Most people with gallstones that don't cause symptoms will never need treatment. Your doctor will determine if treatment for gallstones is indicated based on your symptoms and the results of diagnostic testing.
Your doctor may recommend you be alert for symptoms of gallstone complications, such as intensifying pain in your upper right abdomen. If gallstone signs and symptoms occur in the future, you can have treatment.
Treatment options for gallstones include:
Surgery to remove the gallbladder (cholecystectomy). Your doctor may recommend surgery to remove your gallbladder, since gallstones frequently recur. Once your gallbladder is removed, bile flows directly from your liver into your small intestine, rather than being stored in your gallbladder.
You don't need your gallbladder to live, and gallbladder removal doesn't affect your ability to digest food, but it can cause diarrhea, which is usually temporary.
Medications to dissolve gallstones. Medications you take by mouth may help dissolve gallstones. But it may take months or years of treatment to dissolve your gallstones in this way and gallstones will likely form again if treatment is stopped.
Sometimes medications don't work. Medications for gallstones aren't commonly used and are reserved for people who can't undergo surgery.
July 29, 2017
- Gallstones. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gallstones/Pages/facts.aspx. Accessed June 15, 2016.
- Understanding gallstones. American Gastroenterological Association. http://www.gastro.org/info_for_patients/2013/6/6/understanding-gallstones. Accessed June 15, 2016.
- Choi Y, et al. Biliary tract disorders, gallbladder disorders and gallstone pancreatitis. American College of Gastroenterology. http://patients.gi.org/topics/biliary-tract-disorders-gallbladder-disorders-and-gallstone-pancreatitis/. Accessed June 15, 2016.
- What are the risk factors for gallbladder cancer? American Cancer Society. http://www.cancer.org/cancer/gallbladdercancer/detailedguide/gallbladder-risk-factors. Accessed June 16, 2016.
- Feldman M, et al. Gallstone disease. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed June 16, 2016.
- Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. June 23, 2016.