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JULES VUOTTO
By Dr. Troy Kerner, D.O.
What exactly is a gallbladder, and why is it causing me so much pain?
The gallbladder is a small, pear-shaped sac located in the right upper quadrant of the abdomen. It serves a crucial role in the digestive system by storing bile, a digestive fluid produced by the liver. Bile aids in the emulsification and breakdown of fatty foods in the intestine following a meal. However, various factors can lead to complications, particularly when the gallbladder becomes obstructed by gallstones, resulting in what is commonly referred to as a gallbladder “attack.”
During a gallbladder attack, the normal flow of bile is obstructed, making it difficult for the gallbladder to release its contents. This blockage can cause severe pain in the upper abdomen, often radiating to the right rib cage and shoulder blade. Accompanying symptoms may include nausea, vomiting, and even fever. Typically, the pain manifests 1 to 2 hours after eating, especially after consuming a fatty meal, but it can also disrupt sleep late at night. The intensity and duration of pain can vary: it may last from 20 minutes to several hours (known as biliary colic) or extend over 6 to 8 hours, indicating a more serious condition called acute cholecystitis. In cases of prolonged pain, emergency medical attention may be required, potentially leading to hospitalization and treatment involving antibiotics or surgical intervention.
If you are experiencing symptoms consistent with those described, it is advisable to undergo an ultrasound of the gallbladder to check for the presence of gallstones. This diagnostic test can be performed in the emergency room for individuals with persistent pain or can be arranged through your primary care physician or surgeon. It is crucial to rule out other medical conditions, such as cardiac issues or gastrointestinal disorders, that may mimic gallbladder symptoms.
Treatment options for gallbladder-related symptoms vary based on the severity and frequency of attacks. Some patients may be advised to avoid fatty foods as a preventive measure, while others may require surgical removal of the gallbladder—a procedure known as cholecystectomy. This surgery is typically performed laparoscopically, utilizing several small incisions, which allows for quicker recovery times and less postoperative discomfort. Most patients can return to their normal activities within 4 to 5 days following the procedure.
About Dr. Troy Kerner, D.O.
Troy Kerner, D.O., is a board-certified General Surgeon with over 20 years of experience in the field. Renowned for his expertise, Dr. Kerner has successfully performed more than 1,000 gallbladder surgeries and over 2,000 laparoscopic procedures for gallbladder disease, hernias, and intestinal disorders. For those seeking to address gallbladder issues or schedule a consultation, please call 215-891-1430 or visit our website at www.lowerbuckshosp.com. Your health is our priority, and we are here to provide the care you need.