Gastroenterology & GI Surgery

Gallstones: Symptoms, Warning Signs & When Surgery is Necessary

Reviewed: August 2026•5 min read•Medically Vetted by Dr. Satish Durgesh
Doctor explaining gallbladder stones on ultrasound scan at NJ Hospital

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

Dr. Satish Durgesh, Lead Consultant Surgical Gastroenterologist, HPB & GI Oncosurgeon at MIG Mysore
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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