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Gallstones cause problems such as pain, yellowing of your skin and the whites of your eyes (jaundice), inflammation of your pancreas (pancreatitis), and gallbladder inflammation. They occur when bile, which is normally fluid, forms stones. Gallstones commonly contain lumps of fatty (cholesterol-like) material that has solidified and hardened. They may also contain bile pigments and calcium deposits. These stones can block the bile duct, causing pain.

Surgery is the usual treatment for gallstones that are causing symptoms, but treatment with ursodeoxycholic acid may dissolve smaller stones which are made mainly of cholesterol. Ursodeoxycholic acid is a bile acid which is produced naturally by the body. It works by reducing the amount of cholesterol released by your liver and by slowly dispersing the cholesterol. This breaks up the stones.

Some ursodeoxycholic acid preparations can also help to treat primary biliary cholangitis. This is a condition that slowly damages the bile ducts in the liver, and as the disease progresses, it can damage the liver.