The gallbladder plays a crucial role in digestion by storing and releasing bile to break down fats. Although it often functions without problems, blockages in the bile ducts can cause inflammation, infection, and severe, recurring gallstone attacks. In these situations, gallbladder removal (cholecystectomy) is often the recommended treatment to prevent further issues and improve quality of life.
This article explores five key signs of gallbladder problems that should prompt evaluation by a gallbladder specialist to determine if surgery is necessary.
Signs and Symptoms of Gallbladder Problems
Gallbladder issues can manifest in various ways, from digestive upset and persistent pain to unexplained weight loss. If you are experiencing any of the following signs, it is important to consult a gallbladder specialist:
- Persistent Abdominal PainGallstones can cause blockages in the gallbladder's outlet or bile ducts, preventing normal bile flow. This blockage leads to gallbladder distension, which the body perceives as pain. This pain is typically sudden, severe, and located in the centre or upper right abdomen. It can be characterised by sharp and stabbing pain that can last from a few minutes to several hours.
- Nausea and VomitingNausea and vomiting, often associated with excessive gas and acid reflux, can indicate chronic gallbladder disease. The definitive treatment for chronic gallbladder disease is surgical removal of the gallstones or the gallbladder itself.
- Indigestion or BloatingGallbladder issues may result in an obstructed bile flow, which is essential for fat digestion. This can lead to bloating, discomfort, or gas, especially after eating rich or greasy foods.
- Fever and ChillsFever and chills caused by a gallbladder infection can be a sign that surgery is necessary. Prompt diagnosis and treatment are crucial in these cases, as untreated gallbladder infections can worsen and become life-threatening if the infection spreads beyond the gallbladder.
- Jaundice (Yellowing of the Skin and Eyes)Yellow skin, dark urine, and pale stools may indicate a serious gallbladder problem. It often arises from blockages in the bile ducts caused by gallstones, inflammation, or, in rarer cases, cancer. These blockages prevent bile from reaching the intestines, causing it to back up into the bloodstream.
When to Seek Medical Help
If you are experiencing persistent upper abdominal pain, nausea, jaundice, or digestive issues, it is crucial to consult a specialist. Severe pain that does not subside, fever, or yellowing of the skin and eyes are signs that may require urgent medical attention, potentially including gallbladder removal.
Doctors utilise various diagnostic tools, such as ultrasound, endoscopic imaging, and blood tests, to assess gallbladder health, detect gallstones, and identify infections or blockages. Early diagnosis is key to preventing serious complications, and timely medical care can significantly improve outcomes.
Surgical Treatment Options and Recovery
When gallbladder surgery is necessary, the laparoscopic approach is typically preferred due to its smaller incisions, faster recovery, and reduced risk of complications. However, open surgery may be required in more complex situations.
Recovery after laparoscopic surgery is generally quicker, with most patients able to resume light activity within 1–5 days and return to their normal routines within 2–3 weeks. Open surgery requires a longer recovery period, usually 4–8 weeks. Making dietary changes before and after gallbladder surgery can aid in the body's adjustment and recovery process.
Our specialist clinic, led by Dr Wong Jen San, offers comprehensive evaluations and advanced minimally invasive solutions for gallbladder problems. You may contact us at (65) 6235 4088 or email enquiry@liverpancreassurgery.sg to schedule an appointment.