Where gallbladder located picture. Visual Guide to Your Gallbladder: Location, Function, and Common Issues
Where is the gallbladder located. What is the function of the gallbladder. How do gallstones form. Who is at risk for gallbladder problems. What are the symptoms of gallbladder issues. How are gallbladder problems diagnosed and treated. How can you prevent gallstones.
Gallbladder Anatomy and Function: Understanding the Basics
The gallbladder is a small, pear-shaped organ located on the right side of the abdomen, just beneath the liver. Its primary function is to store and concentrate bile, a greenish-yellow fluid produced by the liver that aids in the digestion of fats and certain vitamins.
When we consume food, particularly those containing fats, the gallbladder receives signals to contract and release bile through ducts into the small intestine. This process helps break down fats and facilitates their absorption by the body.
Key Facts About the Gallbladder:
- Location: Right side of the abdomen, below the liver
- Shape: Pear-like
- Size: Approximately 7-10 cm long
- Capacity: Can store about 30-60 ml of bile
- Function: Stores and concentrates bile for fat digestion
Gallstones: The Most Common Gallbladder Problem
Gallstones are the most frequent issue affecting the gallbladder. These solid masses form when components of bile, primarily cholesterol, clump together and harden. Gallstones can vary in size, ranging from tiny grains to golf ball-sized formations.
Are all gallstones made of cholesterol? While most gallstones are indeed composed of hardened cholesterol, there’s another type called pigment stones. These are more common in individuals with certain medical conditions such as cirrhosis or sickle cell disease and are primarily made of bilirubin, a brownish-yellow compound produced when the liver breaks down old red blood cells.
Types of Gallstones:
- Cholesterol stones: Most common type, made primarily of hardened cholesterol
- Pigment stones: Less common, composed mainly of bilirubin
- Mixed stones: Contain both cholesterol and pigments
Recognizing Gallbladder Issues: Symptoms and Complications
When gallstones block the bile ducts, it can lead to inflammation of the gallbladder, a condition known as cholecystitis. This can result in various symptoms and complications that shouldn’t be ignored.
How can you tell if you’re experiencing gallbladder problems? The most common symptoms include:
- Pain in the upper right part of the abdomen
- Nausea and vomiting
- Pain that worsens with deep breaths
- Discomfort in the back or right shoulder blade
- Fever (in cases of infection)
It’s important to note that some gallstones remain asymptomatic and are referred to as “silent” stones. These typically don’t require treatment unless they start causing problems.
Diagnosing Gallbladder Conditions: Medical Tests and Procedures
If you’re experiencing symptoms suggestive of gallbladder issues, your healthcare provider will likely perform a series of tests to confirm the diagnosis and assess the severity of the condition.
What diagnostic tools do doctors use to identify gallbladder problems? The most common methods include:
- Physical examination: The doctor will palpate your abdomen to check for tenderness or swelling.
- Blood tests: These can reveal signs of infection or liver function abnormalities.
- Imaging tests: Ultrasound is the primary imaging tool used to visualize the gallbladder and detect stones. It uses sound waves to create detailed images of the organ.
- X-rays: In some cases, an X-ray of the abdomen may be ordered to rule out other conditions.
- Additional blood tests: These may be performed to assess liver function and other related parameters.
Treatment Options for Gallbladder Issues: From Watchful Waiting to Surgery
The treatment approach for gallbladder problems depends on the severity of symptoms and the underlying cause. In some cases, asymptomatic gallstones may not require immediate intervention.
What is the primary treatment for symptomatic gallstones? For most patients with recurring symptoms or complications, the recommended treatment is a surgical procedure called cholecystectomy, which involves the removal of the gallbladder.
Key Points About Gallbladder Surgery:
- Laparoscopic cholecystectomy is the most common approach, involving small incisions and a faster recovery time.
- Open cholecystectomy may be necessary in some cases, particularly if there are complications or anatomical variations.
- Most people can function normally without a gallbladder, as bile will flow directly from the liver to the intestine.
For those who are not suitable candidates for surgery or prefer non-surgical options, alternative treatments may include medications to dissolve gallstones or dietary modifications to manage symptoms.
Risk Factors for Gallbladder Disease: Understanding Who’s at Higher Risk
Several factors can increase an individual’s likelihood of developing gallbladder problems, particularly gallstones. Understanding these risk factors can help in prevention and early detection of gallbladder issues.
Common Risk Factors for Gallstones:
- Gender: Women are more prone to gallstones due to the influence of estrogen on cholesterol levels in bile.
- Age: The risk increases after age 40.
- Genetics: Family history of gallstones increases the risk.
- Ethnicity: Mexican-Americans and Native Americans have a higher prevalence of gallstones.
- Obesity: Excess weight can lead to higher cholesterol production and altered gallbladder function.
- Rapid weight loss: Crash diets and weight loss surgeries can increase the risk of gallstone formation.
- Diet: High-fat, high-cholesterol diets with low fiber intake can contribute to gallstone formation.
- Certain medical conditions: Diabetes, liver disease, and some blood disorders can increase the risk.
Does pregnancy affect gallbladder health? Yes, pregnancy can increase the risk of gallbladder issues due to hormonal changes and the potential buildup of gallbladder sludge, a thick liquid that can lead to stone formation.
Lifestyle and Dietary Factors Influencing Gallbladder Health
While some risk factors for gallbladder problems are beyond our control, many lifestyle and dietary choices can significantly impact gallbladder health. Making informed decisions about diet and maintaining a healthy weight can help reduce the risk of gallstones and other gallbladder issues.
Dietary Considerations for Gallbladder Health:
- Increase fiber intake: Opt for whole grains, fruits, and vegetables.
- Choose healthy fats: Incorporate sources of omega-3 fatty acids like fish oil and olive oil.
- Limit refined carbohydrates: Reduce consumption of white bread, pasta, and sugary foods.
- Maintain a balanced diet: Avoid extreme diets or prolonged fasting.
- Stay hydrated: Drink plenty of water throughout the day.
How does weight management affect gallbladder health? Maintaining a healthy weight is crucial, but it’s important to approach weight loss gradually. Aim to lose no more than 1-2 pounds per week to minimize the risk of gallstone formation.
Lifestyle Factors to Consider:
- Regular exercise: Engage in moderate physical activity to help maintain a healthy weight and promote overall digestive health.
- Stress management: Chronic stress can affect digestive function, so incorporate stress-reduction techniques into your routine.
- Limit alcohol consumption: Excessive alcohol intake can increase the risk of gallstones and other liver-related issues.
- Quit smoking: Smoking has been linked to an increased risk of gallbladder disease.
Medications and Gallbladder Health: Understanding the Connection
Certain medications can influence gallbladder function and potentially increase the risk of gallstone formation. It’s important to be aware of these connections and discuss any concerns with your healthcare provider.
Which medications can affect gallbladder health? Some common medications that may impact gallbladder function include:
- Hormone-based medications: Birth control pills and hormone replacement therapy containing estrogen can increase cholesterol levels in bile.
- Cholesterol-lowering drugs: Some medications used to lower cholesterol, particularly fibrates, may increase the risk of gallstone formation.
- Certain antibiotics: Some antibiotics can alter the balance of bacteria in the gut, potentially affecting bile composition.
It’s crucial to note that the benefits of these medications often outweigh the potential risks to gallbladder health. Never discontinue or change your medication regimen without consulting your healthcare provider.
Gallbladder Health and Chronic Conditions:
Certain chronic health conditions can also impact gallbladder function and increase the risk of gallstones. These include:
- Diabetes: Can affect gallbladder motility and increase the risk of gallstone formation.
- Metabolic syndrome: Associated with a higher risk of gallbladder disease.
- Crohn’s disease: Can affect bile acid metabolism and increase the risk of gallstones.
- Liver cirrhosis: Can alter bile composition and increase the risk of pigment stones.
If you have any of these conditions, it’s important to work closely with your healthcare team to manage your overall health and minimize gallbladder-related complications.
Prevention Strategies: Keeping Your Gallbladder Healthy
While not all gallbladder problems can be prevented, there are several strategies you can employ to reduce your risk and maintain optimal gallbladder health.
Key Prevention Strategies:
- Maintain a healthy weight: Avoid rapid weight loss or gain.
- Eat a balanced diet: Focus on whole foods, lean proteins, and healthy fats.
- Stay physically active: Regular exercise can help maintain a healthy weight and promote overall digestive health.
- Stay hydrated: Drink plenty of water throughout the day to support proper bile flow.
- Limit alcohol consumption: Excessive alcohol intake can increase the risk of gallbladder issues.
- Manage underlying health conditions: Keep chronic conditions like diabetes well-controlled.
Can certain foods help prevent gallstones? While no specific food can guarantee prevention, some studies suggest that consuming foods rich in vitamin C, calcium, and coffee may have protective effects against gallstone formation. However, more research is needed to confirm these associations.
When to Seek Medical Attention:
It’s important to be aware of potential signs of gallbladder problems and seek medical attention if you experience:
- Severe abdominal pain, especially in the upper right quadrant
- Fever accompanied by abdominal pain
- Yellowing of the skin or eyes (jaundice)
- Persistent nausea or vomiting
- Dark urine or light-colored stools
Early detection and treatment of gallbladder issues can help prevent more serious complications and improve overall outcomes.
Visual Guide To Your Gallbladder
Medically Reviewed by Minesh Khatri, MD on August 22, 2021
Your gallbladder sits on the right side of your belly, below your liver. It’s a small organ, shaped like a pear, that holds a fluid called bile. This liquid, made in your liver, helps you digest fats and certain vitamins. When you eat, your body gets the signal to release it — through channels called ducts — into your small intestine.
The most common reason people have trouble with their gallbladder is gallstones. You get them when bile clumps together and forms solid masses. They can be as big as a golf ball, and you can have just one or several.
Most stones are made of hardened cholesterol. But people with certain conditions like cirrhosis and sickle cell disease are more likely to have another kind called pigment stones. These are made of bilirubin — a brownish yellow compound your liver makes when it breaks down old red blood cells.
If a gallstone gets into a duct and keeps bile from flowing out, your gallbladder can get inflamed. That’s called cholecystitis, and it can lead to nausea, vomiting, and belly pain. Bacteria also can cause it. You can tell you’re having gallbladder trouble by where it hurts: the upper right part of your belly. It might get worse when you take deep breaths, and you may also feel an ache in your back or right shoulder blade.
Your doctor will examine you and might want to take a sample of your blood to look for signs your body is fighting an infection. You probably will have an imaging test, like an ultrasound. It uses sound waves to make detailed images of your gallbladder. Your doctor also might want an X-ray of your belly or other blood tests to see how well your liver is working.
Some gallstones never cause problems and can be left alone — they’re called “silent.” But if you have symptoms, your doctor may recommend surgery, called cholecystectomy, to take out your gallbladder. You’ll be fine without it — the bile your liver makes will flow straight into your intestine.
Researchers believe estrogen plays a role in gallstones. The female sex hormone can boost the amount of cholesterol in your bile. And pregnancy can cause a buildup of something called gallbladder sludge, a thick liquid your body can’t absorb easily.
If someone in your family has had gallstones, your chances of getting them are higher. Mexican-Americans and Native Americans are more likely to have them than other people — the Pima tribe of Arizona has the highest rate of gallbladder disease in the world. Researchers think certain genes can raise the amount of cholesterol in bile.
If you’re overweight, your body may make more cholesterol, which means you’re more likely to have gallstones. You also may have a larger gallbladder that doesn’t work as well as it should. If you carry most of your weight around your waist rather than in your hips and thighs, that may also raise your chance of getting gallstones.
If you drop weight too quickly, you can be more likely to have gallstones, because weight loss surgeries and very low-calorie diets can be hard on your gallbladder. Cycling — losing and regaining weight over and over — also can cause trouble. The safest course is a slow one: Aim to shed fewer than 3 pounds a week.
Foods high in cholesterol and fat can raise your chances of gallstones. And you’re more likely to have gallbladder issues if you don’t have much fiber in your diet or you eat a lot of refined carbohydrates like white bread and white rice.
Birth control pills and hormone replacement therapy can raise your chances of gallstones because they have estrogen in them. Medicines called fibrates, which help lower your cholesterol, have been linked to gallbladder disease because they can raise the amount of cholesterol in your bile.
If you have this condition that affects your kidneys, you may have more of a kind of fat called triglyceride in your blood, and that can boost your chances of gallstones. Researchers also think your gallbladder may not react to your body’s signals the way it should and that can let bile build up.
The risk of gallstones is higher once you’re past 40, but you can do a few things to help avoid them. Stay at a healthy weight, but don’t fast or go on crash diets. Eat plenty of fiber and good fats like olive and fish oil, and don’t eat much refined grain. Choose whole wheat instead of white bread, for example, and brown rice instead of white.
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Mayo Clinic: “Diseases and Conditions — Gallstones.”
National Institute of Diabetes and Digestive and Kidney Diseases: “Gallstones. “
Massachusetts General Hospital: “Conditions and Treatments — Cholecystitis. “
American College of Gastroenterology: “Gallstones in Women.”
National Institute of Diabetes and Digestive and Kidney Diseases: “Dieting and Gallstones.”
American Heart Association: “Cholesterol Medications.”
Arteriosclerosis, Thrombosis, and Vascular Biology, November 2001.
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Smokefree.gov by the National Cancer Institute: “Benefits of Quitting.”
United Kingdom National Health Service: “Gallbladder Removal.”
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Where is the Gallbladder Located
Gallbladder Location
Learning About the Gallbladder
Many people don’t usually bother to educate themselves about the gallbladder until it starts causing trouble. However, learning as much as possible about this important organ can be helpful, especially if you are experiencing an issue and are trying to get a better picture of what may be going wrong.
What is the Gallbladder?
The gallbladder is a small organ, which is attached to the liver. Its job is to store the bile. When a person eats, the gallbladder releases bile into the small intestine where it helps break up fats.
The Most Common Gallbladder Problems
Gallstones
Gallstones are solid particles formed from bile cholesterol and bilirubin.
Cholecystitis
Gallbladder inflammation. It can be acute or chronic. The condition occurs when the gallstones are stuck at the gallbladder’s opening.
Gallstone Pancreatitis
Gallstones block the pancreatic duct, resulting in pancreas’ inflammation.
Gallbladder Problems
Gallbladder Cancer
Gallbladder cancer is a rare condition. It’s difficult to diagnose and usually discovered at the late stages of the disease.
Can you Live Without a Gallbladder
While the gallbladder is a useful organ, a human body can function without it. After a gallbladder removal surgery, the bile proceeds directly into the small intestine, which warrants some changes to the patient’s lifestyle.
What Does a Gallbladder Look Like?
The gallbladder is a pear-shaped organ. It’s usually 3 to 4 inches long and about 2 inches in diameter. Much like the urinary bladder, when the organ is empty, it’s flat. As it fills with bile, the gallbladder balloons to start taking the shape of a pear. The gallbladder’s storage capacity is about 50 ml (1.7 fl. oz.).
The organ’s anatomical structure includes:
Fundus
The top rounded part of the gallbladder (the bottom of the pear). It’s located near the inferior surface of the liver.
Body
The middle part of the gallbladder.
Neck
The bottom part of the gallbladder (top part of the pear). It’s connected to the cystic duct that turns into a common duct. The latter connects the gallbladder to the liver and the pancreas.
Where Is the Gallbladder Located?
The gallbladder is located on the right side of your body, directly under the liver. It’s attached to the liver and the pancreas with a series of ducts. The gallbladder generally sits at the midline of the right (larger) lobe of the liver.
Medical professionals can palpate the gallbladder when the patient is lying on the back or side. Without special knowledge, it’s hard for the patient to locate the gallbladder even if it’s enlarged.
When to See a Doctor for Gallbladder Issues
If you feel that you may be experiencing gallbladder symptoms you may need a laparoscopic cholecystectomy procedure. It is imperative that you seek medical advice from an experienced medical physician like Dr. Steven Williams. He is known as the surgeon of choice for Hiatal Hernia / GERD, Gallbladder, Hernia, Varicose Veins and Spleen Surgery in the Boise area.
Contact us today for more information about gallbladder conditions, diagnosis, and treatment options or to set an appointment.
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where it is located, how it hurts, functions, structure
The role of the gallbladder in the body
Together with the ducts, the gallbladder forms the biliary system, which ensures the accumulation, storage and excretion of bile¹.
Bile is a digestive fluid that performs several functions:
- promotes the breakdown and absorption of fats;
- regulates the activity of intestinal and pancreatic enzymes;
- has bactericidal properties;
- activates small intestine motility;
- is involved in excretory processes.
Bile is secreted by the liver, but the gallbladder only stores it. During the day, the human liver can produce from 500 to 1000 ml of bile. It enters the gallbladder through the duct system. It holds about 50 ml of bile. Every time a person eats and food enters the duodenum, the walls of the gallbladder contract and bile is released into the lumen of the intestine.
Where is the gallbladder located?
The gallbladder is located in the right hypochondrium under the liver (Fig. 1.). It fits snugly to it from the bottom side and comes into contact with the stomach, small intestine, and the membrane of the abdominal cavity. The gallbladder is connected to the liver by a duct that carries bile. This is a small organ, normally it is not palpable².
Figure 1. Location of the gallbladder. Source: Cancer Research UK / Wikimedia Commons (CC BY-SA 4.0)
Structure of the gallbladder
The gallbladder is a relatively small, pear-shaped, sac-like organ. The volume of the organ is 40-60 cm3, its length is from 8 to 12 cm, width is from 3 to 5 cm. The length of the cystic duct is about 3.5 cm. The body, neck and fundus are distinguished in the structure of the gallbladder. The bottom forms the lower part of the bladder and protrudes slightly from under the liver. It passes into the middle part of the body – its body. The body tapers upward, forming a neck, the narrowest part. It joins with the cystic duct, which in turn opens into the common bile duct. The edge of the organ in the neck area is angled to facilitate the outflow of the secret. There are sphincters on the ducts – muscle valves that open when the outflow of bile begins, prevent its reverse flow (reflux of the contents of the duodenum into the gallbladder), and also block the secretion flow when the digestion process is completed (Fig. 2).
Figure 2. The structure of the gallbladder and biliary tract. Source: OpenStax (CC BY 4.0)
The wall of the gallbladder has three layers or sheaths. The outer connective tissue sheath performs protective functions. The muscular layer forms the main layer of the walls. It is needed to contract the organ during the release of bile. The mucous membrane forms folds that straighten out when the bladder fills. In the region of the neck and cystic duct, these folds are arranged in a spiral. This is necessary to improve the excretion of bile.
Functions of the gallbladder
Bile is constantly produced by the liver, but it is only needed during digestion, when food is in the stomach. The rest of the time, it accumulates and is stored in the gallbladder². In this case, the body performs several functions:
- Reservoir. During periods when digestion does not occur, bile gradually accumulates inside the gallbladder.
- Evacuator. During digestion, bile is released, its movement through the ducts into the lumen of the duodenum.
- Concentration. With the accumulation of bile, it gradually thickens, and the concentration of acids changes so that the secret does not damage the mucous membrane of the digestive tract and ensures the breakdown of lipids. This is necessary, for example, if a person does not eat for a long time and there is no outflow of bile.
- Absorption. The walls of the organ absorb excess fluid, due to which the concentration of the secret increases. It is possible to absorb not only liquid, but also other components contained in bile in excess.
- Secretory. Glands in the neck of the gallbladder secrete mucus necessary to move bile.
When the process of digestion begins, the gallbladder contracts, the sphincters on the ducts open, bile enters the duodenum. When the bile has fulfilled its functions, the walls of the gallbladder begin to produce the hormone anticholecystokinin. Under its action, the organ relaxes, the sphincter closes, bile stops flowing into the duodenum.
How the gallbladder performs its functions affects the properties of bile, its movement, and the digestive process.
Is it true that the gallbladder is an “unnecessary” organ?
The gallbladder is really not a vital organ. With gallstone disease, the doctor may recommend its removal. For this, a cholecystectomy is performed. After such an operation, bile will have nowhere to accumulate. Because of this, the work of the liver is gradually rebuilt. She will secrete bile not continuously, but in portions. And during the period while this “perestroika” is going on, and after it, you will need to follow a special diet.
Removal of the gallbladder is performed only if indicated, if there is a risk of blockage of the ducts, large stones are formed or there are other factors that threaten the development of complications. A person can live without this organ, but its removal almost always affects the quality of life: there are dietary restrictions, you need to carefully monitor your health. Cholecystectomy affects the functioning of the pancreas and liver. Sometimes after surgery, there are disorders of the stool and digestion¹.
Symptoms of diseased gallbladder
Disorders of the gallbladder develop gradually. Often this is due to malnutrition and an unbalanced diet, which also affects other digestive organs. Because of this, digestion gradually worsens, the first general symptoms appear. Often they are associated with the state of not only the gallbladder, but the entire digestive system. The first signs of disease may be:
- pain, colic in the right hypochondrium;
- metallic taste, bitterness in the mouth;
- belching, nausea, vomiting;
- redness of the tongue or the formation of a light coating on it.
If these symptoms appear, you should be examined by a gastroenterologist.
If the condition of the gallbladder worsens, the symptoms become more specific. Appear:
- Pain in the hypochondrium intensifies, can be very intense after eating fatty, smoked, fried foods. If a stone comes out of the gallbladder and clogs the duct, the pain is acute, sharp, paroxysmal. With the formation of polyps inside the organ, there may be no pain.
- Jaundice of the skin and whites of the eyes, which appears due to problems with the evacuation of bile. The acids contained in it enter the bloodstream, and this provokes the development of jaundice.
- Cal becomes light. Normally, bile enters the duodenum, and the acids contained in it color the feces brown. If there is little bile, this does not happen and the stool brightens.
- Intense yellow or dark color of urine. Partially, bile acids are excreted in the urine, and because of this, its shade changes.
- Problems with digestion and stool. After a fatty, heavy meal, nausea appears, vomiting is possible. Stool disorders gradually increase – flatulence, prolonged constipation or diarrhea appear. This is due to violations of the digestion of fatty foods, due to insufficient flow of bile into the duodenum³.
In diseases of the gallbladder, there are also signs of liver problems: a constant bitter taste in the mouth, redness of the tongue.
Sometimes there are symptoms that are not related to digestion or liver function: sleep disturbances, irritability, skin itching. Appetite almost always gradually worsens.
What are gallbladder diseases?
If the biliary system is disturbed, the outflow of bile does not occur correctly. Because of this, its composition changes, inflammation may begin. As a result, one of the characteristic diseases develops⁴.
Biliary dyskinesia
In this disease, the functioning of the biliary system is disturbed. Both the bladder itself or the ducts and the sphincters of the ducts may be involved in the process. Because of this, bile secretion occurs incorrectly:
- too little or too much of it;
- outpouring occurs too early;
- there is an outflow delay.
Dyskinesia may be primary (congenital, associated with disorders of the structure of the organs of the biliary system) or secondary. Secondary dyskinesia develops against the background of inflammation of the gallbladder or ducts, cholelithiasis, some viral diseases, as well as peptic ulcer of the stomach and duodenum, pancreatitis, gastritis and other diseases. Often dyskinesia occurs due to dysfunction of the sphincter of Oddi. This is a muscular valve that opens the cystic duct for the outflow of bile into the duodenum. Dyskinesia is manifested by pain in the right side, digestive disorders, deterioration in general well-being.
Gallstone disease
A common disease in which bile stagnation is formed, its composition changes, and calculi are formed – gallstones. Stones can consist of cholesterol, bilirubin, have a mixed composition. The formation of stones is dangerous due to blockage of the ducts, the appearance of colic, the development of severe complications (Fig. 3).
Figure 3. Formation of gallstones. Source: BruceBlaus / Wikipedia (CC BY-SA 4.0)
Gallstone disease is more common in women. It causes a violation of the metabolism of cholesterol and bilirubin, inflammation of the biliary tract, deterioration of the outflow of bile. This occurs under the influence of various factors, including advanced age, hereditary predisposition, malnutrition, sedentary lifestyle, fasting, strict diets, hormonal disorders, or conditions that increase estrogen levels.
In the early stages of cholelithiasis treatment, the gastroenterologist will prescribe a therapeutic diet and give recommendations on lifestyle changes. If the stones are large or acute inflammation develops against the background of cholelithiasis, an operation will be needed. Stones are often removed along with the gallbladder itself. After such an operation, rehabilitation and adherence to a special diet will be required.
Cholecystitis
Cholecystitis is an inflammation of the lining of the gallbladder. It often develops as a complication of cholelithiasis due to a violation of the outflow of bile. It can be acute or chronic, it occurs in different forms. Cholecystitis is accompanied by acute pain, general malaise. In an acute course, it is life-threatening. The state of health can quickly deteriorate – so much so that the patient will need urgent medical attention.
Cholecystitis is treated by restoring and stimulating the flow of bile, and using antibiotics and antimicrobials to fight the infection. If the patient goes to the doctor in time, the prognosis is favorable. Without treatment, severe complications leading to death can develop.
Other diseases
The following diseases are less common:
- Polyp formation. Occurs if the upper layer of the inner shell of the organ grows and forms benign tumors. These can be adenomas, papillomas, inflammatory or cholesterol polyps.
- Cancer of the gallbladder. It can develop as a complication of cholelithiasis as a result of the degeneration of polyps and for other reasons. It can be adenocarcinoma, less common is squamous and papillary cancer, in which the tumor forms inside the wall of the organ.
- Fistula. An opening in the wall of the gallbladder through which bile flows. Appears as a complication of cholelithiasis or chronic cholecystitis. May be life threatening. The fistula can be removed only during the operation.
- Empyema. Appears after blockage of the cystic duct when a bacterial infection is attached. With empyema, pus accumulates inside the organ, and this is accompanied by pain, high fever, and intoxication. The condition can be life-threatening.
Prophylaxis for the proper functioning of the gallbladder
The gallbladder is not a vital organ, but its diseases disrupt the digestive system, and after its removal, the load on the liver, pancreas and other organs increases. In order for the gallbladder to remain healthy and work normally, it is enough to follow the following recommendations:
- Eat right. It is important to observe the diet, eat regularly and not starve for a long time. The diet should contain as little as possible fatty, fried, smoked foods.
- Observe the regime of the day. You need regular physical activity, proper sleep and rest.
- Limit alcohol consumption, stop smoking.
- Try to reduce stress levels.
If one of the relatives had cholelithiasis or other diseases of the gallbladder, it is necessary to undergo a preventive examination by a gastroenterologist every year. It is also necessary to see a doctor if there are factors that provoke disorders in the digestive system: overweight, a sedentary lifestyle, diseases of the pancreas or other digestive organs, irregular meals.
For women during pregnancy, menopause, taking oral contraceptives, the risk of developing gallbladder disease increases. To control it, you need to consult a gastroenterologist.
If a person has gallbladder disease or is at increased risk of developing one, it is especially important for them to control their diet.
- Meals should be fractional: you need to eat often and in small portions.
- The diet should be as low as possible fatty foods, muffins, sweets, coffee, alcoholic and carbonated drinks.
- Products are best boiled, stewed, baked or steamed.
- It is undesirable to eat fried, smoked, salty, canned foods.
- Drinking more fluids is important⁵.
Conclusion
The gallbladder is an important organ for the proper functioning of the digestive system. With a balanced diet and normal physical activity, the risk of disruption to its work is minimal. Excess weight, a sedentary lifestyle, irregular meals and a poor diet can provoke his diseases. Some gallbladder diseases can be life-threatening. Therefore, it is important to consult a doctor if their symptoms appear: digestive problems, acute pain in the right hypochondrium, stool disorders.
Resources
- Quinn Phillips. What Are Common Gallbladder Problems? Symptoms, Causes, Diagnosis, Treatment, and Prevention. Everydayhealth. 2020.
- Gallbladder. Cleveland Clinic. 2021.
- Noreen Iftikhar. What to Do If You’re Having a Gallbladder Attack. health line. 2018.
- Kimberly Holland. Identifying Gallbladder Problems and Their Symptoms. health line. 2019.
- Jenna Fletcher. What are the most common gallbladder problems? medical news today. 2018.
Deformation of the gallbladder / Diseases / Clinic EXPERT
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Gallbladder deformity is a common disease that occurs in patients of different ages. Pathological changes can be congenital or occur at different periods of life.
The gallbladder is shaped like a small hollow pear. The narrowed part is called the neck. It passes into the body, which ends at the bottom. The boundaries between the parts are very conditional.
The most common forms of gallbladder deformities – kinks, twists, constrictions, septa. Violations of the anatomical structure most often occur in the area of the bottom and the place where the neck passes into the body and lead to a breakdown in the functions of the organ.
Congenital pathologies occur during fetal development. The reasons for such anomalies are various: adverse environmental effects, unhealthy lifestyle or chronic diseases of the parents, genetic disorders, medication, hereditary factors.
More often than not, deformities cause no symptoms and are an incidental finding on ultrasound. Significant disturbances, such as repeated bending, affect the secretion of bile, causing subsequently organic diseases.
Causes
There are several main causes of gallbladder deformation:
- prolapse of the abdominal organs
- cholelithiasis
- chronic cholecystitis
- adhesion formation
- biliary dyskinesia
- neoplasms
- inflammation of the gallbladder wall
- chronic diseases of the duodenum and stomach
- injuries of the abdominal cavity
- malnutrition.
9 0009 intense exercise (heavy lifting, overexertion)
9000 9 infectious and parasitic diseases
Fatty and heavy foods stimulate the process of bile secretion and lead to an overload of the bladder. Deviations from the norm can provoke indigestion, the formation of stones, enlargement of the liver, perforation of the organ, the development of intestinal and gastric diseases.
Forms
The following malformations of the gallbladder are distinguished:
Shape: hook-shaped, S-shaped, Phrygian cap, bovine horn, mouth-shaped, kinks, septa.
Size: “giant gallbladder”, hypoplasia (underdevelopment of the organ).
By position:
- Inversion. The organ is located along the midline of the body or in the left hypochondrium.
- Intrahepatic location. The bubble is located in the parenchyma of the liver. Dystopia. The bubble can be placed in the pelvis or in the right iliac region.
- Rotate or rotate.
- Interposition characterized by absence of the common hepatic duct.
- The bladder is located in the projection of the gate of the liver and passes into the common bile duct.
There are also developmental anomalies that are rare:
- Agenesia. A rare disorder in which the gallbladder is absent. Its storage function is performed by the common bile duct. It expands and acts as a reservoir for bile.
- Additional gallbladder. Occurs in rare cases. A pocket is formed in the bile duct, from which a second independent organ with a separate cystic duct is created.
- Bilobed gallbladder. In some cases, the gallbladder rudiment doubles in the embryo, two organs with a common cystic duct are formed.
- Congenital diverticulum is a rare anomaly in which there are defects in the muscular layer of the gallbladder and protrusion of the wall. In the first years of life, pathology does not manifest itself. But the diverticulum contracts more slowly than the bubble. In the future, bile begins to stagnate in places of protrusion, which leads to the formation of stones and inflammation. Pathology can cause acute calculous cholecystitis. Due to the violation of the outflow of bile, conditions are created for the formation of stones.
Such deviations from the norm provoke a violation of the outflow of bile, which can cause gallstone disease. In addition, bile enters the intestines in insufficient quantities, digestion processes are disturbed.
In rare and severe cases, folds interfere with the blood supply to the wall, resulting in necrosis and biliary peritonitis.
Symptoms
Symptoms of gallbladder deformity include:
- heaviness in the stomach
- bitterness in the mouth
- nausea and vomiting after eating heavy meals
- pain in the right hypochondrium
- increased bilirubin level.
If the folds are formed as a result of physical exertion and sudden movements, symptoms are absent in most cases. A person learns about a deviation from the norm by chance during a routine examination. Pathology may be asymptomatic.
Diagnostics
Ultrasound of the gallbladder is an affordable method for diagnosing deformities that can be used for all patients. To determine the pathology, the organ is examined in various planes.
Normally, the gallbladder is defined as an echo-negative mass, free from internal structures, located in the right upper abdomen. The anomaly is indicated by such echographic symptoms as a change in the shape of the bubble in the form of echo-positive linear formations. Ultrasound can also show thickening of the bladder walls (in acute or chronic cholecystitis).
If a deviation from the norm is detected in the structure of the gallbladder, a function study is prescribed – dynamic cholecystography.
Treatment
According to indications, choleretic drugs, antispasmodics are used.
Physiotherapy (electrophoresis with novocaine, paraffin applications) also gives positive results.
In severe cases, the gallbladder is removed.
Diet is of paramount importance .
Prognosis
The pathology is treatable, it is possible to restore the functions of the gallbladder and avoid the development of diseases of the digestive tract.
With timely detection of the disorder, adequate treatment and diet, complete recovery in approximately 95% of patients with gallbladder kinks occurs in 3-6 months.
The prognosis may be poor in case of complete obstruction of the outflow of bile.