The Gall Bladder


The gall bladder is situated on the right side of the abdomen just under the liver and below the rib cage.

Bile is produced in the liver, stored in the gall bladder and released while eating a fatty meal.

According to traditional Chinese medicine, release of bile also takes place between 1 and 3 am, while one is asleep in order to remove toxins circulating in the blood via the liver and discharged into the small intestine (reason for waking up at that time).

It is important to remember that the liver is the main organ responsible for detoxifying the body. Toxins are expelled out of the body via the gut!

At this stage the bile is of a yellow colour and contains essentially: eighty percent cholesterol, mostly primary and a small amount of secondary bile acids, phospholipids and water.

The primary biliary acid’s function is to break down the fats in the small intestine, they then get converted into secondary biliary acids by a family of bacteria called Clostridia Ascends.

The function of these converted biliary acids is to:

  • Assist in the absorption of previously broken down fats
  • Protect the gut from pathological bacteria (Clostridia Difficile)
  • Reduce the sugar and cholesterol  levels in the blood via  a complex pathway .

The bile will change colour from the small intestine (green) to the brown (stool).

Gall bladder stones or sludge, are made essentially of cholesterol crystals and occurs due to:

  • An imbalance between the different bile acids (too much or too little of one or the other)
  • Excess cholesterol (Oestrogen)
  • Too little phospholipids that dissolve the fats
  • Weakness of the gall bladder muscle tone
  • Dysfunctional sphincter of oddi that allows the bile to flow out of the bile duct.

The inability to absorb the fats from the terminal ileum into the blood stream can occur for many reasons such as listed below and will cause diarrhoea:

  • Too little bile is produced in the liver due to hepatitis or advanced cirrhosis of the liver.
  • Obstruction of the bile duct from stones or sludge.
  • Excessive thick bile caused by unopposed oestrogen (excess oestrogen circulating), copper, high levels of cholesterol circulating in the blood and even methane gas produced in the gut that paralyses the gall bladder as well as the large intestine and causes flatulence and constipation.
  • Dyskinesia (dysfunction) of the gall bladder muscles (can be due to an excess of oestrogen or progesterone (the food today contains a lot of these hormones to fatten the chickens, cows etc.)
  • Thickened small intestine from Chrones disease.
  • Dysbioses or SIBO (abnormal balance of bacteria in the small intestine) that break down the primary biliary acids and make them unable to dissolve fats.
  • Parasites obstructing the bile duct

All these conditions can lead to a lack of fatty vitamins such as: Vitamins D, E and A .

The bacteria in the small intestine can also contribute to a hormonal imbalance such as oestrogen, testosterone and cortisol by promoting the reabsorption of these hormones via the blood circulation from the small intestine to the liver.

A rare condition of chronic diarrhoea exist due to excessive secondary bile acids.


Treatment is available to improve the flow of bile and we also limit the amount of fat in the diet.

Gall bladder stones are furthermore  dissolved via naturopathic treatment.


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