ABOUT GALLBLADDER DISEASE
that I have Gallbladder Disease, how did I get
it in the first place?
thorough understanding of this is what will
help you to manage your gallbladder problem.
or Risk Factors for Gallbladder Disease
of Gallbladder Disease
OF GALLBLADDER DISEASE
Sensitivities or Allergies
(due to excess hormones)
intake and birth control pills(estrogen
increases the concentration of cholesterol
in the bile)
use of Antacids and PPIs
age 40 and increase in risk as one ages
especially those who have had children
(Pima Indians and Mexican-Americans)
triglycerides, high LDL cholesterol,
decreased HDL cholesterol,
history of gallbladder disease (Heredity)
drugs, immunosuppressive drugs
which slow down gallbladder contractions
Low Calorie Diets
high in saturated fats
high in refined foods and sugars
low in fiber (which is what the refined
diets are) and not enough vegetables
such as chronic inflammatory bowel disease,
Chron's disease (ulcerative colitis is
contraversial) Hemolytic anemias, PCOS
combination of a "civilized" diet, of
saturated fats, fried foods, hydrogenated (or
fake) fats and white sugar, white flour,
highly-processed, nutrient-stripped food,
along with a sedentary lifestyle tends to
create an environment ripe for the formation
of gallstones or other gallbladder problems.
too many of the wrong fats puts you at risk,
but people who eat no fat at all are also at
risk. No fat in the diet means that the
gallbladder works less frequently, which could
cause stasis and bile thickening.
amounts of the right fats, such as olive oil,
are much better.
being female is an increased risk for
gallbladder disease, according to a study
published in BMC Gastroenterology 2002,(1)
gallstones in children is on the rise.
men are not excepted either, although the
ratio still tends to be 80% women to 20% men.
ARE SYMPTOMS OF GALLBLADDER DISEASE
of the diagnosis of your gallbladder disease,
most of the symptoms
will be similar. This is one of the reasons it
is hard to know exactly what is going on
without several tests. The most common
symptoms are indigestion, gas, bloating,
burping, belching, especially (but not
necessarily) following a meal. It usually is a
meal containing fat but after some time it
seems to be unrelated not only to fat intake
but even food intake. It may progress to
constant tenderness or discomfort (unrelated
to food intake) under the rib cage on the
right side. The symptoms are similar to those
of a gallbladder
but with less severity. For a complete list of
symptoms relating to gallbladder problems go
if it does not seem to be connected to food
now, if you can remember back, some symptoms
of indigestion usually followed a meal. What
caused or is causing the lack of fat digestion
could be of various origin.
stone could be blocking the bile flow. The
gallbladder could be distended due to stones
or inflammation. There could be infection in
the gallbladder causing tenderness
the tenderness could simply be due to stasis
of bile causing distention. The gallbladder
could be not emptying fully (biliary
dyskinesia) and lack
of bile causes improper fat digestion.
Or the problem could start in the liver with
stasis of bile there and the formation of
sludge or tiny calculi slowing bile flow and
causing it to thicken.
and weight gain can also be symptoms of
Reflux, just as it sounds, is similar to acid
reflux but in this case it is caused by the
upward flow of bile from the duodenum of the
small intestine into the stomach and the
esophagus. The pyloric sphinter is a valve at
the base of the stomach that opens to allow
the passage of food into the small intestine.
It is also supposed to keep food and bile
acids from backflowing into the stomach. The
symptoms of Bile Reflux are similar to the
burning pain of heartburn but also may include
nausea and vomiting of bile. Weight loss may
also be an accompanying symptom. Treatment
often includes antacids which are only
partially helpful. The fact that antacids do
not relieve symptoms is often diagnostic of
bile reflux. Drugs that bind bile salts are
generally more effective. Left untreated, bile
reflux can cause gastritis, ulcers and
possibly stomach cancer.
of Bile Reflux
reflux can be caused by gallbladder surgery,
but is more often a result of gastric surgery.
The pyloric valve can also be obstructed by
scar tissue or by an ulcer.
cholecystopathy which means disease or
condition of the gallbladder without the
presence of gallstones. You might also call it
functional gallbladder disorder or impaired
gallbladder emptying. Some causes may be
chronic inflammation, stress, a problem with
the smooth muscles of the gallbladder or the
muscle of the Sphincter of Oddi being too
tight. Also, research shows that
hypothyroidism contributes to biliary
- right upper quadrant pain in the absence of
gallstones. Any gallbladder symptoms may
accompany this problem as it results in lack
of concentrated bile from the gallbladder to
See our Biliary
for support with a low functioning
gallbladder. Also read about Coffee
stimulating the vagus nerve.
this is your diagnosis follow the thread to
read about the connection between hypothyroid
and gallbladder disease.
of the bile duct itself. Chole = bile and angi
= duct. Acute cholangitis is usually caused by
a bacterial infection resulting from
stagnation of the bile in the duct.
Choledocholithiasis, a gallstone that gets
stuck or lodged in the bile duct can create an
obstruction that results in an infection. Less
frequently, infections can evolve due to a
stricture or narrowing of the duct itself such
as in Primary Sclerosing Cholangitis (see
below) or may accompany a cancer. Something
blocks the free flow of the bile causing a
stagnant condition which allows the bacteria
to take hold. Consider Castor
without heat and Oxicell
to help to reduce the inflammation.
associated with cholangitis are pain, fever,
chills, jaundice, or yellowing, abdominal pain
is a disease where the bile ducts of the liver
harden, obstructing the flow of bile. It is
characterized by inflammation, breaking down
of and eventual hardening or fibrosis of the
bile ducts within the liver and outside the
liver both (intrahepatic and extrahepatic bile
ducts.) It is most likely an autoimmune liver
disease. Symptoms include itching (caused by
bile backing up into the blood stream),
jaundice (yellowing also caused by back of
bile into bloodstream), tenderness in upper
abdomen caused by inflammation to the ducts
(cholangitis), possible fever and chills. This
is a very serious disease. Along with medical
intervention which often includes putting in a
stent to help the bile to flow freely,
without heat to help with reducing
inflammation and improving lymph flow.
Glutathione cream in the form of Oxicell
rubbed over the area may also help with
symptoms of pain and tenderness.
of the gallbladder. Acute cholecystitis is
nearly always due to gallstones but may be due
to infection (bacterial). It can also be due
to chemical irritation. Chronic cholecystitis
occurs with or without stones (acalculous
cholecystitis is without). If there are no
stones present the medical treatment used is
often antispasmodics and/or laxatives. I use
the products in the gallbladder attack kit for
the pain in this case. Castor
without heat are recommended for inflammation.
rubbed in over the area may also help to
of the Gallbladder
- Gallstones in the Bile Ducts
can be very painful and symptoms may differ
depending upon where the stone is and if it is
blocking bile flow. It can block the neck of
the gallbladder causing distention and
inflammation (cholecystitis). In the common
bile duct it can cause a backing up of bile
into the liver resulting in obstructive
jaundice or into the pancreas causing acute
crystalline precipitates in the BILIARY TRACT,
usually formed in the GALLBLADDER. Gallstones,
derived from the BILE, consist mainly of
calcium, cholesterol, or bilirubin.
the majority of symptoms relating to the
gallbladder are caused by gallstones, there is
a page dedicated that alone. If cholelithiasis
or gallstones is your diagnosis, follow the
thread from here to Gallstones
where you can also learn about our Gallstone
Otherwise, read on.
and Stones in the Bile Ducts
of bile flow due to obstruction in small bile
ducts (INTRAHEPATIC CHOLESTASIS) or
obstruction in large bile ducts (EXTRAHEPATIC
- blocking of the secretion of bile results in
the bile backing up into the circulation. This
may result in jaundice and excess bilirubin in
the blood which would make the urine dark and
the stools pale or chalk colored. The excess
of bile salts in the systemic circulation may
cause intense itching and skin irritation.
There may be fat in the stools and clotting
time of blood may be impaired due to
malabsorption of fats and Vitamin K which is a
fat soluble vitamin that various clotting
factors are dependent upon.
American Cancer Society estimates that about
8,750 people will be diagnosed with
gallbladder cancer in 2006. Statistics show
that it occurs 5x as often in Native American
people in New Mexico than in whites. Women are
more suseptible than men.
are rarely any symptoms with gallbladder
cancer early on. In fact, it is often only
discovered when the gallbladder is removed for
other causes such as gallstones. Otherwise,
gallbladder cancer is often quite advanced by
the time it is diagnosed.
If caught early, removing the gallbladder and
affected tissues in bile ducts is the standard
polyps are growths that protrude from the
lining of the gallbladder. They're usually
innocuous and rarely cancerous (malignant).
95% are non-cancerous. 10% are the result of
inflammation.2. Most polyps are the result of
polyps are usually asymptomatic and need no
treatment. They may be found incidentally on
an ultrasound of the gallbladder done for some
other reason. There is rarely pain involved
and any pain that is there is most likely due
to something else such as gallstones.2.
Occasionally, they may grow large enough to
require surgical removal.
Gallbladder is the calcification or
encrustation of the gallbladder wall. It gets
the name "porcelain" from it's blue color and
brittle wall. A porcelain gallbladder is anot
a very frequent occurance. However,
gallbladder cancer is a risk for this
condition. Removal is the treatment of choice.
Kleiner, J Ramesh, M Huleihel, B Cohen, K, BMC
Drawings copywrited @2006 by Darcy Cantrell
Kimberly M., Current Treatment Options in
Acalculous biliary pain: new concepts for an
old entity.,Shaffer E.