About 90% of gallstones cause no symptoms at all. If problems do occur, the chance of developing pain is about 2% per year for the first 10 years after stone formation. After 10 years, the chance for developing symptoms declines. On average, symptoms take about 8 years to develop. The reason for the decline in symptoms after 10 years is not known, although some doctors suggest that "younger," smaller stones may be more likely to cause symptoms than larger, older ones. Acalculous gallbladder disease will often present with similar symptoms to those of gallbladder stones.
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