Can multiple gallbladder stones be treated conservatively?

Whether multiple gallbladder stones can be managed conservatively depends on the specific condition. If the condition is mild, conservative treatment may generally be appropriate; however, if the condition is severe, conservative management is not recommended. Patients experiencing discomfort should seek medical attention promptly and receive treatment under a doctor's guidance. The detailed analysis is as follows:

Multiple gallbladder stones may be associated with inflammatory irritation, improper diet, and other factors. If the condition is mild—such as when the patient has no obvious symptoms, few stones, small stone diameter, and normal gallbladder function—conservative treatment may be considered. Patients should avoid high-fat and high-cholesterol foods such as fatty meats and animal organs, reduce intake of greasy foods, and increase dietary fiber to promote bile excretion and aid in the digestion of stones.

If the condition is more severe, with numerous or large gallstones and symptoms such as significant gallbladder pain, nausea, and vomiting already present, conservative treatment is not suitable. In such cases, conservative approaches may fail to control the disease effectively and could delay timely intervention. Patients should follow their doctor’s recommendations for cholecystectomy to help relieve symptoms.

Patients with multiple gallbladder stones should ensure adequate rest, avoid strenuous exercise, and refrain from overexertion to prevent increasing the burden on the gallbladder and worsening the condition.