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Gallstones
Facing gallstones? At GastroDoxs in Houston, Dr. Scott, a board-certified gastroenterologist, delivers comprehensive solutions-from dietary guidance and medications to cutting-edge minimally invasive surgeries like laparoscopic cholecystectomy and ERCP-ensuring swift relief, smoother digestion, and lasting health and well-being for every patient.
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
Excess cholesterol in bile
High bilirubin levels from liver disorders
Obesity or rapid weight loss
Family history of gallstones
Hormonal factors (pregnancy, estrogen therapy)
Age over 40 and female gender
Signs and Symptoms
Sudden, sharp pain in the upper right abdomen
Pain radiating to the back or right shoulder
Nausea and vomiting
Bloating or gas after eating
Indigestion or low-grade fever (if infection occurs)
How Dr. Scott Diagnoses Gallstones?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He evaluates symptoms such as right upper abdominal pain, nausea, bloating, or pain after fatty meals. He reviews your diet, weight changes, and history of liver or gallbladder issues, followed by a focused abdominal exam to check for tenderness or guarding.
Blood Tests
Lab work checks for signs of inflammation, liver enzyme abnormalities, pancreatic involvement, and elevated white blood cells in cases of suspected infection or obstruction.
Abdominal Ultrasound
This is the first-line imaging test. It helps detect gallstones, gallbladder wall thickening, and signs of bile duct blockage or inflammation (cholecystitis).
HIDA Scan (if needed)
Hepatobiliary iminodiacetic acid (HIDA) scan may be used to evaluate gallbladder function and detect conditions like biliary dyskinesia or chronic cholecystitis.
CT Scan or MRI (if complications are suspected)
CT scan helps assess surrounding organs and rule out complications like pancreatitis or abscess
MRCP (Magnetic Resonance Cholangiopancreatography) provides detailed imaging of the bile ducts and is used if stones in the common bile duct are suspected
Endoscopic Ultrasound (EUS) or ERCP
In select cases, advanced tools like EUS or ERCP are used to confirm small stones or perform therapeutic procedures if stones are lodged in the bile ducts.
Treatment
Our Team offers a full range of care for gallstones.
1. Lifestyle and Diet Changes
Eat smaller, low-fat meals to reduce bile overload
Increase high-fiber foods such as fruits, vegetables, whole grains, and oats
Limit sugar, refined carbs, and unhealthy fats
Avoid fried foods, fatty meats, full-fat dairy, and processed snacks
2. Medications
Ursodiol or other bile acid pills to gradually dissolve cholesterol stones
Pain relievers and anti-nausea medications to manage acute flare-ups
3. Minimally Invasive or Advanced Procedures
Laparoscopic cholecystectomy for gallbladder removal via small incisions
Endoscopic retrograde cholangiopancreatography (ERCP) to clear bile duct stones
Advanced imaging and robotic-assisted surgery for precise, faster recovery
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
Do gallstones go away on their own?
Not often. Some small stones may go away with medication, but most need treatment.
Can you get gallstones without a gallbladder?
No, but you can still get bile duct stones after surgery.
What foods should I avoid with gallstones?
Skip fried foods, fatty meats, full-fat dairy, and sweets. Choose lean proteins and whole grains instead.
How soon can I return to normal after surgery?
Most people are back to normal in 1-2 weeks after laparoscopic surgery. Dr. Scott will give you a full recovery plan.
Is gallbladder removal safe long-term?
Yes. Most people live normally and digest food just fine without a gallbladder.
Do I need special tests if I've had gallstones before?
Maybe. If symptoms return, you may need another ultrasound or blood tests.
How do I get ready for ERCP or robotic surgery?
You'll need to fast and follow Dr. Scott's prep instructions. Our Houston team will guide you through each step.
