Cholelithiasis without obstruction

The gallbladder stores bile, and gallstones can form within it. A report saying there is no obstruction means the imaging did not show a stone stopping bile or pancreatic fluid from draining at that point. Stones can still cause local irritation or temporary episodes of pain, and a later change in symptoms may need a fresh assessment.

Some people have no symptoms. Others notice upper-abdominal pain, indigestion, nausea or vomiting. These symptoms are not specific to gallstones, so the report must be considered with your examination and blood tests.

Ask the clinician who arranged the scan whether the finding needs monitoring or treatment. Track pain location, duration, meal association, fever, vomiting and changes in urine or stool colour. If attacks recur, a surgical opinion may be appropriate even when there is no obstruction on the current scan. Take prescribed medicines as directed and avoid medicines intended for another person.

The [Gallstones](/conditions/gallstones/) page provides background, while a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) can help interpret ongoing symptoms.

Get urgent medical attention for persistent or intense abdominal pain, fever, chills, repeated vomiting, yellowing of the eyes or skin, faintness or confusion. A previous finding of no obstruction does not rule out a new blockage, acute gallbladder inflammation or pancreatitis later.

Pain that radiates to the back or prevents you from keeping fluids down should not wait for routine follow-up. Read about [Abdominal Pain](/symptoms/abdominal-pain/) and [Vomiting](/symptoms/vomiting/) for related symptom guidance.

Ask what type and location of stones were seen, how confidently obstruction was excluded, whether liver or pancreatic tests were normal, and what follow-up is planned. Ask when recurrent pain should lead to surgical review and which warning signs require emergency care.