What is a Gallbladder Attack? – Symptoms & Causes Covered by Dr.Berg | DrEricBergDC

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so today I’m going to talk about the

gallbladder and exactly what is a

gallbladder attack let’s start from the

beginning and just talk about the

purpose of the gallbladder

the gallbladder is a sac that hangs

underneath your right ribcage and the

purpose of the gallbladder is to store

in concentrate bile bile salts okay

bile salts are detergents they basically

help you break down fats and they help

in the extraction of essential fatty

acids like omega-3 fatty acids which we

need to build body tissue especially

your brain DHA EPA they’re

anti-inflammatory as well as fat soluble

vitamins so when you eat food you have

water soluble vitamins and you have fats

I have a vitamins vitamin A de k1 k2

those need to be extracted from the food

so if you don’t have bile they don’t get

extracted so bile helps to pull those

out and then you also have help from the

pancreas the pancreas releases an enzyme

called lipase that also helps in

breaking down this fat to the smallest

particles so you can absorb it so what

happens with a gallbladder attack

usually you have a stone that gets stuck

in this little tube because the liver

actually makes the bile and it comes

down through these tubes and it’s

supposed to be stored in this little sac

right here so if you get a stone stuck

either in the liver you can have a liver

stone or somewhere down here or right at

the opening the back pressure is going

to cause a lot of pain so the symptom

would be stomach pain severe cramping in

your stomach pain underneath the right

ribcage couldn’t wrap around the back

you can feel nauseous like you’re gonna

vomit right shoulder pain why because

there’s a little nerve that connects

with the diaphragm on both sides and

that nerve is called the phrenic nerve

and if there’s pressure on the diaphragm

it could refer up to your neck on the

right side so it can cause headaches on

the right side you can create any

problem with your right your trap muscle

over here and even the muscles around

your neck which could he thing cause

though spasm to pull the vertebra out of

alignment and pinch the nerve and cause

pain on the right side I’ve seen that

many times what’s interesting is you

make a lot of bile every day well you’re

supposed to anyway you make between 27

and 34 ounces every single day that’s

400 to 800 milliliters for those people

in Europe

we’re still not at the metric system in

the US but we try to be now the color of

bile is a yellowish brown sometimes kind

of an olive green now another

interesting thing about this bile is

that it takes cholesterol to make bile

takes a lot every day it takes 500

milligrams of cholesterol to actually

make bile and one of the purposes of

bile in addition to extracting the fat

type of vitamins from the food that you

eat is to also eliminate excess amount

of cholesterol so if you have high

cholesterol for example one of the

reasons could be you don’t have enough

bile now if there’s liver damage okay if

you have a fatty liver or you have

hepatitis or cirrhosis of the liver that

scar tissue that alone could decrease

the production of bile but the big

question is what causes these little

stones that can then lodge and cause

this gall bladder attack right well the

gall stone is mostly made of cholesterol

okay it’s a super concentrated

cholesterol stone now based on that

information you might think oh my gosh I

better stop eating cholesterol foods

right because I don’t want to get a

stone but remember it actually takes

cholesterol to make bile and also our

bodies make 75% of all the cholesterol

in other words only 25% comes from your

diet so our body makes a lot we need it

to make hormones to support

the nervous system to support the immune

system to support the lining the

membrane around all the cells so

cholesterol is a good thing a

supersaturated amount of cholesterol is

a bad thing now

the problem is if you go on a extreme

low-fat diet your risk for getting gall

stones go up okay now that’s weird how

can that be because one of the triggers

for the release of bile is saturated

fats okay so if you cut out fats you dry

up this bile reserve that you have it’s

the lack of bile that forms this super

concentrated cholesterol stone so it’s

not the cholesterol it’s the lack of

bile if you have enough bile and you

have a lot of cholesterol you don’t have

any problems okay it’s when you don’t

have enough oil to be able to keep the

cholesterol thinned sort of speak and

not develop into stones that’s where the

problem is so of course the next

question is how do we maintain this bile

how do we make sure we have enough and

what causes a deficiency of bile because

if you research gall stones one of the

treatments is taking bile salts okay to

help dissolve the stones so that’s

interesting but there are three main

causes of gall stones there’s other

causes but it’s just three main ones one

is this if you have too much insulin

okay because you have a high

carbohydrate diet or you’re diabetic or

you’re pre-diabetic or you have insulin

resistance that right there can deplete

your bile reserve tank causing stones

because if you look at diabetics they

have a higher risk of getting gall

stones so that’s why next one is

increasing cortisol so if you’re on a

medication called prednisone which is an

anti-inflammatory or you’re under a

massive stress that can also shut down

the bile production as well causing a

stone and lastly increase estrogen and

this explains why women who are pregnant

have a higher risk of getting a stone

because the spike in estrogen it also

explains the side effect for birth

control pills which is increased risk of

bile salts as well as hormone

replacement therapy so I think it’s

really important to understand all these

factors because by knowing this first of

all you can know if potentially have a

stone number two you can do things to

prevent a stone and it also tells us if

we have a deficiency of either a fat

soluble vitamin or some omega-3 fatty

acid and we can look at this being one

of the major causes because maybe we

just don’t have enough file and we need

to actually take a little more bile also

the microbes in your gut are very very

important in the recycling of bile in

fact 95% of all the bile in your body

gets recycled by the microbes so if

you’ve been on antibiotics or you have

certain key jested issues it could be

that you just need to increase your

flora of good bacteria to help recycle

this bile now let’s say for example you

don’t have a stone but you still have

gall bladder symptoms it could be the

gallbladder is sluggish because maybe

the bile is too thick not necessarily

enough to create a stone but let’s say

that could be one situation well if you

don’t have enough bile this will get

thicker and it can create a lot of

issues with the gall bladder and

actually create some congestion some

swelling some pain even though there’s

not a stone and because bile salts act

as a lubricant you can get constipation

is one of the big side effects also

you’ll get bloating belching and burping

so you can see this bile is just so

important alright a couple last points

okay so because if I don’t answer these

some of people are gonna say well what

about this what about that if you have

the gallbladder removed okay

what happens is you’re still getting

some bile being produced and it’s

trickling down but not to the same

quantity in that case you may benefit by

taking some purified bile salts okay so

that’s number one if you have your

gallbladder out and you have diarrhea

there’s a condition

which happens when you remove the

gallbladder that you get actually too

much bout coming out in which case you

don’t want to take more bile salts

because bile salts will actually create

more lubrication and if you already have

diarrhea you’ll have more diarrhea but

one indication for bile salts is

constipation or sluggishness in the

elimination of waste so if you want some

more information about bile salts in

general I put a link down below thanks

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