Pain is the first sign that one or more gallstones have lodged in a bile duct. Doctors call this a gallstone attack, and most people feel it in the upper-right or central portion of the abdomen just under the lower ribs. Typically, the pain intensifies for up to five hours and feels quite similar to a kidney stone attack. An x-ray can confirm the location of the stone. These attacks usually occur at night, often after an individual has consumed a fatty meal or a significant amount of alcohol.

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