What are the Symptoms of Bile Duct Stones?

November 16, 2023 | by Sravani Pathakamuri | Posted in FAQ's

Bile duct stones, also known as choledocholithiasis, are solid deposits that can form in the bile ducts, which carry bile from the liver and gallbladder to the small intestine. When bile duct stones obstruct the flow of bile, it can lead to various symptoms, including:

  • Abdominal Pain: The most common symptom of bile duct stones is intense, cramp-like pain in the upper right side of the abdomen or in the middle of the abdomen just below the breastbone (epigastric pain). The pain can be sudden and severe, and it may last for a few hours or longer.
  • Jaundice: When a bile duct stone blocks the normal flow of bile, it can lead to a buildup of bilirubin in the bloodstream, causing yellowing of the skin and the whites of the eyes (jaundice). This is often one of the key signs of bile duct obstruction.
  • Dark Urine: The presence of bile pigments in the urine due to the backup of bile can cause dark or tea-colored urine.
  • Pale Stools: A lack of bile reaching the small intestine can result in pale or clay-colored stools.
  • Itching (Pruritus): Elevated levels of bilirubin in the bloodstream can lead to generalized itching of the skin.
  • Fever and Chills: If a bile duct stone causes an infection or inflammation of the bile duct (cholangitis), you may experience fever, chills, and an increased heart rate.
  • Nausea and Vomiting: Some individuals with bile duct stones may feel nauseous and may vomit.
  • Loss of Appetite and Weight Loss: Ongoing symptoms, including pain and jaundice, can lead to a decreased appetite and unintended weight loss.
  • Gallbladder Pain: In some cases, a bile duct stone can also cause referred pain in the upper right side of the abdomen, where the gallbladder is located.

It’s important to note that not everyone with bile duct stones will experience all of these symptoms, and the severity of symptoms can vary. Bile duct stones can be a serious medical condition, particularly when they lead to complications like cholangitis or pancreatitis. If you suspect you have bile duct stones or experience any of these symptoms, it is essential to seek medical attention promptly. Diagnosis typically involves imaging tests, such as ultrasound, CT scans, or endoscopic procedures like ERCP (endoscopic retrograde cholangiopancreatography), and treatment may involve procedures to remove or break up the stones, or surgical intervention in some cases. Early diagnosis and intervention are key to preventing complications and providing effective treatment.

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