Gastroenterology & GI Surgery
Gallstones: Symptoms, Warning Signs & When Surgery is Necessary
Reviewed: August 2026•5 min read•Medically Vetted by Dr. Satish Durgesh
Key Clinical Takeaways
- Gallstones do not dissolve with medications and can cause severe complications if left untreated.
- Upper right abdominal pain after oily meals is the most typical symptom.
- Laparoscopic Cholecystectomy (keyhole removal of gallbladder) is the gold-standard permanent treatment with next-day hospital discharge.
Gallstones are hardened deposits of digestive fluid that form in your gallbladder—a small pear-shaped organ located beneath your liver. In South India, gallstones are increasingly common due to changing dietary habits, genetics, and metabolic risk factors.
### Common Symptoms to Watch For
Many gallstones remain silent for years. However, when a stone temporarily blocks the cystic duct, it triggers 'biliary colic':
- Sudden, intensifying pain in the upper right side or center of the abdomen
- Pain radiating to your right shoulder blade or back
- Nausea and vomiting following heavy or fatty meals
- Indigestion, bloating, and upper abdominal burning
### Warning Signs of Serious Complications
If you develop any of the following, seek emergency medical care immediately:
- High fever with chills
- Yellowing of the eyes or skin (Jaundice), indicating a stone slipped into the Common Bile Duct (CBD)
- Severe, unbearable abdominal pain persisting for several hours
- Dark urine and clay-colored stools
### The Gold Standard Treatment: Laparoscopic Cholecystectomy
At Mysore Institute of Gastroenterology (MIG) at NJ Hospital, gallstones are treated using minimally invasive laparoscopic cholecystectomy. Through 3 to 4 tiny keyhole incisions (ranging from 5 mm to 10 mm), the surgeon removes the diseased gallbladder with high-definition optical magnification.
Patients typically experience minimal discomfort, start walking on the same evening, and are discharged home within 24 to 36 hours.
About the Medical Reviewer

MIG Super-Specialist
Dr. Satish Durgesh
Surgical Gastroenterology & MIG
M.B.B.S • M.S (General Surgery) • M.Ch (Surgical Gastroenterology)
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