Gallstones in children on rise; doctors urge early detection, lifestyle changes

new delhi: once considered an adult ailment, gallstones are increasingly affecting children across india, prompting paediatricians to call for greater awareness and preventive care.hospitals and clinics across the country are reporting a steady rise in gallstone cases among children, with diagnoses now being made in children as young as six. gallstones are solid deposits in the gallbladder, often made of cholesterol or bilirubin. while many cases remain asymptomatic, they can cause severe abdominal pain, nausea, vomiting, and digestive issues when bile flow is obstructed."we're seeing a clear increase in pediatric gallstone cases, especially in urban centres," said dr shandip kumar sinha, director of pediatric surgery and pediatric urology at mednata-the medicity in gurugram. causes include obesity, poor diet, genetic predisposition, and certain blood disorders such as thalassemia.a survey by the indian academy of paediatrics (iap) across five metropolitan cities found nearly one in 200 children admitted for abdominal pain had gallstones. the prevalence was higher among children with sedentary lifestyles and diets high in processed foods and saturated fats.dr raman kumar, chairman of the academy of family physicians of india, emphasised timely diagnosis. "ultrasound is a safe and effective tool. many cases can be managed with medication and dietary changes, but surgery may be necessary for complications like gallbladder inflammation or pancreatitis," he said.insymptomatic cases, laparoscopic cholecystectomy is the standard procedure. for asymptomatic children, options include watchful waiting or surgery, depending on potential risks. "many parents prefer early surgery to avoid complications such as jaundice or pancreatitis," dr sinha added.paediatricians are advocating awareness among parents, schools, and health workers. preventive measures include a balanced diet rich in fibre, fruits, and vegetables, limiting junk food and sugary drinks, encouraging physical activity, reducing screen time, and routine health check-ups, especially for children with a family history of gallstones."this is a wake-up call," dr sinha said. "children's health depends not just on genetics but on the environment we create. it's time to focus on what they eat, their activity levels, and timely medical attention."