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

B G.
Good news always makes a visit with a doctor much easier to take. But even if/when the news might not be so good, I can't imagine Dr. Wille being anything other than the kindest, gentlest, sweetest and most thoughtful doctor you'd ever want. I am so incredibly grateful for his care. His assistant, Chris, is also very good at his part in Dr. Wille's care. Thanks to all of CDH for being so good at what they do.
Linda B.
Dr. Nandi and his full staff are amazing, kind, and caring.
Sarah B.
Very friendly and thorough/detailed. I felt comfortable with them handling my endoscopy! They even called the next day to check on me and see how I was doing. I specifically was pleased that the nurse or aid that checked me in for the procedure was very thorough and asked questions about why I was there and didn’t just assume, as I’ve had previous practices do) Thanks!
Joanna K.
Prompt, knowledgeable, excellent care and excellent experience.
Sheri G.
Great staff. Made the procedure easy
Kimmy K.
Very kind staff and knowledgeable doctor and anestisiologist. Waited about 30 minutes after my appointment time to be seen, but they were very busy. Other than that, everything we t well and I left with information related to the outcome of the test.
Kassidy K.
Great experience with staff and Dr. Bakken. I usually see Nicolette VanMaldeghem in between visits with Dr. Bakken and she is excellent as well. I have nothing but good things to say about this practice.
Inas E.
Everyone is professional and caring. 10/10
Sharon M.
Quick efficient friendly. If I have to have another will go back to this clinic.
Keith H.
friendly staff, pleasant experience,
Paolo C.
Outstanding
Carol H.
Tele-health appt was efficient, easy and quick vs an actual office visit! Thank you for providing this option!
Ban S.
The procedure was on time, the team did a great job. Plus the doctor was fantastic.
Gottfried B.
I had a pleasant, non-rushed facetime call with nurse-practitioner Nicolette..My questions regarding the regular use of Mucinyl were satisfactorily answered.
SDGIrl
Dr. Bologna answered all my questions and was easy to talk too. I would absolutely recommend him for your gastrointestinal needs. His staff was friendly and professional. He’s definitely a cut above the rest. Mary B
peggy S.
I’ve always had a very good experience at 22 an Romeo plank office. Dr. Nandi is the best. staff is also very wonderful a pleasant experience.
Rodney H.
It was a very positive experience. The staff were friendly and professional. The process was explained from start to finish. Was in and out in a timely and safe manner. Received a follow up call the next day to check on me.
Vicki
Great staff! Dr. Quallich did a great workup per usual! Would highly recommend because of ease of location and smoothness of getting in and out of your procedure!
Mark H.
Nurses and Doc were so kind, patient and informative.
Lorna P.
Dr. Abadir and all of the staff are AWEAOME!! They are very caring and compassionate. Additionally the office runs very efficiently. I would highly recommend!
Jeff H.
Very efficient. I was in and out in a little over an hour. The staff and Dr. Quallich are terrific and caring.
Richard L.
All very nice people.
Rudy A.
I've been with dr Weber for a couple of years already. He gave me an excellent impression, not only for his professionalism, but also for his patience to explain things and his very friendly attitude. One of those people that, from the first instant, you feel you know him from ever.
Eric A.
Just wanted to thank Dr Weber and the entire staff at the macomb endoscopy center where my procedure was performed for always being both caring and so professional With minimal wait time . Thank you all for what you do!!
Sue H.
I have been going to the center for Digestive health for about 20 years and I always enjoy my experience. Dr. Richard Willie has been my doctor. His bedside manner is great! The staff and nurse practitioners are also very friendly. The facility is clean and well-run. I highly recommend the Center for Digestive Health!
Steve H.
Dr Weber was fabulous. He listened to me and answered all my questions in an easy to understand way.
Marie K.
Dr. Willie and the staff at the Macomb Endoscopy center were caring and efficient.
Janice K.
They were very helpful in telling me what my endoscopy schedule was. I really appreciated it! I have always appreciated their facility and Dr. Willie!!
Mike B.
Great Customer Service, everyone was so very helpful and caring. I would highly recommend Center for Digestive Health when their services are required!!

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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