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Gallstones - discharge

Definition

You have gallstones. These are hard, pebble-like deposits that formed inside your gallbladder. This article tells you how to take care of yourself when you leave the hospital.

Patient Education Video: Gallstones

Alternative Names

Chronic cholecystitis - discharge; Dysfunctional gallbladder - discharge; Choledocholithiasis - discharge; Cholelithiasis - discharge; Acute cholecystitis

When You're in the Hospital

You may have had an infection in your gallbladder. You may have received drugs to reduce the swelling and fight the infection. You may have surgery to remove your gallbladder or to remove a gallstone that is blocking a bile duct.

What to Expect at Home

You may continue to have pain and other symptoms if your gallstones return or were not removed.

Self-care

You may be on a liquid diet for some time to give your gallbladder a rest. When you are eating regular food again, avoid overeating. If you are overweight try to lose weight.

Take acetaminophen (Tylenol) for pain. Ask your health care provider about stronger pain medicines.

Take any medicines you have been given to fight infection the way you were told to. You may be able to take medicines that dissolve gallstones, but they may take 6 months to 2 years to work.

When to Call the Doctor

Contact your provider if you have:

  • Steady, severe pain in your upper belly
  • Pain in your back, between your shoulder blades that does not go away and is getting worse
  • Nausea and vomiting
  • Fever or chills
  • Yellow color to your skin and the whites of your eyes (jaundice)
  • Grey or chalky white bowel movements

Gallery

Cholelithiasis
Normally a balance of bile salts, lecithin and cholesterol keep gallstones from forming. If there are abnormally high levels of bile salts or, more commonly, cholesterol, stones can form. Symptoms usually occur when the stones block one of the biliary ducts or gallstones may be discovered upon routine x-ray or abdominal CT study.

References

Cameron J. Gallbladder and biliary tree. In: Cameron J, ed. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:chap 8.

Fogel EL, Sherman S. Diseases of the gallbladder and bile ducts. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 146.

Glasgow RE. Mulvihill SJ. Treatment of gallstone disease In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 66.

Last reviewed October 1, 2022 by Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team..