Gallstones blocking the bile duct: what to know

Bile travels from the liver and gallbladder into the small intestine through narrow ducts. A stone that enters the common bile duct can slow or stop this flow. This may cause upper abdominal pain, nausea, vomiting, dark urine, pale stools or yellowing of the eyes and skin. A blockage can also allow inflammation or infection to develop. Read more about [Gallstones](/conditions/gallstones/) and [Pancreatitis](/conditions/pancreatitis/).

Arrange prompt medical assessment rather than waiting for repeated attacks to settle. A clinician may examine your abdomen, order blood tests for liver and pancreatic irritation, and arrange an ultrasound or another scan. If a duct stone is suspected, a hospital procedure may be used to remove it, followed by discussion of gallbladder treatment. A [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) can help start this assessment.

Seek urgent care for severe or persistent abdominal pain, fever or chills, yellow skin or eyes, confusion, repeated [Vomiting](/symptoms/vomiting/), or marked weakness. These signs can indicate infection or inflammation around the blocked duct. Do not drive yourself if you feel faint or confused.

Ask whether your symptoms suggest a duct stone, which tests are needed, whether the bile duct is infected, and how quickly treatment should happen. Ask what pain or food advice is suitable while you wait.