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GLP1 WEIGHT LOSS

Ruptured Gallbladder: Symptoms, Timeline and Emergency Care Explained (UK)

What Happens If a Gallbladder Bursts? Symptoms, Risks and Emergency Signs (UK Guide)

Author context: After losing 6 stone on GLP-1 (Mounjaro), I required emergency NHS gallbladder surgery due to obstruction and inflammation. Surgeons warned my gallbladder could have ruptured within days. This guide explains what rupture means and why urgent care matters.

Short answer: If a gallbladder bursts (ruptures), bile and infection can leak into the abdominal cavity. This can lead to peritonitis, sepsis and life-threatening complications. A ruptured gallbladder is a medical emergency requiring urgent hospital treatment.

If you’re here because of severe right-side pain, read this carefully.

Read my full emergency surgery story here →

Start here: If you’re dealing with gallbladder symptoms (or recovery after removal) and want the full UK guide — symptoms, red flags, A&E triggers, surgery, recovery, diet and GLP-1 context — use the mega hub below.

GLP-1, Gallstones & Gallbladder Removal (UK): Mega FAQ Guide →

Can a gallbladder actually burst?

Yes. Severe inflammation (acute cholecystitis), untreated infection, or prolonged obstruction from gallstones can cause the gallbladder wall to weaken and perforate.

This is called a gallbladder rupture or perforation.

What happens when a gallbladder ruptures?

When rupture occurs:

  • Bile leaks into the abdominal cavity
  • Bacteria can spread
  • Inflammation becomes widespread
  • Peritonitis may develop
  • Sepsis risk increases

This progression can happen rapidly if infection is severe.

Warning signs of possible rupture

Seek urgent medical care if you experience:

  • Severe, worsening upper right abdominal pain
  • Fever or shaking chills
  • Rapid heart rate
  • Confusion or weakness
  • Yellowing of eyes (jaundice)
  • Persistent vomiting

These symptoms require emergency assessment.

Table: Gallbladder Attack vs Possible Rupture

Feature Gallbladder Attack Possible Rupture
Pain Severe, steady Worsening, spreading
Fever May occur Common and high
Systemic symptoms Usually limited Weakness, confusion, rapid pulse
Urgency Urgent Emergency

How fast can this happen?

Rupture usually follows untreated severe inflammation or infection. In some cases, deterioration can happen over days. In others, progression is faster if infection spreads.

Does GLP-1 increase rupture risk?

GLP-1 medications themselves do not directly cause rupture. However, rapid weight loss may increase gallstone risk in some individuals, which can lead to obstruction and inflammation if untreated.

Read more about GLP-1 and gallstones here →

My experience

Surgeons explained that my gallbladder was severely inflamed and close to rupture. Acting quickly prevented a far more serious complication.

What treatment involves

  • Emergency hospital admission
  • Antibiotics
  • Imaging scans
  • Surgical removal (cholecystectomy)

Prompt treatment significantly reduces complications.

FAQs

Is a ruptured gallbladder fatal?

It can be life-threatening without treatment, but outcomes improve greatly with prompt medical care.

How do doctors detect rupture?

Blood tests, imaging scans and physical examination help identify perforation and infection.

Can gallstones always cause rupture?

No. Many gallstones remain asymptomatic. Rupture occurs when severe inflammation or infection progresses untreated.

How long does recovery take after emergency surgery?

Most people recover within weeks, though severe infections may extend recovery time.

Should GLP-1 users be worried?

Most GLP-1 users never experience gallbladder complications. Awareness of symptoms is more important than fear.

Disclaimer: This article provides educational information and lived experience. It does not replace professional medical advice. If you suspect a medical emergency, seek urgent care immediately.

Categories
GLP1 WEIGHT LOSS

Chest Pain on Mounjaro? Right Side or Back Pain Explained (UK)

Right Side Chest or Back Pain on GLP-1: When to Worry (UK Guide)

Author context: After losing 6 stone on Mounjaro (GLP-1), I experienced right-side abdominal and back pain that escalated into emergency NHS gallbladder surgery. This guide explains what right-side pain can mean — and when to seek urgent care.

Short answer: Mild right-side chest or back discomfort on GLP-1 can sometimes be digestive. However, persistent upper right pain lasting more than 1–2 hours — especially with nausea, fever, or jaundice — may indicate gallbladder issues and requires urgent assessment.

If you’re Googling this in discomfort, read calmly and check your symptoms against the guide below.

Read my full emergency surgery story here →

Start here: If you’re dealing with gallbladder symptoms (or recovery after removal) and want the full UK guide — symptoms, red flags, A&E triggers, surgery, recovery, diet and GLP-1 context — use the mega hub below.

GLP-1, Gallstones & Gallbladder Removal (UK): Mega FAQ Guide →

Where is gallbladder pain usually felt?

Gallbladder pain is typically felt in the upper right abdomen under the ribs. It may radiate to the back or right shoulder blade and can sometimes feel like chest discomfort.

  • Upper right abdominal pain
  • Right shoulder blade pain
  • Mid-back pain
  • Occasionally chest tightness

Chest pain vs digestive pain on GLP-1

GLP-1 medications slow gastric emptying. This can sometimes cause bloating or discomfort.

However, gallbladder pain behaves differently.

Feature Digestive Discomfort Gallbladder Pain
Pain type Bloating, pressure Steady, intense
Duration Fluctuates 1–6 hours
Radiation Rare Back / shoulder blade
Improves with movement Often Usually no

When to worry

  • Pain lasting more than 1–2 hours
  • Fever or chills
  • Yellowing of eyes
  • Persistent vomiting
  • Worsening right-side pain

If these apply, seek urgent medical care.

Why GLP-1 users should be aware

Rapid weight loss can increase gallstone risk. If right-side pain develops during GLP-1 treatment, it should not automatically be dismissed as “just wind.”

Read the science behind GLP-1 and gallstones →

My experience

I initially thought the pain was trapped wind. It wasn’t. It persisted, radiated to my back, and did not improve with movement.

FAQs

Can GLP-1 cause chest pain?

GLP-1 may cause digestive discomfort, but persistent right-side pain should be assessed medically.

Is shoulder blade pain linked to gallstones?

Yes, referred pain to the right shoulder blade is common in gallbladder attacks.

Should I go to A&E for right-side chest pain?

If severe, persistent, or accompanied by fever or jaundice, seek urgent care.

How long does gallbladder pain last?

Typically 1–6 hours and does not improve with position changes.

Can rapid weight loss trigger pain?

Rapid weight loss can increase gallstone risk, which may lead to pain episodes.

Disclaimer: This article shares lived experience and educational context. It does not replace professional medical advice.

Categories
GLP1 WEIGHT LOSS

Is It Trapped Wind or a Gallbladder Attack? Symptoms Explained (UK)

Gallbladder Attack vs Trapped Wind: How to Tell the Difference (UK Guide)

Author context: After losing 6 stone on GLP-1 (Mounjaro), I mistook early gallbladder symptoms for trapped wind. It escalated into emergency NHS surgery. This guide explains the difference clearly and calmly.

Short answer: Trapped wind usually causes shifting, cramp-like discomfort that improves with movement or passing gas. A gallbladder attack typically causes steady, intense pain in the upper right abdomen that may spread to the back or shoulder and does not improve with position changes.

If you’re here because of right-side pain, this guide will help you decide whether it’s likely digestive gas or something that needs medical assessment.

Read my emergency gallbladder surgery story here →

Start here: If you’re dealing with gallbladder symptoms (or recovery after removal) and want the full UK guide — symptoms, red flags, A&E triggers, surgery, recovery, diet and GLP-1 context — use the mega hub below.

GLP-1, Gallstones & Gallbladder Removal (UK): Mega FAQ Guide →

What does trapped wind feel like?

Trapped wind (gas pain) usually causes:

  • Cramping or bloating
  • Pain that moves around the abdomen
  • Relief after burping or passing gas
  • Improvement with walking or changing position

It can feel sharp at times, but it typically fluctuates rather than staying constant.

What does a gallbladder attack feel like?

A gallbladder attack causes steady, severe pain in the upper right abdomen. It may spread to the back or right shoulder blade and often worsens after eating fatty foods. The pain can last several hours and does not ease with movement.

  • Persistent pain under right ribs
  • Back or shoulder blade pain
  • Nausea
  • Worsening after fatty meals
  • Pain lasting more than 1–2 hours

Table: Gallbladder Attack vs Trapped Wind

Feature Trapped Wind Gallbladder Attack
Pain type Crampy, shifting Steady, intense
Location Anywhere in abdomen Upper right abdomen
Radiation Rare Back / right shoulder blade
Improves with movement? Often yes Usually no
Duration Minutes to short bursts 1–6 hours

My early mistake

When I first experienced pain, I assumed it was trapped wind.

But the pain:

  • Stayed in one place
  • Radiated into my back
  • Did not improve when I moved

That difference matters.

When to seek urgent medical care

  • Severe pain lasting more than 1–2 hours
  • Fever or chills
  • Yellowing of eyes (jaundice)
  • Persistent vomiting

If you’re unsure — especially with right-side pain — get assessed.

Why GLP-1 users should pay attention

Rapid weight loss can increase gallstone risk. If you’re on GLP-1 and experiencing persistent right-side pain, don’t assume it’s just indigestion.

Read the science behind GLP-1 and gallstones →

Digestive support (educational only)

Some people exploring dietary adjustments look at digestive enzyme blends during recovery or fat tolerance changes.

Browse digestion support options at Lily & Loaf

Supplements do not treat gallstones or replace medical care.

FAQs

Can trapped wind last for hours?

Gas pain usually fluctuates and improves with movement or passing gas.

How long does a gallbladder attack last?

Typically 1–6 hours and does not improve with position changes.

Can gallbladder pain feel like chest pain?

Yes, it can mimic chest or upper abdominal pain.

Is right shoulder blade pain linked to gallstones?

Yes, referred pain to the right shoulder blade is common.

Should I go to A&E for right-side pain?

If severe or persistent with other symptoms, seek urgent care.

Disclaimer: This article shares lived experience and educational context. It does not replace professional medical advice.

Categories
GLP1 WEIGHT LOSS

GLP-1 and Gallstones: Was It Mounjaro or the Weight Loss? (UK)

Did Mounjaro Cause My Gallstones? GLP-1, Rapid Weight Loss and the Real Risk (UK Guide)

Author context: I lost 6 stone using Mounjaro (GLP-1) over 12 months and later required emergency NHS gallbladder surgery in February 2026. This article explains what the science says — calmly and responsibly.

Short answer: Mounjaro does not directly create gallstones. However, rapid weight loss — which often occurs during GLP-1 treatment — is a recognised risk factor for gallstone formation.

If you’re asking this question, it’s usually because something scary has happened. I asked it too.

You can read my full emergency surgery story here →

Start here: If you’re dealing with gallbladder symptoms (or recovery after removal) and want the full UK guide — symptoms, red flags, A&E triggers, surgery, recovery, diet and GLP-1 context — use the mega hub below.

GLP-1, Gallstones & Gallbladder Removal (UK): Mega FAQ Guide →

Does Mounjaro cause gallstones?

Mounjaro does not directly form gallstones. Gallstones develop when bile becomes overly concentrated with cholesterol and the gallbladder does not empty effectively. Rapid fat loss increases this risk.

  • Weight loss increases cholesterol secretion into bile
  • Gallbladder emptying may slow during caloric restriction
  • Cholesterol crystals can accumulate and solidify

This mechanism is not unique to GLP-1 medications. It is also observed after bariatric surgery and crash dieting.

Why rapid weight loss increases gallstone risk

When body fat is broken down quickly, stored cholesterol is mobilised. The liver processes this and secretes more cholesterol into bile.

At the same time:

  • The gallbladder may contract less frequently
  • Bile may remain in the gallbladder longer
  • Crystallisation becomes more likely

In simple terms: the faster weight drops, the more bile chemistry can shift toward stone formation in susceptible individuals.

Table: What actually drives gallstone risk?

Factor Level of Influence Why It Matters
Rapid weight loss High Changes bile cholesterol concentration
GLP-1 medication itself Indirect Accelerates fat loss in some individuals
Crash dieting High Extreme calorie deficit shifts bile chemistry
Genetic predisposition Variable Family history affects bile composition

Are gallstones listed as a GLP-1 side effect?

Yes — gallbladder-related events appear in medication documentation. However, this reflects association with weight loss rather than a direct stone-forming effect.

Important nuance:

  • Most GLP-1 users do not develop gallstones
  • Risk increases with faster weight loss
  • Individual biology matters

My case: context matters

I lost 6 stone over 12 months. Then I experienced:

  • Upper right abdominal pain
  • Back pain under the shoulder blade
  • Symptoms that felt like trapped wind at first

Blood tests showed inflammation. Imaging confirmed obstruction. Surgery followed.

That experience forced me to separate emotion from physiology.

Who is most at risk?

  • People losing weight rapidly (especially more than 1–2kg per week)
  • Individuals with previous gallbladder sludge
  • Those with metabolic syndrome history
  • People combining GLP-1 with extreme calorie restriction

Should you stop Mounjaro if gallstones develop?

Do not stop prescribed medication without medical advice.

Management depends on:

  • Severity of symptoms
  • Presence of infection
  • Whether surgery is required
  • Your clinician’s risk-benefit assessment

Many people continue GLP-1 safely after gallbladder removal under supervision.

When to seek urgent medical help

  • Severe upper right abdominal pain lasting more than 1–2 hours
  • Fever or chills
  • Yellowing of the eyes (jaundice)
  • Persistent vomiting

If symptoms escalate, seek urgent care.

Digestive support during recovery (educational only)

After surgery and during dietary transition, some people explore gentle digestion support.

Browse digestive support options at Lily & Loaf

Supplements do not prevent gallstones and do not replace medical care.

FAQs

1. Can GLP-1 medications increase gallstone risk?

Yes indirectly, through accelerated weight loss in some individuals.

2. Is rapid weight loss the main factor?

Speed of fat loss appears to be a major driver.

3. Are gallstones common on Mounjaro?

They are recognised but not common for most users.

4. Can gallstones resolve without surgery?

Small stones may remain silent, but obstructive stones require treatment.

5. Can you restart GLP-1 after gallbladder removal?

Often yes, under clinician supervision.

6. Does diet influence gallstone risk?

Extreme calorie restriction can increase risk.

7. Does slower weight loss reduce risk?

Gradual weight loss may reduce bile chemistry disruption.

8. Are women more at risk?

Gallstones are more common in women overall.

9. Can gallstones cause chest pain?

Yes, pain can radiate and mimic other conditions.

10. Is back pain common with gallstones?

Right shoulder blade pain is common.

11. Should everyone on GLP-1 worry?

No. Most people do not develop gallstones.

12. Does exercise reduce risk?

Regular activity may support metabolic health.

13. Can dehydration influence bile concentration?

Hydration supports overall digestive health.

14. Are older adults at higher risk?

Risk increases with age.

15. Is NHS gallbladder surgery common?

Yes, cholecystectomy is a common emergency procedure in the UK.

Disclaimer: This article shares lived experience and educational context. It does not replace professional medical advice.

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