How to treat gallstones How to treat gallstones

Patients with gallstones can usually use drugs to make the stones expelled, which can also eliminate inflammation and relieve the pain of patients, which is effective in ** gallstones. Some stones are large in size, not easy to discharge, and the symptoms will be more obvious, it is recommended to use surgery, which is the best way, and minimally invasive surgery is recommended. You can drink more water at ordinary times, which can effectively dissolve the formation of stones.

Usually need to maintain a light diet, you can follow the doctor's instructions to use some anti-inflammatory drugs**, if you can't eliminate the lesion, then you can follow the doctor's instructions through litholysis** or extracorporeal shock wave lithotripsy**. It is judged by the symptoms related to gallstones, the size, shape, and function of the gallbladder, and whether there are other complications. Asymptomatic gallstones, normal gallbladder size, shape, and function do not require any intervention**, regular check-ups are sufficient.

Symptoms of mild gallstones, including chronic right upper quadrant pain, dyspepsia, abdominal distension, etc., if the B-ultrasound indicates that the gallbladder function is good, it is recommended to treat the symptoms with medication** and dietary control, and at the same time have regular examinations. If symptoms are frequent, including right upper quadrant biliary colic with acute cholecystitis, or even gallstone-related complications such as bile duct stones, liver damage, jaundice, cholangitis, and acute pancreatitis, surgery is recommended as soon as possible**. If the gallbladder is full of stones and the gallbladder is atrophied, early surgery** is recommended even if the symptoms are not severe to reduce the occurrence of gallbladder cancer.

It can be selected according to the size of the gallbladder stone and whether it is accompanied by clinical symptoms. If gallstones are accompanied by cholecystitis, often causing symptoms such as pain in the right upper abdomen, gallbladder removal surgery should be done in time, for middle-aged patients or above, it is recommended that patients choose laparoscopic cholecystectomy, if it is a single gallbladder stone, then gallstone removal can also be considered, but after gallstone resection, gallstones without symptoms are generally considered to be removed immediately, only need to be observed and followed-up. However, surgery can be considered for patients with gallstones more than 2-3 cm in diameter, porcelain gallbladder, gallstones with gallbladder polyps, gallstones with diabetes, and patients with stable diabetes control.

If the stone is large, painful, jaundice, etc., surgery is recommended. The surgery is also not very traumatic. If it is not like surgery, the use of drugs** is slower and the effect is worse.

Hello, the causes of gallstones are very complex, and some are irrevocable factors, such as: age, femaleness, ethnicity, genetics, and family history; Some are acquired factors, some of which can be reversed, such as: pregnancy, obesity, low fiber, high calorie calorie diet, long fasting Hello, the causes of gallstones are very complex, and some are irreversible factors, such as:

increasing age, femaleness, ethnicity, genetics, and family history; Some are acquired factors, and some are reversible, such as: pregnancy, obesity, low fiber, high-calorie diet, prolonged fasting.

It is recommended to go to a professional hospital to check the size of the stone first, according to the specific situation of the patient**. At present, single-port minimally invasive cholelithotomy is used**gallstones. At the same time, it is necessary to pay attention to dietary regulation.

Hello! Surgery is recommended, laparoscopic cholecystectomy can be selected, which is less invasive and has a fast recovery, and is currently the gold standard surgery for gallstones. Surgery can be performed in regular tertiary hospitals.

Deputy Chief Physician of Shanghai Hospital of Traditional Chinese Medicine-General Surgery-Jiang Min.

Hello, B ultrasound examination has gallstones, the largest diameter, sometimes there is abdominal pain This small gallstone can have no clinical symptoms, if there are no symptoms, only need to be checked regularly, no need to deal with, if there are infection, abdominal pain and other symptoms, you can take some antispasmodic and painkiller medicine, take some anti-inflammatory drugs. If the symptoms are frequent and you are not willing to be conservative**, you can also consider stone removal or surgery**, the above hope can help you, if you still have questions, it is recommended to go to the hospital to consult a doctor in person. xbt8868

Gallstones are divided into symptomatic gallstones and asymptomatic gallstones. If the gallstones are small, less than 2cm, if there are no symptoms, they can be rechecked regularly, and the diet should be low-fat. If gallstones are associated with cholecystitis, laparoscopic cholecystectomy is preferred.

Laparoscopic surgery is also effective compared to open gallbladder removal, and recovery is faster. If the number of stones is large or the diameter of the stones is greater than 2-3 cm, the gallbladder wall is calcified or porcelain, and there is chronic cholecystitis, gallstones in childhood need to be surgically managed.

1. General**.

People with gallstones can prevent acute attacks of gallstones by making lifestyle changes (such as eating breakfast) and dietary modifications (eating less fatty foods).

2. Emergency**.

1. When gallstone pain occurs acutely, you can take non-steroidal anti-inflammatory drugs or antispasmodic drugs to relieve pain according to the doctor's instructions.

2. When a stone patient is infected and has symptoms such as chills and fever, take appropriate antibiotics according to the doctor's advice to prevent the disease from developing.

3. In the acute inflammatory period, laparoscopic cholecystectomy may be required as soon as possible, which can be quickly eliminated and also plays an important role in preventing reversal.

3. Drugs**.

1. Antispasmodic drugs: hyoscyamine is often used, which can relieve spasms and have analgesic effects. There may be adverse reactions such as dry mouth, red face, increased heart rate, mild dilated pupils, blurred vision, etc., and pregnant women are prohibited.

2. Non-steroidal anti-inflammatory drugs: diclofenac, ketoprofen, indomethacin, etc., can relieve biliary colic and inflammation. Symptoms of dyspepsia such as epigastric discomfort, dull pain, nausea, vomiting, fullness, belching, and loss of appetite may occur.

3. Choleretic and anti-infective drugs: such as dehydrocholic acid tablets and ursodeoxycholic acid tablets, which can promote bile excretion and control inflammation. However, it is generally not used for patients with biliary obstruction**, and patients with mild acute cholecystitis can take amoxicillin, clavulanate potassium combined with metronidazole to fight infection**.

Gallstones are the most common clinical diseases in hepatobiliary surgery, and once you have gallstones, you should still be active, because gallstones can cause a lot of clinical harm. At present, there is no oral medication that can eliminate gallstones, so surgery is still the best means for gallstones.

At present, there are two best methods: gallstone preservation and cholecystectomy, and we believe that cholecystectomy should be actively performed. Because the rate of gallbladder stones is relatively high after gallstone removal, it is necessary to do gallbladder removal in the future, which outweighs the losses.

At present, the application of laparoscopy is relatively common, so laparoscopic cholecystectomy is also the most mature laparoscopic surgery, in which the gallbladder can be removed and then removed from the body by making 2-3 eyes in the abdomen. The surgery is less invasive and the recovery after surgery is fast, and the time to complete the operation is between 30 and 45 minutes. The postoperative recovery is also relatively fast, and you can be discharged from the hospital on the first and second days after surgery, so the best means for gallstones is laparoscopic cholecystectomy.

If you have gallstones, go to the hospital to register first, drink more water, and eat less greasy things.

At present, there are two main methods for gallstones**, one is surgery**. The other is non-surgical**, that is, the use of traditional Chinese and Western medicine for symptoms**, traditional Chinese medicine**, etc.**. There are pros and cons to both.

The surgery is generally laparoscopic, which is a minimally invasive surgery that is simple and safe. Can be considered.

How about gallstones** I did a color ultrasound the day before yesterday and had muddy and sandy gallstones, and the gallbladder was almost full, and my stomach was a little swollen after eating, and sometimes I had diarrhea.

Wu Zhizhou, Chief Physician, Henan Provincial Hospital of Traditional Chinese Medicine.

The most important thing to pay attention to is diet, this is the basis of other **. It can also reduce the occurrence of pain. Prevent further exacerbations.

It is recommended to take ursodeoxycholic acid or anti-inflammatory choleretic tablets orally to reduce symptoms, and to eat a low-fat and low-cholesterol diet. Severe anti-inflammatory** and surgical**. You can also try dissolved stones**, where ** indications:

The diameter of gallstones is less than 2 cm; Gallstones are stones that can be transmitted by x-rays with little calcium; Cystic duct patency, i.e., a functional gallbladder on an oral cholecystography; The patient's liver function is normal; There is no significant history of chronic diarrhea. However, if you have any of the following cases, you will only have surgery. Moreover, cholecystectomy is the standard method for gallstones, but there are certain indications:

Anyone who has gallstones accompanied by obvious symptoms or recurrent cholecystitis attacks; Gallstones have more particles and smaller diameters, which are easy to fall into the common bile duct and cause cholangitis and pancreatitis; The diameter of the stone is greater than 3 cm; Those who are asymptomatic and at risk of gallbladder cancer. Others should remain conservative**.

The first method.

1. Minimally invasive surgery: Generally, minimally invasive surgery is to cut three small incisions of 2-3 cm in the abdomen, which is simple, less traumatic and faster recovery. However, minimally invasive surgery is difficult to remove small stones, and it can also induce stones.

In addition, it is also worth noting that after minimally invasive surgery, it is necessary to adjust the patient's physique through symptomatic drugs to prevent and treat it**. (These include: minimally invasive cholelithotomy, laparoscopic minimally invasive surgery).

The second method.

2. Open surgery: it is a surgical incision and stone removal. It is mainly suitable for some relatively large stones that do not work with drugs, and the gallbladder can be directly removed by surgery, which can quickly reduce the lesion.

However, surgery has certain indications, not all patients can use it (such as the elderly, children, etc.), and the traditional laparotomy is very damaging to the human body, and it takes a long time to stay in the hospital to rest, and it can be used for work and life. And the cost is high.

The third method.

3. Drugs**. Friends who have mild gallstones in the early stage must drink stone bucket tea to dissolve the stones with urine to the outside of the body. In general, no matter which method is used, drugs are necessary and the preferred method for patients.