1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Choledocholithiasis

Choledocholithiasis occurs when gallstones block the common bile duct, causing pain, jaundice and complications like pancreatitis. At GastroDoxs in Houston, Dr. Rishi Chadha offers expert diagnosis, advanced imaging and personalized treatment - from dietary guidance to ERCP - for lasting relief and restored health.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Choledocholithiasis?

Choledocholithiasis is when stones block the common bile duct. This duct moves bile from your liver and gallbladder to your small intestine. Bile helps you digest fats. When blocked, bile builds up and can cause pain or health problems.

ICD-10 Code: The ICD-10 code for choledocholithiasis is K80.5.

Common Causes and Risk Factors

Knowing what causes this condition can help you avoid it. You may be at higher risk if you have:

  • Gallstones that move into the bile duct
  • Previous gallbladder disease
  • Rapid weight loss or crash diets
  • A family history of gallstones
  • Age over 40
  • Female gender

Signs and Symptoms

Watch for these symptoms:

  • Pain in the upper right belly or under the ribs
  • Yellow skin or eyes (jaundice)
  • Dark urine
  • Pale-colored stool
  • Itchy skin
  • Fever and chills (if an infection starts)
  • Nausea or vomiting

How Dr. Rishi Chadha Diagnoses This Condition

Dr. Chadha follows a simple plan:

Medical History and Physical Exam

He asks about your symptoms and checks for pain or jaundice.

Blood Tests

These look for infection or signs of liver or pancreas problems.

Imaging Tests

  • Ultrasound (first step)
  • MRCP (a special MRI for bile ducts)
  • Endoscopic Ultrasound (EUS)
Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for choledocholithiasis.

1. Lifestyle and Diet Modifications

  • Eat small, balanced meals to support healthy bile flow
  • Limit high-fat and fried foods to reduce stone formation risk
  • Increase fiber with fruits, vegetables, and whole grains
  • Maintain a healthy weight through diet and exercise

2. Medications

  • Bile acid pills to help dissolve small stones
  • Pain relievers for comfort and symptom management
  • Antibiotics if an infection is detected

3. Minimally Invasive or Advanced Procedures

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) to remove bile duct stones
  • Laparoscopic cholecystectomy for gallbladder removal when indicated
  • Percutaneous drainage in complex or infected cases
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is the ICD-10 code for choledocholithiasis?

The primary code is K80.5. For choledocholithiasis with acute cholecystitis, use K80.0.

How serious is choledocholithiasis?

If untreated, bile duct stones can cause infection (cholangitis), bile duct injury, or pancreatitis, all of which require prompt care.

How long is recovery after ERCP?

Most patients go home the same day or after one overnight stay. Full recovery typically takes 1-2 days.

Can choledocholithiasis cause pancreatitis?

Yes. A stone lodged at the ampulla can block pancreatic drainage and trigger sudden, severe inflammation.

What are the risk factors for choledocholithiasis?

Gallstones, a history of gallbladder disease, rapid weight loss, obesity, female gender, age over 40, and family history.

Is diet alone enough to treat this condition?

Dietary changes help prevent new stones but cannot eliminate stones already lodged in the bile duct.

When should I seek care in Houston?

Contact GastroDoxs if you experience severe upper-right abdominal pain, jaundice, fever with chills, or unexplained nausea/vomiting.

Are there non-surgical treatment options?

Yes. Medications to dissolve small stones, ERCP to extract stones, and lifestyle/diet modifications may be effective.

How is choledocholithiasis diagnosed?

Through a combination of physical exam, blood tests (liver enzymes, pancreatic markers), ultrasound, MRCP, and/or endoscopic ultrasound (EUS).

Does insurance cover ERCP?

Most Houston insurance plans cover diagnostic and therapeutic ERCP when it's deemed medically necessary.

Related Blogs
Abdominal Pain

The Worst Ways to Manage Constipation (and What to Do Instead)

Read More
Abdominal Pain

3 Reasons You May Have Chronic Constipation

Read More
Abdominal Pain

Why You Shouldn't Ignore Constipation

Read More