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Cholesterolosis of Gallbladder
Cholesterolosis of the gallbladder, often called strawberry gallbladder, involves cholesterol-laden deposits in the organ's lining. Although frequently symptom-free, it may cause abdominal discomfort, bloating, and nausea. At GastroDoxs in Houston, Dr. Scott provides expert diagnostics and comprehensive personalized treatment plans.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
High blood cholesterol levels
Overweight or rapid weight gain
Diets high in fatty foods and low in fiber
Age over 40
Female gender
Family history of gallbladder problems
Signs and Symptoms
Often no noticeable symptoms
Pain or discomfort in the upper right abdomen
Bloating or gas, especially after meals
Nausea following fatty foods
Occasional heartburn
How Dr. Scott Diagnoses Cholesterolosis of the Gallbladder?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms like right upper abdominal pain, bloating, or indigestion. He asks about dietary habits, history of gallstones, prior gallbladder issues, and any episodes of nausea or fatty food intolerance.
Physical Examination
He checks for tenderness in the right upper quadrant of the abdomen and evaluates for signs of biliary discomfort or inflammation.
Blood Tests
Basic labs including liver function tests (ALT, AST, ALP, bilirubin) are ordered to rule out gallbladder inflammation or biliary obstruction. Lipid profile may also be evaluated.
Imaging Studies
Abdominal ultrasound: First-line tool to identify gallbladder wall thickening, polyps, or “strawberry gallbladder” appearance typical of cholesterolosis.
Endoscopic ultrasound for a closer look when standard ultrasound findings are unclear.
Treatment
Our Team offers a full range of care for cholesterolosis of the gallbladder.
1. Lifestyle and Diet Modifications
Eat small, frequent meals low in saturated fat
Increase fiber with whole grains, fruits, and vegetables
Maintain a healthy weight through regular exercise
Limit fried foods, rich sauces, and full-fat dairy
2. Medications
Bile acid therapy (ursodiol) to help dissolve cholesterol deposits
Supplemental lecithin or other supportive nutrients as needed
Pain relievers for symptomatic relief
3. Minimally Invasive or Advanced Procedures
Laparoscopic cholecystectomy for persistent or severe symptoms
Endoscopic evaluation and treatment of bile duct issues
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What are the symptoms of cholesterolosis?
Most people have no symptoms. Others may experience pain in the upper right abdomen, bloating, or nausea after meals.
What is the ICD-10 code for cholesterolosis?
The ICD-10 code for cholesterolosis of the gallbladder is K82.1.
Can diet alone fix cholesterolosis?
Dietary changes can help, but some patients still need medication or surgery for relief.
Will I need gallbladder removal?
Not always. Dr. Scott first tries diet modifications and medications, reserving surgery for persistent cases.
How long is recovery after laparoscopy?
Most patients return to normal activities within 1-2 weeks following a laparoscopic cholecystectomy.
Can cholesterolosis cause gallstones?
It may increase your risk of gallstones, so regular follow-up is important.
How often do I need follow-up visits?
Dr. Scott usually recommends a check-up 3-6 months after starting your treatment plan.
