Gallstones
Pediatric Gallstones (Cholelithiasis)
Evaluation of gallbladder disease in children, from incidental stones to symptomatic biliary colic and complications.
Gallstones in children are increasingly recognized, especially in adolescents, children with obesity, those who have experienced rapid weight loss, or those with hemolytic conditions. While some stones are found incidentally and never cause symptoms, others lead to cramping right-upper-quadrant pain, nausea, and sometimes serious complications.
Dr. Mendez helps families understand whether a gallstone needs intervention or observation, coordinates appropriate imaging and labs, and works with pediatric surgery when removal is indicated.
Signs and symptoms
- Cramping pain in the upper right abdomen, often after fatty meals
- Nausea and vomiting during episodes
- Pain that radiates to the right shoulder or back
- Fever, jaundice, or dark urine (signs of complications)
- Recurrent unexplained abdominal pain without clear triggers
- Bloating or intolerance to fatty foods
How we treat it
- Detailed history to distinguish biliary colic from other causes of abdominal pain.
- Review of ultrasound and labs to assess stone burden and gallbladder function.
- Risk factor assessment: obesity, rapid weight loss, hemolysis, medications, family history.
- Clear discussion of observation versus surgical referral.
- Post-operative GI follow-up when cholecystectomy is performed.
When to call a pediatric GI
- A child with recurrent upper right abdominal pain, especially after meals.
- Gallstones found incidentally on imaging and you are unsure what to do.
- Symptoms of possible complications: fever, jaundice, or persistent vomiting.
- A teen with obesity or rapid weight loss who develops new abdominal pain.
- A child with sickle cell disease or other hemolytic condition with suspected stones.
Frequently asked
Do all gallstones in children need surgery?
No. Asymptomatic gallstones are often observed. Symptomatic stones, complications, or certain high-risk conditions typically lead to referral for cholecystectomy. We guide families through the decision.
Can diet prevent gallstone problems?
A balanced diet avoiding extreme fat loads can reduce attacks, but it will not dissolve most stones. We discuss realistic expectations and when symptoms warrant surgical evaluation.
Ready to talk it through?
Concierge access means we have the time to listen, evaluate carefully, and stay with your family through every step.