Biliary colic: Difference between revisions

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[[file:Gallstones.PNG|thumb|left]] '''Biliary colic''' is a type of pain related to the [[gallbladder]] that occurs when a [[gallstone]] temporarily blocks the [[cystic duct]]. This condition is characterized by severe episodes of pain in the upper right abdomen, often radiating to the back or right shoulder. The pain is typically sudden in onset and can last from a few minutes to several hours.
{{SI}}
 
{{Infobox medical condition
| name            = Biliary colic
| image          = [[File:Gallstones.PNG|alt=Gallstones]]
| caption        = Gallstones, a common cause of biliary colic
| field          = [[Gastroenterology]]
| symptoms        = [[Abdominal pain]], [[nausea]], [[vomiting]]
| complications  = [[Cholecystitis]], [[pancreatitis]], [[choledocholithiasis]]
| onset          = Sudden
| duration        = Minutes to hours
| causes          = [[Gallstones]]
| risks          = [[Obesity]], [[female]], [[pregnancy]], [[age]]
| diagnosis      = [[Ultrasound]], [[CT scan]], [[MRI]]
| differential    = [[Peptic ulcer disease]], [[myocardial infarction]], [[pancreatitis]]
| treatment      = [[Pain management]], [[cholecystectomy]]
| medication      = [[NSAIDs]], [[opioids]]
| frequency      = Common
}}
[[file:Gallstones.PNG|left|thumb]] '''Biliary colic''' is a type of pain related to the [[gallbladder]] that occurs when a [[gallstone]] temporarily blocks the [[cystic duct]]. This condition is characterized by severe episodes of pain in the upper right abdomen, often radiating to the back or right shoulder. The pain is typically sudden in onset and can last from a few minutes to several hours.
==Signs and Symptoms==
==Signs and Symptoms==
The primary symptom of biliary colic is intense pain in the upper right quadrant of the abdomen. This pain may also be accompanied by:
The primary symptom of biliary colic is intense pain in the upper right quadrant of the abdomen. This pain may also be accompanied by:
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* [[Sweating]]
* [[Sweating]]
* [[Restlessness]]
* [[Restlessness]]
The pain often occurs after eating a fatty meal and may be mistaken for other conditions such as [[heart attack]] or [[peptic ulcer disease]].
The pain often occurs after eating a fatty meal and may be mistaken for other conditions such as [[heart attack]] or [[peptic ulcer disease]].
==Causes==
==Causes==
Biliary colic is most commonly caused by [[cholelithiasis]], which is the presence of gallstones in the gallbladder. These gallstones can block the cystic duct, leading to increased pressure within the gallbladder and causing pain. Other potential causes include:
Biliary colic is most commonly caused by [[cholelithiasis]], which is the presence of gallstones in the gallbladder. These gallstones can block the cystic duct, leading to increased pressure within the gallbladder and causing pain. Other potential causes include:
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* [[Cholecystitis]]
* [[Cholecystitis]]
* [[Choledocholithiasis]]
* [[Choledocholithiasis]]
==Diagnosis==
==Diagnosis==
Diagnosis of biliary colic typically involves a combination of medical history, physical examination, and imaging studies. Common diagnostic tools include:
Diagnosis of biliary colic typically involves a combination of medical history, physical examination, and imaging studies. Common diagnostic tools include:
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* [[CT scan]]
* [[CT scan]]
* [[MRI]]
* [[MRI]]
==Treatment==
==Treatment==
The treatment for biliary colic often depends on the severity and frequency of the symptoms. Options include:
The treatment for biliary colic often depends on the severity and frequency of the symptoms. Options include:
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* [[Cholecystectomy]], which is the surgical removal of the gallbladder
* [[Cholecystectomy]], which is the surgical removal of the gallbladder
* [[Endoscopic retrograde cholangiopancreatography]] (ERCP) for stone removal
* [[Endoscopic retrograde cholangiopancreatography]] (ERCP) for stone removal
==Prevention==
==Prevention==
Preventive measures for biliary colic focus on reducing the risk of gallstone formation. These may include:
Preventive measures for biliary colic focus on reducing the risk of gallstone formation. These may include:
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* Eating a balanced diet low in fat and high in fiber
* Eating a balanced diet low in fat and high in fiber
* Regular physical activity
* Regular physical activity
==Complications==
==Complications==
If left untreated, biliary colic can lead to more serious conditions such as:
If left untreated, biliary colic can lead to more serious conditions such as:
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* [[Pancreatitis]]
* [[Pancreatitis]]
* [[Cholangitis]]
* [[Cholangitis]]
==See Also==
==See Also==
* [[Gallbladder]]
* [[Gallbladder]]
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* [[Cholecystitis]]
* [[Cholecystitis]]
* [[Biliary dyskinesia]]
* [[Biliary dyskinesia]]
==References==
==References==
{{Reflist}}
{{Reflist}}
==External Links==
==External Links==
{{Commons category|Biliary colic}}
{{Commons category|Biliary colic}}
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Abdominal pain]]
[[Category:Abdominal pain]]
[[Category:Gallbladder disorders]]
[[Category:Gallbladder disorders]]
[[Category:Medical emergencies]]
[[Category:Medical emergencies]]
{{medicine-stub}}
{{medicine-stub}}

Latest revision as of 18:20, 4 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Biliary colic
Gallstones
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Abdominal pain, nausea, vomiting
Complications Cholecystitis, pancreatitis, choledocholithiasis
Onset Sudden
Duration Minutes to hours
Types N/A
Causes Gallstones
Risks Obesity, female, pregnancy, age
Diagnosis Ultrasound, CT scan, MRI
Differential diagnosis Peptic ulcer disease, myocardial infarction, pancreatitis
Prevention N/A
Treatment Pain management, cholecystectomy
Medication NSAIDs, opioids
Prognosis N/A
Frequency Common
Deaths N/A


Biliary colic is a type of pain related to the gallbladder that occurs when a gallstone temporarily blocks the cystic duct. This condition is characterized by severe episodes of pain in the upper right abdomen, often radiating to the back or right shoulder. The pain is typically sudden in onset and can last from a few minutes to several hours.

Signs and Symptoms[edit]

The primary symptom of biliary colic is intense pain in the upper right quadrant of the abdomen. This pain may also be accompanied by:

The pain often occurs after eating a fatty meal and may be mistaken for other conditions such as heart attack or peptic ulcer disease.

Causes[edit]

Biliary colic is most commonly caused by cholelithiasis, which is the presence of gallstones in the gallbladder. These gallstones can block the cystic duct, leading to increased pressure within the gallbladder and causing pain. Other potential causes include:

Diagnosis[edit]

Diagnosis of biliary colic typically involves a combination of medical history, physical examination, and imaging studies. Common diagnostic tools include:

Treatment[edit]

The treatment for biliary colic often depends on the severity and frequency of the symptoms. Options include:

Prevention[edit]

Preventive measures for biliary colic focus on reducing the risk of gallstone formation. These may include:

  • Maintaining a healthy weight
  • Eating a balanced diet low in fat and high in fiber
  • Regular physical activity

Complications[edit]

If left untreated, biliary colic can lead to more serious conditions such as:

See Also[edit]

References[edit]

<references group="" responsive="1"></references>


External Links[edit]

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