Cholelithiasis is a common disease among Hong Kong people. Many patients have a series of questions about cholelithiasis, such as stomach pain or cholelithiasis? Is surgery necessary after diagnosis of cholelithiasis?
Are some of the methods for expelling gallstones effective?
Does the operation have to remove the gallstone together with the gallbladder?
Knowing more about raw gallstones will help the public to seek medical treatment as soon as possible when symptoms appear, and to follow up and treat appropriately.
Written by: Xu Nianzhong, a medical consultant and a surgical specialist
The gallbladder is commonly referred to as the gallbladder. Many people think that bile is produced by the gallbladder. In fact, bile is produced by the liver. The gallbladder is responsible for storing and processing bile, and bile helps digest fat.
Bile components include cholesterol, lecithin, and bile salts; when these components are out of balance, gallstones can form.
Under normal circumstances, the gallbladder will be affected by the endocrine of the human body, and it will contract regularly to expel the stored bile; however, when it is affected by drugs, it may cause the gallbladder to "unrecognize depression", and the bile stays in the gallbladder for a long time, and it is easy to gallstones.
Positive epigastric pumping pain reflex to back or gallstones
Gallstones can cause upper abdominal pain. Because the location is close to the stomach, many people mistake it for stomach pain.
The typical pain is a throbbing pain in the upper abdomen after a meal, which even reflexes to the back.
Since the gallbladder is in the right upper quadrant, if there is pain in the right upper quadrant that is reflected to the back, it may be an inflammation of the gallbladder.
Many patients experience pain at night, such as upper abdominal pain two to three hours after eating, when they are about to go to bed, the pain subsides after a while, but then wakes up again in the middle of the night and lasts for several hours, and no pain is felt after waking up. So easy to ignore.
The pain caused by gallstones is very random. When the gallbladder contracts, the gallstones have the opportunity to flow into the narrow neck such as the cystic duct. When pushed to a narrow position, the frequency of pain varies from person to person, and many patients may not seek medical attention once they are in pain.
Patients with symptoms generally require surgery to remove gallstones
After being diagnosed with gallstones, many patients will ask about the size and number of gallstones.
Fine-grained gallstones are easier to get out of the bile duct, which can lead to inflammation of the bile duct or pancreas. However, it does not mean that large-grained gallstones are more likely to remain in the gallbladder, and there will be no problems. It can also cause complications such as acute gallbladder inflammation.
In fact, the size and number of gallstones are not the most important, the most important thing is whether the patient has symptoms.
If the patient has symptoms, the doctor will generally recommend surgery; if there is no symptoms, the patient can generally continue to be observed without immediate surgery.
Because the movement of gallstones is very random, the patient's condition is also difficult to predict.
When a patient was diagnosed with gallstones, the gallstones had "plugged" the cystic duct, causing persistent pain, requiring immediate surgery; there were also patients who were diagnosed with gallstones the day before, and only continued to observe because there were no symptoms. The next day, acute gallbladder inflammation requires immediate surgery.
Drinking apple juice and olive oil to expel gallstones has no scientific basis
If the patient needs surgery to cut the gallstone, the gallbladder should also be cut, otherwise the gallstone will continue to form in the gallbladder.
Absence of gallbladder generally has little effect on health, and the liver will still produce bile; however, some patients are more prone to bloating in the early stage after surgery because their stomachs have not adapted to the new condition.
Many patients have asked whether they should stop eating after surgery. If the patient has abdominal constipation, they can pay attention to what foods are prone to constipation after eating, and reduce the consumption of such foods.
There are many remedies in the market, such as drinking apple juice, apple cider vinegar, lemon juice or olive oil to expel gallstones from the body, but there is no scientific basis in Western medicine.
Indiscriminate use of home remedies by the public may aggravate the condition.
If the public feels unwell, they should seek medical attention as soon as possible; if the doctor recommends surgery, they should follow the doctor's advice to avoid delaying medical treatment and leading to complications.
Losing weight too quickly makes cholesterol secretion disorder prone to gallstones
To prevent gallstones, eat a healthy diet.
People who lose weight should pay attention not to lose weight too hastily. If you lose 3 pounds or more in one week, it can cause imbalance of cholesterol secretion and cause gallstones easily.
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