Sometimes, when the gallbladder is not functioning properly, it fails to concentrate the dye and poor films are the result. However, a non-functioning gallbladder on a cholecystogram is indicative of disease. Sometimes the dye is given by injection.

Ultrasound scanning may also be used in detecting gallstones.

Once the diagnosis is made, treatment will be recommended. Of course, this will depend on the symptoms from which the patient is suffering and whether any complications are present.

Large gallstones discovered accidentally, and which are causing no symptoms, are probably best left alone. Multiple small stones are better removed.

This is because they are prone to move and enter the common bile duct, obstructing it. Operation is then a matter of urgency and is more difficult and requires a longer convalesence.

Unfortunately, operation remains the main way of dealing with this problem. It usually only involves a stay of five to seven days in hospital.

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