Digestive Health Gallbladder Disease Understanding Gallstones and Gallbladder Disease By Tracee Cornforth linkedin Tracee Cornforth is a freelance writer who covers menstruation, menstrual disorders, and other women's health issues. Learn about our editorial process Tracee Cornforth Medically reviewed by Medically reviewed by Priyanka Chugh, MD on November 19, 2019 linkedin Priyanka Chugh, MD, is board-certified gastroenterologist with a background in internal medicine. She practices with Trinity Health of New England in Waterbury, Connecticut. Learn about our Medical Review Board Priyanka Chugh, MD Updated on January 11, 2020 Print Over 20 million Americans have gallbladder disease and about one million new cases of gallbladder disease are diagnosed annually. The symptoms of gallbladder disease can mimic those of other conditions, including heart attack, making an accurate diagnosis extremely important. If you have been diagnosed with gallbladder disease or gallstones, or if you are wondering whether you may have them, here's what you should know. KATERYNA KON / SCIENCE PHOTO LIBRARY / Getty Images What Are Gallstones? Gallbladder disease is typically characterized by the presence of gallstones, which form bile stored in the gallbladder hardens. Bile is a liquid that helps the body digest fats. When gallstones form, they can block the normal flow of bile from the liver to the small intestine. Undiagnosed gallstones can cause serious problems if they become trapped in the bile duct. Gallstones cause more than 800,000 hospitalizations every year in the United States. Gallstone attacks frequently occur after eating meals high in fat content. What Is Cholecystitis, or Gallbladder Inflammation? Symptoms The symptoms of gallstones include: Steady, severe pain in the upper abdomen that increases rapidly and lasts from 30 minutes to several hours Pain in the back between the shoulder blades Pain under the right shoulder Nausea and/or vomiting Abdominal bloating Recurring intolerance of fatty foods Colic Belching Gas Indigestion Many of these symptoms occur because your body has trouble digesting fats without the help of bile. If the bile has formed gallstones and gallstones become trapped in the bile ducts, symptoms that mimic indigestion may occur. The pain that occurs in the arm area may also mimic that of a heart attack. Acalculous Gallbladder Disease Gallbladder disease can also happen without the presence of gallstones. In acalculous gallbladder disease, people have symptoms of gallstones, but without there actually being stones in the gallbladder or biliary tract. Acute acalculous gallbladder disease is caused by inflammation in the gallbladder and usually occurs in people who are very ill with other disorders. Chronic acalculous gallbladder disease, which is also known as biliary dyskinesia, is caused by muscle defects or other problems in the gallbladder that inhibit its natural contractions. Treatment The most common treatment for gallbladder disease is laparoscopic surgery, a minimally invasive surgery that can remove the gallbladder. An endoscopic retrograde cholangiopancreatography is the procedure used to remove gallstones in the bile or cystic ducts. There are also a few other alternative treatments for gallbladder disease, including contact solvent dissolution and mechanical extraction. Seek medical help right away if you are experiencing any of the symptoms of gallbladder disease. As mentioned, the symptoms can mimic a heart attack. However, do not assume you are not having a heart attack. Your doctor can give you an accurate diagnosis and rule out heart issues. What to Expect From Gallbladder Surgery Gallstones Doctor Discussion Guide Get our printable guide for your next doctor's appointment to help you ask the right questions. Download PDF Email the Guide Send to yourself or a loved one. Sign Up This Doctor Discussion Guide has been sent to {{form.email}}. There was an error. Please try again. Was this page helpful? Thanks for your feedback! Gas pain? Stool issues? Sign up for the best tips to take care of your stomach. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Jones MW, Ferguson T. Chronic Cholecystitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172-87. doi:10.5009/gnl.2012.6.2.172 Lamberts MP. Indications of cholecystectomy in gallstone disease. Curr Opin Gastroenterol. 2018;34(2):97-102. doi:10.1097/MOG.0000000000000419 Jones MW, Ferguson T. Acalculous Cholecystitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Abraham S, Rivero HG, Erlikh IV, Griffith LF, Kondamudi VK. Surgical and nonsurgical management of gallstones. Am Fam Physician. 2014;89(10):795-802. Additional Reading University of Maryland Medical Center. (2012, August 26). Gallstones and gallbladder disease.