Gallstones

Overview

Gallstones are pebble-like substances that form in the gallbladder, ranging in size from a grain of sand to a golf ball. A gallbladder can develop one stone, or hundreds of tiny stones.

Gallstones can block the flow of a digestive fluid called bile through the hepatic ducts, the cystic duct, or the common bile duct. Trapped bile can cause inflammation or infection in the gallbladder, liver, or pancreas.

Some people with gallstones have no symptoms. Symptoms of blocked bile might include pain in the right abdomen, pain in the back between the shoulder blades, or pain under the right shoulder. These are often called a gallbladder attack.

 

Applicable Procedures

ERCP

 

What causes Gallstones?

Gallstones can develop when the liver secretes excess cholesterol, which can form into crystals and eventually gallstones when the bile cannot dissolve it. Gallstones can also form when your bile contains too much bilirubin, which is a substance that is created when the body breaks down red blood cells. Additionally, gallstones can develop when the gallbladder doesn’t empty properly. People with certain risk factors, such as being over age 40, being female, family history of gallstones, pregnancy, and being Mexican or Native American can increase the risk. Other risk factors for gallstones include obesity, lack of exercise, a high-fat diet, lack of fiber in the diet, high cholesterol intake, blood disorders, liver disease, and taking oral contraceptives or hormone therapy drugs.

 

Are gallstones dangerous?

There are several complications associated with gallstones. For example, gallstones can become lodged in the neck of the gallbladder, leading to inflammation and a condition called cholecystitis, which leads to severe pain and fever. Gallstones can also block the bile ducts and cause infection, or block the pancreatic duct, leading to pancreatitis, which usually requires treatment in a hospital. While it is rare, gallbladder cancer is also more likely among people with a history of gallstones.

 

How are gallstones treated?

If your gallstones do not cause symptoms or complications, you may not need treatment. On the other hand, if you have complications like a blocked duct, your doctor may remove your gallbladder. Less commonly, medications are used to dissolve gallstones, but they can take years to work. If you have intense abdominal pain, yellowing of the skin and eyes, or a high fever, you should seek treatment for gallstone complications.

 

Common Symptoms

  • “I had sudden, intense pain in my stomach, in the upper right area of my abdomen, and it just kept getting worse.”
  • “I was feeling pain right between my shoulder blades, and I began vomiting.”
  • “I quickly developed intense pain in the middle of my stomach right under my breast bone, and it got more intense as time went on.”

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What They Are Saying

David N.
Telehealth meeting started in a timely manner despite of some initial technical problems.
Kathy M.
The staff was amazing as well as Dr. Quallach I highly recommend the staff and the doctor
John L.
The process rand like clock work. All on time. Most important the staff, nurses, and doctor were so polite and made sure I understood and was comfortable.
Anita T.
Staff is wonderful responding quickly and effectively helping to resolve my issues! Dr. Donat has been a true gem to help find the issue and now helping me to get it resolved. I would refer people here to get a painless experience without a lot of run around!
Darlene H.
Easy in & easy out, no having to wait 1/2 hour to see the doctor.
DBSPrintandMarketing
The procedure was quick and everyone was extremely professional.
Susan P.
Staff was friendly and welcoming. Dr. Bologna is the best!
Nora B.
Everyone was very polite and interested in making you comfortable
Lisa C.
Love all the people that work here and am especially grateful for my doctor❤️
David D.
Great staff and very attentive
chris C.
Dr. Bologna is a brilliant doctor! He correctly diagnosed my problem and provided an effective treatment plan. I was back on my feet in no time.
Earle L.
From the intake registered nurse that prepared me for my procedure to the young lady that escorted me out the door 2 hours later, this was the fastest and easiest colonoscopy I have had. This was number five for me at the Center for Digestive Health and Doctor Nandy will always be my doctor of choice. His warm and considerate bed side manner is most appreciated. My sincere thanks to the entire team.
Michele D.
Staff are all so nice.
Cary L.
Everyone was very efficient, friendly, professional and caring.
Joanna42771
Dr Nandi and his team are amazing. They take care of my entire family and have helped us get control of our digestive problems. Would definitely recommend seeing him if you have a problem you want solved right the first time.
Danny M.
Everyone was extremely nice and professional. The staff made what could be a very uncomfortable procedure very comfortable. I would definitely recommend this place!
susan E.
Everything was just right from the start. Intake secretary was proficient, professional and friendly. Nicole my nurse was the same. Procedure was on time and Dr Wille was lovely and kind as usual.
Brian W.
Dr. Willie and the staff were great. I was extremely satisfied with the courtesy and the care.
Lynne W.
Very Clean facility. Everyone was very kind and courteous!
Andrea F.
Dr abdiris assistant Justin went out of his way to help me and to answer questions that I had. He made sure that I was able to see the doctor by virtual appointment which made it a lot easier for me. He did an outstanding job. Dr abadira is a wonderful doctor he takes very good care of his patients when you talk to him he's very concerned about your well-being and what can be done to help you if there's a problem he does not drop the ball like other doctors do. He's got a great bedside manner and I always feel comfortable with him. I will not change my doctor the staff is wonderful friendly outgoing and they make you feel very comfortable. There's just too many great things to say about them you just have to go there and you will see for yourself just how wonderful they are and how well they treat you.
Jennifer M.
Everybody that works there is great. Quickest and best experience for something not so fun to have. Staff is amazing and so is dr. Willie
William S.
These folks are on top of their game. Outstanding professionalism with everyone I interacted with. Roger my RN was amazing. Got my IV started painlessly and was a pleasure to talk with. Highly recommend
Martha S.
Great experience in having a colonoscopy (if that is possible!). Dr Qualich is great
Bronislaw C.
Everything went well. Everyone was cheerful. The proceedure went well. All together it was a great experience.
Vicki C.
I cant say how appreciative I am at how quickly I was able to be seen. Everyone was outstanding. I was scheduled for a procedure in less than two days. I can’t thank you enough. Thank you
John T.
Noel was very personable and efficient. She is an asset to your group.
Kathy M.
The staff was amazing as well as Dr. Quallach I highly recommend the staff and the doctor
charles S.
Very friendly and efficient staff.. I was in and out quickly ...
Stacey G.
Was a positive, memorable experience! The entire staff; nurses, assistants, & front desk / check in, were helpful, caring and made me feel safe and comfortable!. I highly recommend!.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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