Gallstone disease history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Gallstone disease can manifest in a number of ways. Most patients have a history of [[obesity]], [[Pregnancy|multiple pregnancies]], use of [[Oral contraceptive|oral contraceptive pills]], [[Ageing|age]] of 40 years old and over, female and of Caucasian or Native American race. Some patients may be in a physical state that favors the development of gallstones but don't develop them, some patients may have gallstones, but are [[asymptomatic]]. These gallstones are detected incidentally. Some may have gallstones and experience biliary colic, [[Nausea and vomiting|nausea]], [[Nausea and vomiting|vomiting]] and [[diarrhea]], whilst others will have complications due to gallstones, such as [[acute cholecystitis]] and [[acute pancreatitis]]. | |||
==History and Symptoms == | |||
===History=== | ===History=== | ||
* Obtaining history is an important aspect of making a diagnosis of gallstone disease.<ref name="pmid2368790">{{cite journal |vauthors=Diehl AK, Sugarek NJ, Todd KH |title=Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis |journal=Am. J. Med. |volume=89 |issue=1 |pages=29–33 |year=1990 |pmid=2368790 |doi= |url=}}</ref><ref name="pmid11711412">{{cite journal |vauthors=Johnson CD |title=ABC of the upper gastrointestinal tract. Upper abdominal pain: Gall bladder |journal=BMJ |volume=323 |issue=7322 |pages=1170–3 |year=2001 |pmid=11711412 |pmc=1121646 |doi= |url=}}</ref> | |||
* The areas of focus should be on onset, duration, and progression of symptoms such as: | |||
**[[Obesity]] | |||
**Eating fatty foods | |||
**[[Parity (medicine)|Multiparity]] | |||
**[[Aging|Age over 40]] | |||
**Female | |||
**[[Oral contraceptive|Oral contraceptive pill]] | |||
**Caucasian or Native American race | |||
===Common Symptoms=== | |||
*The majority of patients with gallstone disease are [[asymptomatic]].<ref name="pmid2368790">{{cite journal |vauthors=Diehl AK, Sugarek NJ, Todd KH |title=Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis |journal=Am. J. Med. |volume=89 |issue=1 |pages=29–33 |year=1990 |pmid=2368790 |doi= |url=}}</ref><ref>{{cite web |url=http://www.nlm.nih.gov/medlineplus/ency/article/000273.htm#Symptoms%20Medline%20Plus |title=Gallstones |accessdate=2007-08-25 |work=Medline Plus}}</ref><ref name="pmid13848582">{{cite journal |vauthors=LUND J |title=Surgical indications in cholelithiasis: prophylactic choleithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases |journal=Ann. Surg. |volume=151 |issue= |pages=153–62 |year=1960 |pmid=13848582 |pmc=1613279 |doi= |url=}}</ref> | |||
*Patients start developing symptoms once the stones reach a certain size (>8mm): | |||
**[[Abdominal pain|Right upper quadrant pain]] or '''biliary colic''': intense [[pain]] in the upper [[abdominal]] region | |||
*** The [[pain]] steadily increases for approximately thirty minutes to several hours. | |||
*** [[Pain]] is sometimes referred to the middle of the back or the tip of the right shoulder. | |||
**[[Nausea and vomiting|Nausea]] | |||
**[[Nausea and vomiting|Vomiting]] | |||
**[[Diarrhea]] | |||
*[[ | |||
*[[ | |||
*[[ | |||
*[[ | |||
===Less Common Symptoms | ===Less Common Symptoms=== | ||
Less common symptoms | Less common symptoms include:<ref name="pmid12802649">{{cite journal |vauthors=Berger MY, Olde Hartman TC, Bohnen AM |title=Abdominal symptoms: do they disappear after cholecystectomy? |journal=Surg Endosc |volume=17 |issue=11 |pages=1723–8 |year=2003 |pmid=12802649 |doi=10.1007/s00464-002-9154-6 |url=}}</ref> | ||
*[[Chest pain]] | *[[Chest pain]] | ||
*Fullness after eating | *Fullness after eating or early [[satiety]] | ||
*[[Burping| | *Frequent [[Burping|belching]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Latest revision as of 21:48, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Gallstone disease can manifest in a number of ways. Most patients have a history of obesity, multiple pregnancies, use of oral contraceptive pills, age of 40 years old and over, female and of Caucasian or Native American race. Some patients may be in a physical state that favors the development of gallstones but don't develop them, some patients may have gallstones, but are asymptomatic. These gallstones are detected incidentally. Some may have gallstones and experience biliary colic, nausea, vomiting and diarrhea, whilst others will have complications due to gallstones, such as acute cholecystitis and acute pancreatitis.
History and Symptoms
History
- The areas of focus should be on onset, duration, and progression of symptoms such as:
- Obesity
- Eating fatty foods
- Multiparity
- Age over 40
- Female
- Oral contraceptive pill
- Caucasian or Native American race
Common Symptoms
- The majority of patients with gallstone disease are asymptomatic.[1][3][4]
- Patients start developing symptoms once the stones reach a certain size (>8mm):
Less Common Symptoms
Less common symptoms include:[5]
- Chest pain
- Fullness after eating or early satiety
- Frequent belching
References
- ↑ 1.0 1.1 Diehl AK, Sugarek NJ, Todd KH (1990). "Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis". Am. J. Med. 89 (1): 29–33. PMID 2368790.
- ↑ Johnson CD (2001). "ABC of the upper gastrointestinal tract. Upper abdominal pain: Gall bladder". BMJ. 323 (7322): 1170–3. PMC 1121646. PMID 11711412.
- ↑ "Gallstones". Medline Plus. Retrieved 2007-08-25.
- ↑ LUND J (1960). "Surgical indications in cholelithiasis: prophylactic choleithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases". Ann. Surg. 151: 153–62. PMC 1613279. PMID 13848582.
- ↑ Berger MY, Olde Hartman TC, Bohnen AM (2003). "Abdominal symptoms: do they disappear after cholecystectomy?". Surg Endosc. 17 (11): 1723–8. doi:10.1007/s00464-002-9154-6. PMID 12802649.