Biliary Colic Symptoms: How to Recognise an Attack
Biliary colic is a sudden, severe pain attack caused by a gallstone temporarily blocking the cystic duct. Recognising it both prevents unnecessary anxiety and avoids late diagnosis.
Typical symptoms
- Sudden, gripping pain in the right upper abdomen
- Pain radiating to the back or right shoulder
- Nausea and vomiting
- Tendency to start after fatty meals
- Attacks lasting 15 minutes to several hours
Warning signs of a complication
- Pain lasting longer than 6 hours
- High fever and chills
- Jaundice
- Dark urine, pale stools
Differential diagnosis
Cardiac pain, peptic ulcer, pancreatitis and renal colic can mimic biliary colic — examination and imaging are therefore essential.
Work-up
Initial assessment includes ultrasound and blood tests; MRCP may be added when needed.
Frequently Asked Questions
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