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Not every person with choledocholithiasis has inflammation.
Some patients are aware of the obstruction without inflammation.
However, some patients have inflammation as soon as they have a stone.
It has a lot to do with each person's eating habits.
People who eat strong foods have higher levels of white blood cells in their bodies.
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Not all common bile duct stones are infected, and they may not be so tightly blocked, so it is possible that they may not be inflamed. So you can't talk about this time.
If it is inflamed, it will be painful, and if it is suppurated, the patient will definitely have a fever, and it will be known without surgery.
However, you can try drugs in the early stage, and at the same time pay attention to the regulation of your diet, and do not eat greasy, hard, sticky, and indigestible products.
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I understand your situation, in fact, although gallstones are a common disease, and they are divided into biliary stones and bile duct stones, ** is very diverse and very clear.
Don't say much else, just talk about the ** plan of your current situation:
1) Non-surgical**: ursodeoxycholic acid is used. Please note:
Don't use domestic ones, choose "Yousfu". Don't ask why, if there are things I can't say too clearly.
Yousfu is not cheap, about 250 300 yuan per box. You have to think about it according to your financial means. Dosage should be slightly larger, 2 capsules three times a day or as directed by a doctor.
Another point to remind you is that if the biliary tract is completely blocked, this medicine cannot be used, and surgery is necessary!
2) Surgery**. I won't say much about that.
I still recommend that you have surgery as soon as possible and do not delay.
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Suppuration patients will have fever, common bile duct stones caused by obstruction must be operated on**, if wait until the suppuration is over, the patient suffers, but also to spend a lot of money, this time is no specific basis, different from person to person.
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If obstructive jaundice lasts for more than a little time and jaundice exceeds a certain level, even if the biliary obstruction is relieved, the liver damage caused by liver stasis may not be completely recovered. Therefore, "the current bilirubin has not been reduced" in addition to not completely relieving the biliary obstruction, it may also be the reason why the current liver function has not recovered. In addition, it is necessary to be vigilant about the possibility of prolonged development of "cholangiocarcinoma".
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T contrast is done to check whether the bile tract is open and whether there are foreign bodies in the bile duct. I don't know what the specific part of the internal suppuration you are talking about, but under normal circumstances, as long as the T duct remains unobstructed, there will be no suppuration in the biliary tract. If it is an intra-abdominal suppuration, it is necessary to find a way to drain the pus, if the puncture is good, it should be punctured and drained under ultrasound guidance, if not, surgical drainage may be required.
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Acute suppuration, generally do not do contrast examination, to check also after inflammation control.
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There is no specific standard for this, and it depends on the severity of the disease, whether it is sensitive to drugs, whether the medication is reasonable, whether it is timely, and the patient's physique. Generally, it takes about a week to recover.
Wishing you a speedy recovery!
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I also had inflammation and suppuration of my tonsils a few days ago, and now I am basically better. Two months ago, I also had suppuration, and the doctor asked me to take anti-inflammatory drugs, but I didn't like antibiotics, so I bought Chinese medicine anti-inflammatory drugs, and it didn't hurt after a day, and it was fine in a week. This time I got on fire, and I'm the same as last time, and now it's okay.
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There is no standard. The principle is that the body temperature is normal and no antipyretics are used, which means that the condition is under control.
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Until it's no longer inflamed.
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Do not eat oily foods (including vegetable oils), do not eat eggs, duck eggs. Of course, the best thing to do is surgery**. There is no special internal medicine method.
When you have inflammation, try: metronidazole, ciprofloxacin, VITK4 8mg, VITB6 20mg 2 times a day.
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First of all, what is the cause of inflammation of the common bile duct?
The most common is obstruction, in which bile duct stones are common, and if the stones are in the common bile duct, either surgery or endoscopic removal of the stone by ERCP is performed in medicine.
If there is no cause of obstruction, anti-inflammatory and choleretic are generally sufficient.
In general, it is one to two courses of treatment, usually drink more boiled water, eat less or no food with calcium.
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