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What Causes Gallstones?

By Sharon Gillson, About.com

Updated September 09, 2008

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Causes of gallstones is usually the result of too much cholesterol or bilirubin in the bile. Risk factors for developing gallstones can be a combination of factors, including her heredity, body chemistry, body type, gender, and maybe even an individual's diet.

Risk factors for developing gallstones include:

  • Obesity.
    Obesity is a major risk factor for gallstones, especially in women. Clinical studies have shown that being even moderately overweight can increase the risk for developing gallstones.

  • Rapid weight loss
    When an individual goes on a crash diet or losses weight rapidly for another reason, the body metabolizes fat at a faster rate. As a result, the liver secretes more cholesterol into the bile. The increased level of cholesterol can increase the risk of developing gallstones.

  • Estrogen.
    Excess estrogen from pregnancy, hormone replacement therapy, or birth control pills appears to increase cholesterol levels in bile and decrease gallbladder movement, both of which can lead to gallstones.

  • Ethnicity.
    Studies have shown that American Indians secrete higher levels of cholesterol in their bile, putting them at a higher risk of developing gallstones. Studies have shown that the majority of American Indian men have gallstones by age 60, and 70 percent of women have gallstones by age 30.

  • Gender.
    Women are twice as likely to develop gallstones as men.

  • Age.
    The chances of developing gallstones increases with age. People over age 60 are more likely to develop gallstones than younger people.

  • Cholesterol-lowering drugs.
    Drugs that lower cholesterol levels in blood actually increase the amount of cholesterol secreted in bile. This in turn can increase the risk of gallstones.

  • Diabetes.
    People with diabetes generally have high levels of fatty acids called triglycerides. These fatty acids increase the risk of gallstones.

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For further information on gallstones:

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Sources:
"Common Gastrointestinal Problems - Gallstones." American College of Gastroenterology. 9 Sep 2008

"Gallstones." American College of Gastroenterology. 9 Sep 2008

"Gallstones." NIH Publication No. 07–2897 July 2007. National Digestive Diseases Information Clearinghouse (NDDIC). 9 Sep 2008

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