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

Kathy R.
Had a excellent experience with every, station. From check in to recovery. The prep wasn't fun, but once I was in the office it went very quickly. Every staff member was very very friendly. Even the call to check up on me after I was home. Thank for a great experience from ALL
Erin G.
Dr bologna and his staff was amazing! They make you feel so comfortable! Thankful for all of you
Kim V.
Dr. Nandi has been my specialist for a few years now. He is professional and takes his time consulting with you. Also, very caring and compassionate. I highly recommend him....5+ star rating.
Ryan M.
While perhaps no test is really "enjoyable," this was as pleasant an experience as one could hope for. Every single person I engaged with at every step of the process could not have been more helpful, professional, or empathetic. Wonderful people to have looking after your health. All questions answered completely by people who aren't just "rushing you through" the process to collect more billings. Recommended..
Lynda V.
Very prompt & very detailed. Excellent experience
Katie T.
From the time I checked in to the prep room to going under and then coming out. Everyone is so kind and considerate of the patient’s situation.
michael H.
I previously gave a one star review stating that I had no idea how good the doctors were because I could not get through to make an appointment. Shortly after leaving my review I received a call from the office (I do not believe there was any connection between my review and the call - pure happenstance). Within ten minutes of my phone ringing, I had a colonoscopy scheduled for the following week - remarkably quick these days. On the date of my procedure everything went very well. The intake staff, the medical professionals and Dr. Bologna were friendly and professional. Nothing was rushed and everything was explained. First class care. I highly recommend these doctors and this facility.
John P.
The staff is friendly and the wait times are very reasonable.
Jessica Y.
From the time I walked and the time I left , the staff was very professional and kind.
Terri S.
Very nice facility with friendly, efficient staff.
Caitlin K.
The whole visit was great. The team was efficient and kind. They explained what they were doing throughout and did a great job!
Ruth S.
The doctor and staff were superior! They define the word "professional". My only suggestions would be to not send reminders daily. It got to be a bit much. Also, take the time to look at your waiting room with a fresh eye. It looks to be a completely ignored and shabby afterthought. This is the place where a patient gets a first impression and, in this case, it's not a very good one. A shame since the staff and doctor are beyond the best.
Thomas F.
Dr. Weber is terrific! I feel very confident and comfortable with him as my G.I. specialist. His assistants, Debbie and Jamie, are very helpful, accommodating and pleasant.
Jeannie W.
Everyone very nice and helpful
Cathy H.
Everyone was so pleasant and cheerful and kind. Very good experience.
Carrie W.
From check-in until the end of my Procedure, everyone was amazing! Highly recommend this place
Sue B.
It was very warm and friendly. I felt my needs being met.
Richard S.
Excellent care from a well organized staff.
Katt
Very professional, I was in and out in 1 hour. All staff plus Dr. Willie made me comfortable and the post op nurse was very informative regarding my condition and what not to do.
Chisara B.
One of the best medical visits I have ever had. Everyone was so friendly! Dr. Bakken is amazing!
Christopher B.
Very courteous at the check in desk. Only waited a couple minutes to be called in to get ready for the procedure and everyone was so nice throughout. Dr Wille was very kind and delightful! Thank you.
faeka A.
Very nice doctor so helpful n listen carefully to the patient I really appreciate his advices I’m very happy visiting him thx
sherie H.
Very professional and answered all my questions. It was a telemedicine appt.
Matt P.
Great staff, quick and easy
Debbie K.
Dr Willie is awesome great bedside manner
Frank M.
Very professional, did not have to wait long for procedure.
Al B.
Appointment was on time. The staff is knowledgeable and talked me through every step. Welcomed questions and answered questions clearly l.
Verna C.
Every aspect of the experience was as easy as possible. Check in was organized and easy, the prep and the actual procedure were painless and organized, and the recovery was short and painless. Most of all, every staff member was kind and friendly, well prepared, supportive and very professional.
J W.
Everyone was very helpful and willing to answer any questions that I had regarding my procedure. Thanks to all!

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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