How to treat gallstones with cholecystitis?

Updated on healthy 2024-07-07
5 answers
  1. Anonymous users2024-02-12

    Hello, based on your description, the following suggestion:

    1. Conservative**, anti-inflammatory and choleretic, because there is a possibility of genetic history. Same as you are now. However, there is a risk of bile duct stones, acute pancreatitis, cystic duct obstruction, purulent cholecystitis, gallbladder perforation, and gallbladder cancer.

    In severe cases, laparotomy is required in the acute phase. Of course, it is possible that it will never have a seizure in the future. Surgery is not recommended "at this time".

    2. Routine is when the gallbladder is not severe, that is, when you have no symptoms, or 2-3 months after the acute attack, elective laparoscopic cholecystectomy or laparoscopic combined choledoscopic cholelithotomy.

    There are pros and cons to both surgical methods, depending on the individual's choice, after gallbladder removal, there may be nutrients and digestion, and there are symptoms such as diarrhea and right upper quadrant discomfort in a short period of time (3-6 months), commonly known as post-gallbladder resection syndrome. According to individual differences, the postoperative response of those with better gallbladder function was severe, and the postoperative response of those with poor gallbladder function was basically unremarkable.

    Cholelithotomy is also minimally invasive, that is, a single stone is taken, and then the gallbladder is sewn on, but there is a possibility, but in the future, it can be minimally invasive to remove or re-cholelithotomy.

    At present, minimally invasive laparoscopic surgery is widely used in the surgical field because of its characteristics of small trauma and fast postoperative recovery. If the operation goes well, it is not necessary to put the drainage tube, but it will be removed after 2-3 days.

    3. Stone expulsion is generally not very acceptable in surgery, because it is easy to lead to common bile duct stones, cholangitis, obstructive jaundice, acute pancreatitis, and small lesions. Stone removal is not recommended**.

    Please consider it carefully.

    If you have something, please feel free to ask questions.

  2. Anonymous users2024-02-11

    The premise is whether the clinical symptoms are serious or not, and if you consider it purely from the perspective of stones, you need to have lithotripsy, but in terms of the current social situation, there are too many patients with stones and no symptoms, if you are conservative and appropriate, many patients do not need surgical resection, and there are many sequelae of surgery, so surgery is not advocated, of course, if there are necessary surgical indications, surgery should be done quickly.

    But as far as you mentioned, gallstones in the gallbladder, you can consider traditional Chinese medicine to excrete stones**, pay attention to diet, too greasy, overeating, emotion, you can refer to: Encyclopedia: cholecystitis.

  3. Anonymous users2024-02-10

    Chinese patent medicine: clear heat and choleretic granules [Indications] clear heat and dampness, anti-inflammatory and choleretic. For cholecystitis, gallstones with cholecystitis.

    Choleshu soft capsule [Indications] soothes the liver and regulates qi, and relieves cholebladder. It is mainly used for chronic calculous cholecystitis, chronic cholecystitis and gallstones, liver and gallbladder stagnation, and damp-heat stagnation.

    Stone expulsion choleretic granules [Indications] Stone expulsion choleretic granules: soothe the liver and regulate qi, choleretic and stone removal. It is used for cholecystitis and gallstones.

    Western medicine: anti-inflammatory and choleretic tablets.

  4. Anonymous users2024-02-09

    In terms of traditional Chinese medicine, you can drink Defu's Yushi tom tea, and then take it together with anti-inflammatory drugs, which is of great help to the improvement of the condition.

    It should also be noted that it is usually best to eat less eggs, duck eggs and the like, this kind of eating is not good for gallstones, try to eat less eggs.

    Gallstones are mainly to slowly excrete the stones from the body, and to regulate their own body, such as doing more sports, like climbing a mountain or something.

    Diet:

    1) The diet should be light and easy to digest, eat foods rich in nutrients and vitamins, and eat more foods containing vitamin A such as green vegetables, carrots, tomatoes, corn, etc.

    2) It is advisable to eat more fruits.

    3) It is advisable to cook with vegetable oil.

    4) It is advisable to eat more soy products. Such as yuba, tofu and so on.

    5) It is advisable to eat more lean meat, chicken, and fish (except eel).

  5. Anonymous users2024-02-08

    Most people with cholecystitis will have gallstones, but not all patients will have gallstones. Cholecystitis is associated with causes that can lead to bile duct strictures, such as gallstones.

    Cholecystitis is common to find gallstones with gallstones, and surgical removal of the gallbladder is often recommended. However, surgery is not an ideal option. Gallbladder removal surgery is not complicated, but losing your gallbladder can be a hidden danger for you.

    The gallbladder is not as dispensable as the appendix. After the removal of the gallbladder, the digestion of fat is greatly affected, and many people are afraid to eat raw, cold and fatty foods due to diarrhea and other reactions, and the quality of life is greatly affected.

    In addition, most patients with cholecystitis have liver and gallstones. After the gallbladder is removed, intrahepatic stones persist, which can cause surgical stump stones**. Secondary choledocholithiasis can also cause acute pancreatitis.

    [Miaoling Cholitis Fang] can repair the damaged gallbladder wall, make the bile discharge smoothly, and restore the body-internal environment to normal, which not only plays a role in soothing the liver and regulating qi, invigorating blood and relieving pain, but also dissolves gallstones in the gallbladder and excretes them from the body, eliminating the symptoms of pain.

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Minimally invasive surgery, generally minimally invasive surgery is to cut three small incisions of 2-3 cm in the abdomen, the surgical method is simple, less traumatic, and the recovery is fast. However, minimally invasive surgery is difficult to remove small stones, and it can also induce stones.

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Generally speaking, if the diameter is greater than 1cm, or there are obvious symptoms (pain, right upper quadrant pain, etc.), accompanied by polyps, gallbladder neck stones, or older people, surgery is generally recommended**, most of them can be treated by laparoscopic surgery, the trauma is small, and they are generally in the day ward, and they can be discharged in one day.