Written by Dr. Bhavya

Medically reviewed by Dr Naveen Chandran

Updated on February 11, 2025

Gallstone Symptoms: Pain Signals You Can't Ignore

Pain is the native language of Gallstones. Severe abdominal pain is the main indicative feature of gallstones. It is a deadly, painful condition when it's out of hand. So, understanding the timely signs of gallstones is crucial for proper diagnosis, a better prognosis, and a painless journey through its resolution. 

In this blog, we will discuss the formation of gallstones, their impact on our health, the symptoms of gallstones and gallbladder disease, and the need for timely intervention by recognising them. Read on to find out more.

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Understanding Gallstones

Your liver produces bile, a digestive juice stored in the gallbladder - a small sac under the liver. When this bile solidifies due to certain factors, it forms hard, small, pebble-like deposits called gallstones.

Certain factors are responsible for this stone formation. Let us examine them.

  • Imbalance in bile composition: Your bile comprises cholesterol, bile salts, and bilirubin (a waste product from red blood cell breakdown). Usually, these components stay dissolved and mixed. But when an imbalance occurs, things can change.
  • Too much cholesterol: This is the main culprit and the most common one. High cholesterol levels in your bile can crystallise and clump together.
  • Not enough bile salts: These molecules help keep your cholesterol dissolved. If there aren't enough bile salts, cholesterol is more likely to solidify.
  • Too much bilirubin: Certain conditions, like liver disease or blood disorders, can lead to high bilirubin levels, which can form gallstones.
  • Concentrated bile: The gallbladder concentrates bile as it stores it. This concentration can further increase the risk of stone formation, especially if the components are already imbalanced.
  • Slow gallbladder emptying: If the gallbladder doesn't empty regularly, bile sits stagnant, giving cholesterol and other substances more time to crystallise and clump.

These are some of the main factors that can cause gallstones. Scroll down to learn about the symptoms it can cause.

Gallstones Symptoms: An Overview

Now, you have a basic idea about gallstones and how they are formed. Do you know anyone suffering from gallstones? If so, you might be aware of the severe pain and discomfort they may have faced. These gallstones can stir up your body altogether.

Here, you will learn about the symptoms of gallstones, ranging from nagging abdominal pain to unexpected bouts of nausea. Let's discuss in detail:

1.  Abdominal Pain

Imagine you are going through your usual day, and suddenly, a nagging, severe pain appears in your abdomen. You feel this like a cramp that refuses to go away. Gallstone pain is among your body's most acute and severe paining sensations.

Gallstones usually don't cause any symptoms, but if they block a bile duct, it can trigger intense pain.

Pain related to stone is one of the most awful experiences. Gallstone pain has some typical characteristics. Let's discuss these in detail:

  • Sharp and Cramping: Gallbladder pain is often a sharp and cramp-like feeling. It intensifies rapidly.
  • Sudden Onset: It usually begins suddenly and is especially felt during or after meals.
  • Persistent or Intermittent: The pain may be constant or intermittent. It varies in duration.
  • Location: The pain is generally felt in the upper right near the border of your ribcage or centre of the abdomen.
  • Radiation: The pain can radiate to the back or between the shoulder blades. This characteristic radiation helps differentiate gallbladder pain from other abdominal issues.

2. Nausea and Vomiting

You may feel nausea and vomiting accompanied by severe abdominal pain. You will also find a lack of appetite and general body weakness.

3. Bloating

The presence of gallstones may lead to abdominal bloating and discomfort. 

Bloating means your stomach might feel fuller than usual.

4. Indigestion

Digestive issues are always constant with gallstones. This includes indigestion and gas-forming issues.

5. Jaundice

The presence of gallstones may obstruct the bile duct. It causes yellowing of the skin and eyes.

6. Changes in Stool Color

The presence of gallstones may lead to pale-coloured stools.

In ayurveda, we call this particular change in stool colour 'tila-pishta-nibha-varchas', which is a Sanskrit term, and which means the stool is like a pounded paste of sesame seeds', says Dr Naveen, CMO at Nirva.

The degree of symptoms you may experience with gallstones may not be similar to other people's experience. Your pain tolerance levels are not the same as that of other people. Each individual has different tolerance levels. This difference, along with the differences in size, shape and location of gallstones, make the symptoms vary widely among people. 

Some may experience mild discomfort and intermittent pain, while others may suffer severe and constant symptoms. The absence of symptoms doesn't always indicate the absence of gallstone. Some individuals may even have silent gallstones without any symptoms.

Female-Specific Gallstone Symptoms

Let's address something important – gallstones and the unique symptoms that females experience. Understanding this is crucial, as your body may communicate discomfort differently.

The 5 Fs: A Feminine Perspective on Gallstones

  • Fertile years: The hormonal changes that happen during fertile years can trigger the formation of gallstones. This might lead to symptoms like abdominal pain and discomfort.
  • Fair Complexion: Jaundice related to gallstones is noticed more in fair skin complexion.  
  • Fat: Following a high-fat diet is always linked with gallstones. Women who intake a lot of fatty foods may experience symptoms like bloat ng, indigestion, and discomfort after meals.
  • Forty: As women approach their forties, the risk of developing gallstones is higher. This may be due to changing hormonal levels and the impact of old age.
  • Fertile and Fat: Being fat during the fertile period is potentially risky for developing gallstones. The Symptoms in this case include abdominal pain, bloating, and discomfort.

Reasons for Gender-Specific Differences

There are some gender-specific reasons for the unique symptoms ladies may experience. 

Let's discuss this in detail:

Women experience fluctuations in oestrogen level (reproductive hormone) due to various reasons like during pregnancy, use of birth control pills or hormonal therapies. Increased oestrogen levels lead to gallstone formation.

Women often experience slower gallbladder emptying than men. This delay may lead to the formation of gallstones.

Pregnancy and childbirth can put additional stress on the gallbladder. The hormonal changes and physical changes during those periods may lead to the development of gender-specific symptoms.

Conclusion 

It is crucial to be aware of the warning signs pointing towards a potential health issue. Ignoring abdominal pain can often lead to more severe complications, particularly if you have any risk factors for developing gallstones. You must seek medical attention promptly if you experience abdominal discomfort or pain. Early diagnosis and treatment are vital for a better prognosis and overall health.

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Dr. Bhavya

She offers a holistic approach to healing that focuses on the interplay between the body, mind, and spirit. Her expertise in these areas allows her to provide comprehensive care for various conditions, from musculoskeletal disorders to stress-related illnesses. She is dedicated to empowering women to take control of their health and well-being. Her proactive approach to healthcare emphasises the importance of preventive measures and natural remedies.