Gallstones in Singapore is a common yet often overlooked health concern, where lifestyle and dietary habits contribute to its prevalence. If left untreated, gallstones can lead to severe complications such as inflammation, infections, and even life-threatening conditions. This guide provides a comprehensive overview of gallstones, including their causes, symptoms, prevention strategies, treatment options, and costs in Singapore.
Gallstones In Singapore Statistics
Gallstones affect a significant portion of the population in Singapore. While exact statistics vary, studies indicate that about 10-20% of adults in Singapore develop gallstones, with the risk increasing with age. Women are more prone to gallstones than men, and individuals with obesity or diabetes have a higher likelihood of developing them.
Additionally, a study shows an increasing number of gallstone-related cases. This is likely due to changing dietary patterns and a sedentary lifestyle. As Singaporeans consume more high-fat and cholesterol-rich foods, gallstone cases are expected to rise.
Causes Of Gallstones & Risk Factors
Gallstones form when substances in bile, such as cholesterol, bile salts, and bilirubin, become imbalanced. These substances crystallise and develop into stones inside the gallbladder. Several factors contribute to gallstone formation, including:
1. High Cholesterol & Diet
Diets rich in fat, cholesterol, and processed foods increase the risk of gallstones. Singapore’s love for hawker center delicacies, such as fried carrot cake, laksa, and chicken rice, may contribute to this risk.
2. Obesity & Sedentary Lifestyle
A sedentary lifestyle coupled with high-calorie consumption can lead to obesity, one of the primary risk factors for gallstones. Studies suggest that obese individuals produce more cholesterol in their bile, increasing the likelihood of stone formation.
3. Gender & Age
Women, especially those over 40 years old, are more likely to develop gallstones due to hormonal changes. Pregnancy, birth control pills, and hormone replacement therapy can increase gallstone risk.
4. Diabetes & Metabolic Disorders
Diabetic patients tend to have higher levels of triglycerides, which contribute to gallstone development.
5. Genetic Factors
If your family has a history of gallstones, you may be genetically predisposed to the condition.
Symptoms Of Gallstones
Gallstones can be silent (asymptomatic) or cause severe symptoms when they block bile flow. Common symptoms include:
- Severe abdominal pain (often after eating fatty meals)
- Nausea and vomiting
- Jaundice (yellowing of the skin and eyes)
- Bloating and indigestion
- Fever and chills (if infection occurs)
If you experience persistent symptoms, it is crucial to seek medical attention to prevent complications.
Gallstones Screening & Prevention
Screening Methods
Gallstones are usually diagnosed through ultrasound scans, CT scans, or MRCP (Magnetic Resonance Cholangiopancreatography). Blood tests may also be performed to check for infections or liver abnormalities.
Learn More: Medical Imaging In Singapore >>
Prevention Tips
While gallstones cannot always be prevented, you can lower your risk by making lifestyle changes:
- Optimise your diet: Reduce cholesterol intake by consuming more fiber, lean proteins, and whole grains.
- Maintain a healthy weight: Rapid weight loss can increase the risk of gallstones, so aim for gradual, sustained weight management.
- Exercise regularly: Staying active helps regulate metabolism and digestion.
- Stay hydrated: Drinking enough water prevents bile from becoming too concentrated.
Gallstones Treatment In Singapore
Treatment options depend on the severity of symptoms and the size of the gallstones.
1. Medications
Certain medications can dissolve gallstones over time, but this method is slow and not always effective.
2. Minimally Invasive Procedures
- Endoscopic Retrograde Cholangiopancreatography (ERCP): A non-surgical method to remove gallstones stuck in the bile duct.
- Shockwave Therapy (Lithotripsy): Breaks up stones, making them easier to pass.
3. Surgery (Cholecystectomy)
The most effective treatment is gallbladder removal surgery, either through:
- Laparoscopic Cholecystectomy (Minimally invasive, shorter recovery time)
- Open Cholecystectomy (For severe cases or complications)
Most patients recover within a few weeks and can lead a normal life without a gallbladder.
Costs of Gallstones Treatment in Singapore
The cost of gallstones treatment in Singapore varies based on the type of treatment and hospital. Estimated costs include:
- Ultrasound Scan: S$100 – S$500
- ERCP Procedure: S$3,000 – S$6,000
- Laparoscopic Cholecystectomy: S$8,000 – S$15,000
- Open Cholecystectomy: S$10,000 – S$20,000
Public hospitals like SGH and NUH offer subsidies for Singapore citizens and PRs, while private hospitals may charge higher rates. Integrated Shield Plans (ISP) and MediSave can help offset some costs.
Contact Us for an Appointment
If you suspect you have gallstones or experience persistent symptoms, consult a specialist for a thorough diagnosis. If you are looking for a gallstones specialist, you can consider our Preferred Doctor:
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FAQs
1. Can I live without a gallbladder?
Yes! Your liver will still produce bile, but it will directly flow into your intestines instead of being stored in the gallbladder. Some patients may experience minor digestive changes but can live normally.
2. Are gallstones a serious condition?
Gallstones can be harmless if they do not cause symptoms. However, if they block bile flow, they can lead to severe pain, infections, or inflammation requiring urgent medical attention.
3. How long does recovery take after gallbladder removal?
Most patients recover within 1-2 weeks after laparoscopic surgery. Open surgery may require 4-6 weeks of recovery.
4. Can I prevent gallstones from forming?
While not always preventable, a balanced diet, regular exercise, and staying hydrated can lower your risk.
5. Is gallstone treatment covered by insurance?
Most treatments, including surgery and ERCP, are covered under MediSave and private insurance plans. Check with your provider for details.
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.