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
Related Pages
Contact & Appointment
Share your existing ultrasound, MRCP, CT/MRI, blood tests or discharge summary to receive preliminary information about the process. A definitive evaluation is only possible after physical examination and the necessary investigations.
Message on WhatsAppThe information on this page is provided for general patient education only and does not replace diagnosis, treatment or any surgical decision. An assessment appropriate for you can only be made after a clinical examination and the necessary investigations.