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Cholesterolosis Of Gallbladder

Cholesterolosis of the gallbladder, often called “strawberry gallbladder,” develops when cholesterol deposits accumulate in the gallbladder lining. Frequently symptomless, it may cause mild discomfort. Dr. Nghia Nguyen at GastroDoxs in Houston offers expert diagnosis, personalized treatment, and compassionate patient care.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Nghia Nguyen

About the Expert

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Common Causes and Risk Factors

  • High blood cholesterol levels
  • Elevated triglyceride levels
  • Overweight or obesity
  • Rapid weight loss or extreme dieting
  • Middle age and female gender
  • Family history of gallbladder disease

Signs and Symptoms

  • Often no symptoms in early stages
  • Mild pain or fullness in the upper right abdomen
  • Bloating or indigestion after fatty meals
  • Nausea or mild discomfort after eating
  • Occasional sharp pain if inflammation occurs (rare)

How Dr. Nghia Nguyen Diagnoses Cholesterolosis of the Gallbladder?

Dr. Nguyen uses a step-by-step approach:

Medical History and Physical Exam

He reviews your overall health, dietary habits, weight history, and any epigastric or right-upper-quadrant pain.

Blood Tests

We check liver function panels and a lipid profile to evaluate cholesterol and triglyceride levels.

Imaging Studies

  • Abdominal ultrasound to visualize cholesterol deposits (“strawberry” spots) in the gallbladder wall.
  • Endoscopic ultrasound for a closer look when standard ultrasound findings are unclear.

Additional Testing (if needed)

In select cases, Dr. Nguyen may order further imaging or an endoscopic evaluation to exclude gallstones, polyps, or other gallbladder disorders.

Nghia Nguyen
Treatment

Our Team offers a full range of care for cholesterolosis of the gallbladder.

1. Lifestyle and Diet Modifications

  • Personalized meal plans emphasizing healthy fats (olive oil, avocados) and high-fiber foods
  • Guidance on portion control and eating smaller, more frequent meals to reduce gallbladder stress
  • Steady weight management strategies, including light to moderate exercise routines

2. Medications

  • Ursodeoxycholic acid to help dissolve cholesterol deposits in the gallbladder wall
  • Statins or other lipid-lowering agents to control blood cholesterol levels
  • Over-the-counter analgesics or prescribed pain relievers for mild postprandial discomfort

3. Minimally Invasive or Advanced Procedures

  • Endoscopic ultrasound (EUS) for detailed imaging when standard ultrasound is inconclusive
  • Laparoscopic cholecystectomy (gallbladder removal) through small incisions for fast recovery
  • Participation in clinical trials for emerging, less invasive gallbladder therapies (when available)
Dr Nghia Nguyen

About the Author

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Frequently Asked Questions

What causes cholesterolosis of the gallbladder?

Cholesterolosis occurs when excess cholesterol or triglycerides build up in the gallbladder wall. Risk factors include high blood lipids, obesity or rapid weight loss, middle age, female sex, and a family history of gallbladder disease.

What are the symptoms of cholesterolosis?

Most people have no symptoms. Some experience mild to moderate upper right abdominal pain, bloating, or nausea—often after eating fatty foods. Rarely, inflammation can cause sharper pain.

What tests diagnose gallbladder cholesterolosis?

An abdominal ultrasound is the primary test to spot cholesterol deposits. Blood tests check liver function and lipid levels. In select cases, an endoscopic ultrasound provides a closer look.

What is the ICD-10 code for cholesterolosis?

The official ICD-10 code for cholesterolosis of the gallbladder is K82.4.

How can diet and lifestyle help?

Adopting a balanced diet rich in fiber and healthy fats (like olive oil), eating smaller meals more frequently, and maintaining a steady, healthy weight through light exercise can reduce cholesterol buildup.

When is surgery recommended?

Cholecystectomy (gallbladder removal) is advised if symptoms persist, if cholesterolosis leads to gallstones or inflammation, or if pain attacks become frequent and disruptive.

How quickly can I recover from laparoscopic gallbladder surgery?

Most patients resume light activities within 1-2 days. Full recovery typically takes 1-2 weeks, with minimal scarring thanks to small laparoscopic incisions.

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