What Is the Optimal Management for Biliary Colic and Who Requires Admission?
Biliary colic is a common cause of abdominal pain in patients presenting to the acute care setting. Typical symptoms include right upper quadrant and/or epigastric pain, which may radiate to the back. The pain may be nocturnal or postprandial, and there may be associated nausea and/or vomiting. The evaluation of this condition consists of laboratory studies as well as diagnostic imaging. The management depends upon the severity of the disease. Minimally symptomatic patients or those whose symptoms have resolved can usually be discharged with analgesics and outpatient surgical follow-up. Those with more severe symptoms and those found to have complications such as cholecystitis, cholangitis, choledocholithiasis, or gallstone pancreatitis require admission to the hospital with specialist consultation.
KeywordsBiliary colic Cholelithiasis
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