GALL BLADDER DISORDERS

The gallbladder is a little pear-shaped pouch tucked behind the lobes of the liver. Its main job is to store up the cholesterol- rich bile that's secreted by the liver. Bile helps your body digest fatty foods. So when that piece of prime rib reaches the intestines, they send a message up to the gallbladder to send some bile their way. Once the bile saturates your steak, it becomes more digestible and easily makes its way through the rest of the digestive process.

At least that's the way things should work. But the reality is that many people, especially older people and women, will have some gallbladder trouble. Ninety percent of the time that trouble is in the form of gallstones. Gallstones form when the bile contains excessive amounts of cholesterol. When there isn't enough bile to saturate the cholesterol, the cholesterol begins to crystallize, and you get a gallstone. These tough bits can be as tiny as a grain of sand or as large as a golf ball. You may not even know you have gallstones unless you happen to have an ultrasound or X ray of your tummy. But the 20 percent of the time that gallstones do cause problems, it's excruciatingly painful.

Gallstones become a problem when they get pushed out of the gallbladder and into the tube that connects the liver and the small intestine. The tube gets blocked, and you get 20 minutes to 4 hours of indescribable agony. Pain usually radiates from your upper right abdominal area to your lower right chest, and it can even leave your shoulder and back in agony. Gallstones typically fall back into the gallbladder or make their way through the duct, leaving you feeling better. After you have an attack, you'll probably be sore and wonder what in the world happened.

Sometimes, though, the gallstones can get stuck in the bile duct. Symptoms of a stuck gallstone include chills, vomiting, and possibly jaundice in addition to the pain described above.




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