Biliary Colic – Gallstone-Related Abdominal Pain in Singapore
What is Biliary Colic?
Biliary colic is a type of abdominal pain caused by gallstones blocking the neck of the gallbladder. It occurs when the gallbladder contracts after eating to release bile, but a stone obstructs the bile flow. This leads to a sharp, colicky pain typically in the right upper abdomen or mid-upper abdomen, and may radiate to the right shoulder blade.
The pain usually comes and goes (intermittent), and often begins suddenly after meals. If the gallstone moves away, the pain may subside — only to recur during the next gallbladder contraction.
Symptoms of Biliary Colic
- Sharp or cramping pain in the upper right abdomen
- Pain lasting from minutes to a few hours
- Pain radiating to the right shoulder or back
- Occurs after eating fatty or large meals
- Nausea or vomiting may accompany the pain
- No fever or jaundice (distinguishing it from more serious complications)
Why Biliary Colic Matters
Biliary colic is often the first warning sign of gallstone disease. If untreated, it can lead to more serious complications, such as:
- Acute cholecystitis (gallbladder infection)
- Bile duct obstruction
- Acute cholangitis (bile duct infection)
- Gallstone pancreatitis
Recurrent episodes can significantly affect quality of life and may indicate the need for medical or surgical intervention.
Diagnosis
Doctors typically diagnose biliary colic based on clinical symptoms, physical exam, and imaging tests such as:
- Abdominal ultrasound (first-line test)
- Liver function tests (to check for bile duct issues)
- Further scans like CT or MRI if needed
Treatment for Biliary Colic in Singapore
The gold standard treatment for recurrent biliary colic is laparoscopic cholecystectomy — a minimally invasive surgery to remove the gallbladder. This prevents future gallstone attacks and related complications.
- Performed via keyhole incisions
- Minimal scarring and faster recovery
- Most patients go home within 24 hours
- Return to normal activities in a few days
When to See a Gallbladder Specialist
You should seek medical advice if you experience repeated episodes of abdominal pain after eating, especially if the pain is severe or persistent. Early intervention helps prevent complications and improves long-term outcomes.
