Gallstones

Gallstones are small stones that form in the gallbladder. Most people who have them do not get symptoms. If gallstones are causing pain in your tummy, you may need surgery to remove your gallbladder.

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Discuss your symptoms and possible next steps with a doctor online.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
This page provides general information and does not replace a doctor’s consultation. If symptoms are severe, persistent or worsening, seek medical advice promptly.

Gallstones are small stones that form in the gallbladder. Most people who have them do not get symptoms. If gallstones are causing pain in your tummy, you may need surgery to remove your gallbladder.

The gallbladder is a small organ in the top part of your tummy that helps you digest your food.

Gallstones may be found in the gallbladder or the bile ducts, which are small tubes that connect the gallbladder to organs such as the liver and pancreas.

Symptoms of gallstones

Gallstones are common and often do not cause symptoms. But if a gallstone blocks a bile duct (a small tube that connects the gallbladder to the liver and other organs), they can cause tummy pain.

The pain may:

  • feel severe
  • be constant
  • last longer than 30 minutes, and up to several hours
  • be in the middle of your tummy, or just under your ribs on the right side
  • make you feel sick or vomit

This tummy pain is called a biliary colic.

Call 112 or go to A&E if:

  • you have sudden, severe pain in your tummy
  • you have pain that spreads from your tummy to your back, and are being sick
  • your temperature is very high, or you feel hot and shivery
  • your skin or the white part of your eyes looks yellow

Do not drive to A&E. Ask someone to drive you or call 112 and ask for an ambulance.

Bring any medicines you take with you.

How gallstones are diagnosed

If you do not have symptoms, gallstones may be found by chance at a scan or X-ray for another health issue.

If you have symptoms of gallstones, you may have:

  • an ultrasound scan
  • a blood test

Treatment for gallstones

If you have gallstones, you might not need any treatment if they're not causing symptoms. You may need follow-up appointments with the doctor in the future to check the gallstones are not getting worse or causing problems.

You may need treatment if:

  • you have symptoms of gallstones
  • you have complications from gallstones
  • gallstones are found in the common bile duct

The main treatment for gallstones is surgery to remove the gallbladder (cholecystectomy).

If gallstones are found in your common bile duct, you may have a procedure called endoscopic retrograde cholangio-pancreatography (ERCP) to clear the bile duct.

ERCP is done using a long, thin tube with a small camera inside, called an endoscope, which is passed into your stomach through your mouth. The opening of the bile duct is widened so the stones can pass through.

Waiting for surgery

While you're waiting for surgery, you may:

  • take painkillers, such as paracetamol and ibuprofen
  • be offered stronger painkillers for severe pain if you need it
  • want to avoid foods that cause symptoms
  • be advised to eat a low-fat diet

Complications of gallstones

Complications of gallstones are rare. But sometimes gallstones can cause a blockage which leads to serious complications such as:

  • inflammation of the gallbladder (cholecystitis) or pancreas (pancreatitis)
  • jaundice, which can cause your skin or the whites of your eyes to turn yellow, itchy skin, and darker pee and paler poo than usual – yellow skin may be less noticeable if you have brown or black skin

Treatment for complications caused by gallstones is usually pain relief and surgery to remove the gallbladder (cholecystectomy).

Check if you're at risk of gallstones

Gallstones are common. There are usually no symptoms, so you may not know you have them.

You may be more likely to get gallstones if:

  • you're over 40 years old
  • you're a woman
  • you're living with obesity
  • you have a diet that's high in fat and low in fibre
  • you've lost weight quickly – for example, through weight loss surgery
  • you have a condition such as diabetes or Crohn's disease
Consult with a doctor about Gallstones

Consult with a doctor about Gallstones

Discuss your symptoms and possible next steps with a doctor online.

Online doctors for Gallstones

Discuss your symptoms and possible next steps for Gallstones with a doctor online.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

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