Gallstones are formed in the biliary tree. They are like sand in the storage pocket of liver i.e. Gall bladder. Most often, gallstones don’t cause any problems at all. People may not even realize that they have them until they subject to any x-ray or ultrasound examination for some other reason. Thus many people know its existence by such accidental investigations. Gallstones cause pain usually because one has gotten stuck in a duct, blocking the flow of bile. If that happens you’ll have steady, severe pain in the upper abdomen that continue for long time. If you have silent gallstones, usually you should not require an operation. Surgery is limited to those who have acute gall bladder disease (Acute Cholecystitis) and those who have obstruction of the bile ducts with gallstones.

The most common symptom is pain in the upper right abdominal area or pain in the “pit of the stomach”. This is often because a gallstone is lodged in the cystic duet that drains the gall bladder. The pain may also be referred to the right shoulder, under the scapula and the chest. Nausea and vomiting are common and even fever too. The pain is rather constant and may last for several hours.
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