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Gallstones are divided into gallstones, intrahepatic bile duct stones and extrahepatic bile duct stones, and the symptoms are different in different parts, and whether gallstones have symptoms mainly depends on the size of gallstones and whether there is obstruction and inflammation. 80% of patients with gallstones have no symptoms, more than found in physical examination, and 80% of them can be asymptomatic for life, that is, the so-called hidden stones, if the gallstones are larger, they can cause bloating and discomfort in the middle and upper abdomen or right upper abdomen, and can radiate to the back and shoulders, can burp, belch, can be greasy, often misdiagnosed as stomach cramps or gastric ulcers, small stones can be manifested as eating, full meals or lying down at night to cause biliary colic and acute cholecystitis. There are also small stones that may fall into the bile duct due to the contraction of the gallbladder, causing common bile duct stones and jaundice.
Some stones can also cause long-term obstruction, leading to hydrocystis. When gallstones are not infected, there are generally no special symptoms, or only mild discomfort in the right upper quadrant, and tenderness and muscle tension in the right upper quadrant and mid-abdomen may occur when there is an acute infection. Bile duct stones may be asymptomatic or present with only mild epigastric discomfort during intermittent phases, and acute purulent cholangitis may present in the acute phase.
Liver tenderness may be present on physical examination. The typical symptom of extrahepatic bile duct stones is the Charcot triad in medicine, that is, the patient presents with abdominal pain, fever, and jaundice. If acute cholangitis is not present, mild discomfort may also occur.
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The general principle of gallstones is that no more than the number of stones can be rechecked regularly for 3 months, or appropriate drug conditioning, and the excess stones must be surged.
For gallbladder diseases, the most effective methods are only the first method of surgery, and the current surgical methods include traditional open gallbladder resection surgery, laparoscopic gallbladder removal surgery with small incision, and the safest and most effective minimally invasive cholelithotomy.
If the patient does not have any underlying medical conditions and does not have severe perforated ulceration and necrosis of the gallbladder, there is still a chance to save the gallbladder. It can be a minimally invasive gallstone removal surgery, which is minimally invasive, has a small incision, fast recovery, and is more thorough in stone removal, which can help you completely preserve your gallbladder and function.
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Gallstones are clotting that forms within the gallbladder and are one of the most common digestive diseases in clinical practice. The clinical manifestations of gallstones mainly include episodic abdominal pain, acute inflammation, and complications such as jaundice, cholangitis and pancreatitis can occur if the stones enter the common bile duct, and some patients may have no symptoms.
The symptoms of gallstones depend on the size and location of the stone, as well as the presence or absence of blockage and inflammation. About 50% of patients with gallstones are asymptomatic for life, so-called occult stones. Sometimes there is only slight epigastric distention, dull pain, discomfort, belching, etc., and the symptoms are more obvious after eating greasy, which is easy to be regarded as "hepatitis" and "gastritis".
Large gallstones, especially metabolic gallstones, patients with gallstones will feel tearing or burning pain in the abdomen, especially the right upper abdomen will have sudden pain, and there will be labor pains at night, multiple times or even continuous pain, and more and more intense.
The range of pain caused by gallstones and cholecystitis includes: right shoulder, right armpit and back, if it is severe, it can cause acute pancreatitis, and its symptoms are trembling, fever, vomiting, nausea, jaundice, etc., and jaundice is caused by the obstruction of the operation of bile, and the organs related to the flow of bile are gallbladder and bile ducts, so cholecystitis, gallstones and other diseases will cause bile sweat flow blockage, resulting in yellow bile symptoms, patients will be yellow, urine such as tea.
At present, the minimally invasive cholelithotomy is professional, with small wounds and fast recovery, which has been well received by many patients!
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Depending on the type of stone, generally sediment-like stones can eat some German mugwort, if the stone is large, only surgery.
Laparoscopic surgery is generally better.
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Traditional Chinese medicine stone removal ** is better, if it is very serious, minimally invasive stone removal should be done.
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The main symptoms of gallstones are as follows:
1. Asymptomatic gallstones, most of the gallstone patients have no symptoms in the early stage, or no obvious symptoms, which will cause many patients to not get the reason for the timely ** in the early stage.
2. Pain. The most common symptoms in the early stage of gallstones are mainly pain, which is most often located in the upper abdomen or the right upper abdomen, sometimes radiating to the shoulders and back, sometimes nausea, vomiting, and many patients will also have fever, chills, sweating profusely and even accompanied by jaundice.
3. Jaundice: Some patients with gallstones can have transient jaundice, mostly after severe abdominal pain, and the jaundice is mild. Gallstones with cholangitis, enlarged and unswelled sac compressing the common bile duct, causing partial obstruction, or transient damage to liver cells due to infection, can cause jaundice.
Presents with a yellowish discoloration of the sclera of the eye.
Compared with the past, the difference is that gallstones are now minimally invasive gallstones, which can avoid the removal of the gallbladder.
There is pain or tenderness under the right rib, and urine is sometimes yellow and sometimes nauseous.
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