Biliary colic: what is it, how is it treated and when does it require surgery?

What is biliary colic?

Acute abdominal pain caused by transient obstruction of the bile ducts, usually due to gallstones (gallstones). It usually occurs after heavy or fatty meals.

Typical symptoms

  • Pain in the epigastrium or right upper quadrant, which may radiate to the right shoulder

  • Nausea or vomiting

  • Feeling of swelling

  • It usually lasts between 30 minutes and 4 hours.

  • Not usually accompanied by fever (if fever is present, suspect cholecystitis).

Diagnosis

  • Abdominal ultrasound (method of choice)

  • Laboratory tests to rule out inflammation or liver involvement.

Treatment

  • Digestive rest, painkillers and anti-inflammatory drugs

  • SurgeryLaparoscopic cholecystectomy if colic recurs or there is a risk of complications.

Why operate?

Because stones can migrate and cause serious complications:

  • Acute cholecystitis

  • Obstructive jaundice

  • Biliary pancreatitis

Biliary colic may seem like a passing discomfort, but it can be the first warning of a bigger problem. Scheduled surgery is simple, safe and avoids future emergencies.