Treatment Options for Gallstones

Medically Reviewed By William C. Lloyd III, MD, FACS
Was this helpful?
71
Young Caucasian male doctor examining abdomen of older Caucasian female patient
Getty

Gallstones can be painful—or cause no symptoms at all. Your treatment options for gallstones will depend on the severity of your symptoms and may not necessarily include gallbladder surgery. Find out how doctors treat gallstones and when you may need to have gallbladder removal.

Gallstones Watchful Waiting

If an imaging scan reveals stones in your gallbladder but you have no symptoms, your doctor likely will take a ‘watchful waiting’ approach. This means your doctor won’t prescribe medication or recommend a procedure for your gallstones. But he or she will ask you to report any symptoms that might indicate your gallstones are worsening, such as:

  • Pain in the upper-right quadrant of your abdomen that comes and goes, particularly after you eat a large meal
  • Brownish-colored urine or pale stools

If you develop symptoms of a gallbladder attack, including fever, jaundice (yellowing of the skin or the whites of the eyes), and pain that gets worse over time, you should seek emergency medical attention.

Gallbladder Removal: Cholecystectomy

The most common treatment for gallstones is removal of the gallbladder, or cholecystectomy. Surgeons often perform this surgery laparoscopically, though some people may need a traditional, “open” gallbladder surgery.

Laparoscopic cholecystectomy

With this procedure, a surgeon will insert a video scope and instruments into your abdomen through several small incisions. The surgeon will remove your entire gallbladder but no other organs or tissues. Some people can go home the same day as their laparoscopic cholecystectomy, while others stay overnight. Because the laparoscopic approach uses small incisions, the risk of infection and pain is lower than an open surgery.

Open cholecystectomy

In this approach, the surgeon makes a significant incision near the bottom of the right rib cage. You may need an open cholecystectomy if your gallbladder is severely inflamed or infected. The surgeon will remove the entire gallbladder, plus any adjacent damaged or infected tissues. Recovery from an open gallbladder surgery takes longer than the laparoscopic type, and you may stay in the hospital for a week or so.

Other Procedures for Gallstones Treatment

Lesser-used procedures for gallstones include:

Endoscopic retrograde cholangiopancreatography (ERCP)

ERCP involves inserting an endoscope down the esophagus and beyond the stomach to access the gallbladder. The doctor then can remove individual stones blocking the common bile duct instead of removing the entire gallbladder.

Shockwave lithotripsy

In this procedure, high frequency sound waves pass through the body to break up stones inside the gallbladder. Doctors rarely use this treatment.

Medication for Gallstones

If you have small, cholesterol-based stones in your gallbladder, your doctor might suggest medication to dissolve them. However, these medications can take years to work. If you experience a gallbladder attack in the meantime, you still may need emergency gallbladder surgery.

Two medicines commonly prescribed for gallstones include ursodiol and chenodiol. These drugs contain bile salts, which is a substance naturally produced by the liver. You should take bile salts only as directed, because excessive levels of bile salts can cause digestive problems and other issues.

Your doctor will work with you to design a gallbladder treatment plan that takes into account your symptoms and overall health status. If you do need to have your gallbladder removed, rest assured you can live a long, healthy life without it.

Was this helpful?
71
Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 Jul 1
View All Gallbladder Removal Surgery Articles
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
  1. Gallstones. MedlinePlus, U.S. National Library of Medicine. https://medlineplus.gov/ency/article/000273.htm
  2. Gallstones. MedlinePlus, U.S. National Library of Medicine. https://medlineplus.gov/gallstones.html
  3. Cholecystectomy. American College of Surgeons. https://www.facs.org/~/media/files/education/patient%20ed/cholesys.ashx
  4. Gallstones. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/gallstones