5 Signs Your Gallstones Have Become a Surgical Emergency

Posted on: January 31, 2026 | Author: Sanjeevani Team

5 Signs Gallstones Are an Emergency

Most of us treat a stomach ache with a simple antacid and a nap. We assume it is just “gas” or indigestion from that rich meal we ate at a wedding. But sometimes, the pain doesn’t go away. It gets sharper, deeper, and starts to feel terrifyingly different.

If you have been diagnosed with stones before, or if you suspect you might have them, living in fear of the next “attack” is exhausting. What is gallbladder stone disease? It is essentially a ticking clock. For years, these stones might sit quietly in your gallbladder. But the moment one of them decides to move and block a duct, the situation shifts from “manageable” to “medical emergency.”

At Eskag Sanjeevani Hospitals, we see patients rush into our emergency ward in agony, wishing they had acted sooner. We want to help you identify the red flags before you reach that breaking point.

Here are the 5 critical signs of gallstones that indicate your condition has escalated from a routine problem to a surgical emergency.

Key Takeaways

  • While many gallstones are silent, a sudden blockage can lead to severe infection or rupture, requiring immediate medical attention.
  • Critical warning signs include pain lasting more than 5 hours, yellowing of the eyes (jaundice), and high fever with chills.
  • Laparoscopic gallbladder stone removal is the gold standard treatment, offering a permanent cure with minimal recovery time at Eskag Sanjeevani Hospitals.
5 Signs Your Gallstones Have Become a Surgical Emergency

What is a Gallbladder Stone?

Before we spot the danger, let’s understand the villain. Your gallbladder is a small pear-shaped pouch that stores bile, a digestive fluid. What is gallbladder stone formation? It happens when this fluid hardens into deposits—ranging from the size of a grain of sand to a golf ball.

Usually, common gallbladder stone symptoms include mild discomfort after fatty meals or occasional bloating. However, when a stone travels out of the gallbladder and gets stuck in the neck or the bile ducts, it blocks the flow of bile. This is where the danger lies.

Sign 1: The “5-Hour Rule” of Pain

We often tell our patients to watch the clock. A typical gallbladder attack (biliary colic) causes sudden pain in the upper right abdomen or between the shoulder blades. Usually, this pain subsides within 1 to 3 hours as the stone falls back into the gallbladder.

However, if your pain remains intense and constant for more than 5 hours, this is a major warning sign. This suggests the stone is firmly stuck. It isn’t moving back. This blockage can cause acute cholecystitis (severe inflammation and swelling). If left untreated, the gallbladder can become gangrenous or even rupture. If the pain is relentless and painkillers aren’t touching it, you need to head to the hospital immediately.

Sign 2: Jaundice (Yellow Eyes and Skin)

Look in the mirror. Do the whites of your eyes look yellowish? Is your skin taking on a pale, yellow tint? Jaundice is not a standard symptom of simple stones; it is a sign of a complication. It means a stone has escaped the gallbladder and is now blocking the Common Bile Duct—the main highway that drains toxins from the liver.

When this duct is blocked, bile backs up into your liver and blood stream. This is a medical emergency that requires urgent intervention, often involving a gallbladder stone operation combined with an endoscopic procedure (ERCP) to clear the duct.

Sign 3: High Fever with Chills

Pain is one thing; fever is another. If you have severe abdominal pain accompanied by a high temperature (over 100.4°F) and shivering chills, your body is screaming that there is an infection.

In medical terms, this could be Cholangitis—an infection of the bile ducts caused by the blockage. This is a life-threatening condition because the bacteria can spread quickly into the bloodstream (sepsis). Never try to treat a fever and abdominal pain combination with home remedies. It requires powerful IV antibiotics and immediate drainage or gallbladder stone removal.

Sign 4: Tea-Colored Urine and Clay Stools

Sometimes, the signs aren’t just pain—they are in the bathroom. The blockage caused by gallstones prevents bilirubin (the pigment in bile) from reaching your intestines, which gives poop its normal brown color.

  • Pale/Clay Stools: Without bile, stools become grey or white.
  • Dark Urine: The kidneys try to filter out the excess bilirubin, turning your urine dark brown, like strong tea or cola.

These changes are definite signs of gallstones blocking the liver ducts and demand urgent attention from the best general surgeon in Kolkata.

Sign 5: Intractable Nausea and Vomiting

Vomiting once might be food poisoning. But if you are vomiting repeatedly and cannot keep even a sip of water down, coupled with abdominal pain, it is an emergency. Dehydration sets in fast, and the constant retching puts immense pressure on your already inflamed abdomen. This is often a sign of severe inflammation or pancreatitis (inflammation of the pancreas), which can be triggered by a gallstone blocking the pancreatic duct.

The Solution: Gallbladder Stone Operation

If you recognize these signs, the “wait and watch” period is over. The only permanent cure for symptomatic gallstones is the removal of the gallbladder itself.

Patients often ask, “Can we just remove the stone?” Unfortunately, no. What is gallbladder stone disease if not a malfunction of the organ itself? If we leave the organ, it will simply make new stones.

The gold standard today is Laparoscopic Cholecystectomy.

  • Minimally Invasive: We make 3-4 tiny “keyhole” incisions.
  • Fast Recovery: Most patients go home the next day.
  • Permanent Cure: No gallbladder means no more stones.

At Eskag Sanjeevani Hospitals, our gallbladder stone removal success rates are among the highest in the region because we prioritize precision and safety.

Why Choose Eskag Sanjeevani?

When you are in an emergency, you don’t have time to research. You need the best hospital for gallbladder stone surgery in Kolkata, ready and waiting.

Eskag Sanjeevani Hospitals stands out for three reasons:

  • 24/7 Emergency Surgery: Our OT never closes. If you come in at 3 AM with a ruptured gallbladder, our team is ready.
  • Top Expertise: We host the best general surgeon in Kolkata, experienced in handling complex cases where stones have fused with other organs or caused severe infection.
  • Affordability: We believe emergency care shouldn’t bankrupt you. We accept Swasthya Sathi and major insurance plans to make gallbladder stone operation accessible to all.

Conclusion: Don’t Wait for the Burst

Gallstones are notoriously unpredictable. They can be silent for a decade and then turn lethal in a day. If you or a loved one is experiencing the signs of gallstones mentioned above—especially the 5-hour pain rule or fever—do not hesitate.

Your health is too precious to gamble with “gas” remedies. Visit Eskag Sanjeevani Hospitals today. Let us help you remove the ticking time bomb and give you back a life free of pain and fear.

Frequently Asked Questions on: 5 Signs Your Gallstones Have Become a Surgical Emergency
Can a gallbladder stone dissolve on its own?

No. Unlike kidney stones, gallstones do not pass out of the body easily or dissolve with water. While some medicines claim to dissolve them, they take years to work and the stones usually come back. A gallbladder stone operation is the only permanent fix.

Is gallbladder stone removal major surgery?

Technically, yes, because it involves an internal organ. However, with modern Laparoscopic techniques used at Eskag Sanjeevani, it is considered a routine procedure with low risk. You are usually walking within 6 hours of surgery.

How do I distinguish between gas pain and gallbladder stone symptoms?

Gas pain usually moves around and feels better if you pass wind or burp. Gallbladder stone symptoms are specific: the pain is fixed in the upper right stomach, radiates to the back/shoulder, and does not improve with burping or using the toilet.

Can I live a normal life after gallbladder removal?

Absolutely. Your liver still makes bile; it just drips continuously into your intestines instead of being stored. You can eat a normal diet, though we recommend avoiding extremely fatty foods for the first few weeks after your gallbladder stone operation.

Who is the best general surgeon in Kolkata for this surgery?

Eskag Sanjeevani Hospitals is home to a team of highly experienced surgeons. You can book an appointment with our senior consultants who specialize in minimally invasive gallbladder stone removal to ensure the best outcome.

What happens if I ignore the emergency signs?

Ignoring signs like fever or jaundice can lead to the gallbladder bursting (perforation), sepsis (blood infection), or acute pancreatitis. These are life-threatening complications that require ICU care and complex emergency surgery.

What tests confirm I have gallstones?

An abdominal Ultrasound (USG) is the most common and accurate test. If complications like jaundice are present, your doctor might order an MRCP or CT scan to see if stones are blocking the ducts before planning the gallbladder stone removal.


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