Gallstone disease history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Gallstone disease can manifest in a number of ways. 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, whilst others will have complications due to gallstones. M <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> | |||
==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
| Line 26: | Line 22: | ||
*[[Aging|Age over 40]] | *[[Aging|Age over 40]] | ||
*Female | *Female | ||
*Caucasian or Native American <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> | *Caucasian or Native American race <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> | ||
===Common Symptoms of | ===Common Symptoms=== | ||
*The majority of patients with gallstone disease are [[asymptomatic]].<ref>{{cite web |url=http://www.emedicine.com/med/topic836.htm#section~clinical |title=Cholelithiasis |accessdate=2007-08-25 |work=emedicine from WebMD}}</ref> | |||
*[[Abdominal pain|Right upper quadrant pain]] | *Patients start developing symptoms once the stones reach a certain size (>8mm):<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> | ||
*[[Nausea and vomiting|Nausea]] | **[[Abdominal pain|Right upper quadrant pain]] or '''biliary colic''': intense pain in the upper abdominal region | ||
*[[Nausea and vomiting|Vomiting]] | *** The pain steadily increases for approximately thirty minutes to several hours. | ||
*[[Diarrhea]]<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> | *** Pain is sometimes referred to the middle of the back or the tip of the right shoulder. <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> | ||
**[[Nausea and vomiting|Nausea]] | |||
**[[Nausea and vomiting|Vomiting]] | |||
**[[Diarrhea]]<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> | |||
===Less Common Symptoms | ===Less Common Symptoms=== | ||
*[[Chest pain]] | *[[Chest pain]] | ||
*Fullness after eating/early [[satiety]] | *Fullness after eating/early [[satiety]] | ||
*[[Burping| | *Frequent [[Burping|belching]]<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> | ||
==References== | ==References== | ||
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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. 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, whilst others will have complications due to gallstones. M [1]
History and Symptoms
History
Patients with gallstones may have a positive history of:
- Obesity
- Eating fatty foods
- Multiparity
- Age over 40
- Female
- Caucasian or Native American race [2]
Common Symptoms
- The majority of patients with gallstone disease are asymptomatic.[3]
- Patients start developing symptoms once the stones reach a certain size (>8mm):[4]
Less Common Symptoms
- Chest pain
- Fullness after eating/early satiety
- Frequent belching[6]
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.
- ↑ "Cholelithiasis". emedicine from WebMD. Retrieved 2007-08-25.
- ↑ "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.