps the body break down and digest fats that you eat. Disorders like gallstones can cause problems with how the gallbladder…

By Quinn PhillipsJanuary 4, 2023

Gallbladder Surgery Complications

Like any surgery, gallbladder removal comes with a risk of certain complications. These include bile leakage, blood clots, and potential digestive changes…

By Quinn PhillipsDecember 7, 2022

Gallstones and Other Gallbladder Problems

Gallstones occur when one or more of the substances that make up the bile becomes too concentrated and forms a hard stone. Other gallbladder problems …

By Diana RodriguezNovember 19, 2022

What Is Cholecystitis?

Cholecystitis, or inflammation of the gallbladder, often occurs when a gallstone blocks a duct in the gallbladder.

By Diana RodriguezNovember 14, 2022

Your Diet After Gallbladder Surgery

Some people need to maintain a modified diet after gallbladder surgery. Follow this diet for effective gallbladder surgery recovery.

By Krisha McCoyOctober 17, 2022

Symptoms of a Gallbladder Problem

Symptoms of gallbladder problems may include severe abdominal pain, especially after you eat fatty foods.

By Diana RodriguezSeptember 30, 2022

Gallbladder Surgery: What to Expect

If you’re having gallbladder symptoms caused by gallstones or other conditions, your doctor may recommend gallbladder surgery.

By Jennifer Acosta ScottSeptember 8, 2022

4 Ways to Prevent Gallstones

There is no sure way to prevent gallstones, but there are things you can do to reduce your risk. Get tips on gallstone prevention.

By Hedy MarksDecember 3, 2018

How to check the gallbladder, what tests to take?

05/31/2021

In most cases, when patients come to me, interviewing them, I hear the diagnoses and pathologies that accompany the patient throughout life and are related to the gallbladder.

What is the gallbladder, what is it for and what does it cause?

The gallbladder is, relatively speaking, a “depot” for bile, formed by the liver, then it gets to it for “maturation” – there it concentrates (due to a decrease in the amount of fluid – dehydration is possible up to 10 times!) And waits for a signal if it needs to stand out for inclusion in the digestive system.
The control of the synchronous contraction of the gallbladder, bile ducts and the valve that regulates the supply of bile to the duodenum occurs due to the nervous and humoral (hormones) systems.
A healthy person produces about 2 liters of bile per day. Of course, with a gallbladder volume of up to 90-120 ml, filling it 20 times and reducing it is not very rational. Therefore, bile does not always accumulate in the bladder, but is also released in parallel into the intestine at a rate of several drops per minute. This immediately helps to solve several issues. Bile is an excellent antiseptic and regulates the normal composition of microflora in the intestine. It is a stimulant of peristalsis and thus will help maintain normal bowel contractility. With the help of bile, incl. metabolic products that are not very properly stored in the body, and therefore, bile also performs an excretory function.
But when we ate, bile secretion increases significantly, as it takes part in the primary processing of fats (the so-called “emulsification” – the dissolution of fats). Only after this, the lipase enzyme secreted by the pancreas can digest fats.

But there are a number of conditions (sometimes mythical) when there are problems with the work of the biliary system.
The mythical problem is the shape of the gallbladder and any “obstacles” that prevent the gallbladder from working, but we have everything in a row – “kinks”, “constrictions”, “curvature” and others. According to modern concepts, the shape of the gallbladder does not affect its function, but the presence of these problems is simply a 3D visualization of the gallbladder itself, which, like any organ, can change its shape. Yes, there are a number of conditions when, after an independent recovery from acute inflammation of the gallbladder, its deformation took place, but this is such a liquid state that, in extreme cases, several such people can be identified in Ukraine.
Billiard dysfunction is one of the most common functional disorders of the biliary system, and is associated with asynchrony of the gallbladder, ducts and valve apparatus. Usually it is manifested by heaviness, pain, discomfort in the right hypochondrium after a meal and can last up to 30 minutes, and it is possible to pass until the next meal. In this case, it is imperative to consult a doctor to rule out an organic pathology of the biliary tract – inflammation, calculi (stones).
It is not worth it to independently examine the function of the gallbladder (without a doctor’s referral to undergo an examination) or self-medicate (take the so-called “choleretic”) is not worth it, since self-interpretation of the results of examinations or taking medications is contraindicated in certain diseases, we can miss a serious illness or worsen gallbladder problem.
First of all, when any health problems arise, you should contact your family doctor, who, if necessary, will refer you to a gastroenterologist. In the presence of private medicine, it is possible to get an appointment with a gastroenterologist without a referral from your family doctor.
Further, the doctor, if there is a suspicion of a violation of the biliary system, prescribes an additional examination. Basic in this situation:

• Abdominal ultrasound
• Liver tests
• Blood alpha-amylase, blood lipase (since the pancreas has a common duct system with bile ducts)
• Complete blood count, C-reactive protein.

Determining the function of the gallbladder by functional load is not a protocol study, but rather a historical diagnostic method and is indicative for the doctor. The doctor cannot rely on this examination as a determining one, since it is very conditional and subjective.
It is important to remember that the diagnosis is not made via the Internet or the similarity of symptoms with the illness of a work colleague. Diagnosis is the result of a complex search and comparison of patient complaints, examination results and response to treatment.

We wish you good health!

05/31/2021

Article author

More news

About health: how to determine the stagnation of bile in the body was told to patients at the “School of Health” Tsivilskaya Central District Hospital

At the initial stages, bile stasis is easily corrected, but if the situation is started, the matter can end even with an emergency operation.

Probably everyone is familiar with the feeling: you eat a piece of fatty food, but the feeling remains that you overeat. There is heaviness in the right side, the food seems to be not digested for a long time. This is one of the symptoms of stagnation of bile.

Together with Maria Alekseeva, , a doctor for ultrasound diagnostics at the Tsivilsky Central District Hospital , at the “School of Health” for patients, we analyzed the main signs of trouble in the gallbladder and found out how it can be treated.

Signs of bile stasis:

• aching and pulling pain in the right side after exercise;
• feeling of discomfort in the right side – as if something were blocking or squeezing there;
• right pain when bending and turning;
• when sitting for a long time in the wrong position, the right hand begins to ache, pain appears in the right shoulder blade;
• dryness or bitterness in the mouth, slight changes in skin tone.

Innocent at first glance, stagnation of bile can turn into a big disaster.

Cholestasis (stagnation of bile) ranks third among diseases and pathologies of the digestive tract and is getting younger from year to year.

It affects people of retirement age, women over 40, pregnant women, office workers and schoolchildren (long restriction in movement and incorrect posture at the desk).

Bile is a secretion product of liver cells. It is produced in the liver, then through the hepatic and bile ducts it enters the gallbladder, where it accumulates. As soon as food enters the oral cavity and the digestion process begins, bile enters the intestine (duodenum), where it neutralizes hydrochloric acid residues, breaks down fats (emulsifies to the desired condition so that they can be absorbed into the blood), helps the body absorb fat-soluble vitamins A, E, D, K, disinfects food and removes excess pathogenic bacteria in the small intestine, participates in other enzymatic reactions for the full digestion of food and absorption of nutrients. For example, it activates lipase (pancreatic enzyme).

When digestion does not occur, bile accumulates in the gallbladder, a small pear-shaped organ located at the right intercostal arch.

If for some reason bile stagnates and does not enter the intestines, this leads to disruption of the entire digestion process. Cholestasis can lead not only to dysfunction of the gastrointestinal tract, but also to serious diseases associated with metabolic disorders: beriberi, osteoporosis, cholelithiasis, cholecystitis, in severe cases – cirrhosis of the liver (accumulation of bile, its increased concentration changes and recycles liver cells) and can also lead to diabetes. Therefore, this state cannot be started.

To prevent stagnation of bile, doctor Maria Mikhailovna, a specialist of the first category, warned patients about what to remember.

The stagnation of bile is partly facilitated by the liver itself, which produces bile, and the ducts through which it moves, and the gallbladder.

To avoid problems, bile should always be liquid, not viscous or jelly-like.

Bile is a highly concentrated secret, when it is in a stationary state for a long time, a precipitate begins to form, first in the form of flakes, then they form stones. Do not forget that bile is secreted at every meal and the role of proper regular nutrition is very important in preventing the formation of stones!

Bile moves through ducts surrounded by muscles. It will not be superfluous to remember that any stress leads to spasm, including muscle spasm, which can lead to a banal clamping of the ducts themselves and their inlet and outlet sphincters. Bile can get stuck in the ducts. Therefore, eating should always be in a calm atmosphere and in the right posture: give yourself pleasure – have breakfast, lunch and dinner beautifully.

The formed bile stasis can be recognized by the following features:

• dull pain in right hypochondrium;
• frequent belching;
• enlarged liver;
• dark urine and light stools;
• constipation or diarrhea;
• bad breath;
• chronic fatigue, drowsiness;
• bitterness in the mouth;
• persistent pruritus;
• yellow color of the skin and whites of the eyes.

At the first signs of congestion, it is better to have an ultrasound immediately. If you feel unwell, you should consult a doctor. With prolonged stagnation, both sand and stones in the gallbladder can form, and with any stimulation of the movement of bile, the movement of stones can also be provoked. If the stone is small, then albeit with pain, it will come out of the duct, and a large one can block the duct. And in this case, an emergency operation is indicated.

An accurate diagnosis of bile stasis requires additional examination and treatment:

1. Ultrasound of the liver and bile ducts. It will help to assess the extent of the lesion and the presence of stones. The presence of bile sediment will indicate that the bile is thick and viscous, difficult to move through the bile ducts, and therefore can stagnate. The accumulation of bile in the ducts causes an increase in the liver in volume.
2. General blood and urine tests will help assess the general condition of the body.