Gallstones: Symptoms, Risks, and Pregnancy Considerations

Gallstones

Dr.
Chen, I have gallstones in my gallbladder.
I read in previous Q&A that symptoms may include chills or fever.
However, I usually feel cold and occasionally at night I suddenly feel very cold, to the point of shivering, but it passes after a while.
Is this a serious symptom of the gallstones? Also, how will this affect my desire to become pregnant?

jo, 30~39 year old female. Ask Date: 2004/09/30

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, the onset of gallstones typically presents with pain.
If there is cholecystitis, it would be accompanied by fever and tenderness in the right upper abdomen.
Your symptoms do not seem to align with this issue, making it difficult to determine if they are caused by gallstones.
If you are considering pregnancy, to avoid the possibility of gallstone-related surgery during pregnancy, have you thought about undergoing laparoscopic cholecystectomy before conceiving? This is a matter you may want to discuss further with your obstetrician and general surgeon.
Sincerely, Dr.
Chen Chi-Ping.
Thank you!

Reply Date: 2004/09/30

More Info

Gallstones, or cholelithiasis, are solid particles that form in the gallbladder, which is a small organ located beneath the liver. They can vary in size and may be composed of cholesterol, bilirubin, or a mixture of both. Understanding the symptoms, risks, and considerations regarding pregnancy is crucial for anyone diagnosed with gallstones.

Symptoms of Gallstones
Common symptoms of gallstones include:
1. Biliary Colic: This is characterized by intense pain in the upper right abdomen, often radiating to the back or right shoulder. The pain typically occurs after eating a fatty meal.

2. Nausea and Vomiting: These symptoms may accompany the pain.

3. Jaundice: Yellowing of the skin and eyes can occur if a gallstone obstructs the bile duct.

4. Fever and Chills: These may indicate an infection or inflammation of the gallbladder (cholecystitis), which is a more serious condition.

In your case, experiencing chills or feeling cold at night may not directly indicate the severity of your gallstones. However, if these symptoms are accompanied by fever, severe abdominal pain, or jaundice, it is essential to seek medical attention promptly, as these could signify complications such as acute cholecystitis or pancreatitis.

Risks Associated with Gallstones
Gallstones can lead to several complications, including:
- Cholecystitis: Inflammation of the gallbladder, often due to a blocked cystic duct.

- Pancreatitis: Inflammation of the pancreas, which can occur if a gallstone blocks the pancreatic duct.

- Bile Duct Obstruction: This can lead to jaundice and infection.

Pregnancy Considerations
If you are considering pregnancy and have gallstones, there are several factors to keep in mind:
1. Hormonal Changes: Pregnancy causes hormonal changes that can affect gallbladder function. Increased levels of estrogen can lead to increased cholesterol levels in bile, potentially increasing the risk of gallstone formation.

2. Symptoms Management: If you experience gallstone symptoms during pregnancy, it is crucial to consult with your healthcare provider. They can help manage symptoms and determine the best course of action.

3. Surgical Considerations: If you require surgery for gallstones (such as cholecystectomy), it is generally recommended to wait until after pregnancy unless there are severe complications. Surgery during pregnancy is typically avoided unless absolutely necessary due to the risks involved.

4. Dietary Adjustments: Maintaining a healthy diet can help manage gallstone symptoms. A diet low in fat and high in fiber may reduce the frequency of gallbladder attacks.

Conclusion
In summary, while your symptoms of feeling cold may not directly indicate the severity of your gallstones, it is essential to monitor for more serious symptoms such as fever or severe abdominal pain. If you are considering pregnancy, it is advisable to discuss your gallstone condition with your healthcare provider to ensure a safe and healthy pregnancy. Regular check-ups and open communication with your doctor will help manage your health effectively during this time.

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