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How to expel gallstones

Dec 23, 2024 Source: Cainiu Health
Dr. Gao Jun
Introduction
Under normal circumstances, gallstones may be caused by factors such as dietary habits, overweight, biliary tract infections, hyperlipidemia, and cirrhosis. They can be treated or relieved with general treatments, medication, or other approaches depending on the specific situation. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. Additionally, maintaining healthy lifestyle and dietary habits is important to reduce the risk of gallstone formation.

Generally, gallstones may be caused by factors such as dietary habits, overweight, biliary tract infections, hyperlipidemia, and cirrhosis. Depending on the specific situation, general treatments or medication may be used to manage or alleviate the condition. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. Detailed explanations are as follows:

1. Dietary Habits

Long-term consumption of high-protein, high-fat, high-calorie foods, especially those high in cholesterol, can lead to prolonged retention of bile in the gallbladder, increasing the likelihood of stone formation. It is recommended to adjust dietary habits and reduce the intake of high-fat and high-cholesterol foods.

2. Overweight

Primarily associated with lack of physical activity and high-fat diets, which increase the production of free fatty acids during fat breakdown, stimulating bile secretion and promoting stone formation. Weight can be controlled through healthy eating and appropriate exercise, thereby reducing the impact of obesity on bile composition.

3. Biliary Tract Infection

Mainly caused by bacterial infection, which alters bile composition and promotes the formation of pigment stones, often accompanied by abdominal pain, fever, and jaundice. Patients may use medications such as Cefotaxime Sodium and Sulbactam Sodium for Injection, Amoxicillin Granules, under a doctor's guidance.

4. Hyperlipidemia

Caused by genetic factors and unhealthy dietary habits, leading to increased cholesterol levels in bile, which makes it prone to form cholesterol stones, possibly accompanied by obesity, dizziness, chest tightness, and other symptoms. Children may take medications such as Atorvastatin Calcium Tablets, Simvastatin Tablets (contraindicated for those under 14 years old), and Fenofibrate Capsules (contraindicated for those under 18 years old) as advised by a doctor.

5. Cirrhosis

Mainly caused by chronic hepatitis B, hepatitis C, and other conditions leading to impaired liver function, abnormal bile secretion and excretion, resulting in gallstones, possibly accompanied by fatigue, jaundice, and other symptoms. Patients may follow medical advice to use medications such as Furosemide Injection, Bumetanide Tablets, and Anluohuaxian Pills for treatment.

In daily life, patients should maintain good lifestyle and dietary habits to reduce the risk of gallstone formation.

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In general, gallstones—solid crystalline substances formed within the gallbladder—appear on B-mode ultrasound as hyperechoic masses with posterior acoustic shadowing, mobility with changes in body position, gallbladder wall alterations, and abnormal bile transmission within the gallbladder. Patients are advised to maintain a low-fat diet, avoid overeating, and minimize stimulation of gallbladder contraction. Regular follow-up gallbladder ultrasounds are recommended to closely monitor the size of the stones.
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Which is more serious: gallbladder polyps or gallstones?
It is not possible to directly determine which is more severe between gallbladder polyps and gallstones, as both conditions can be benign and low-risk in some cases, yet both also carry the potential to cause serious complications. The key factor lies in the specific characteristics of the lesion and whether complications have developed. Both gallbladder polyps and gallstones may lead to significant health problems; the crucial aspect is early detection, early diagnosis, and timely treatment.
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Is there still a gallbladder after gallstone surgery?
Whether the gallbladder remains after gallstone surgery depends on the type of procedure performed. If a cholecystectomy (gallbladder removal) was done, the gallbladder is no longer present after surgery. However, if a gallbladder-preserving stone extraction procedure was performed, the gallbladder is retained. Therefore, the key factor determining whether the gallbladder remains after gallstone surgery is whether the gallbladder was preserved during the operation. Regardless of the type of surgery, patients should follow their doctor's recommendations regarding dietary adjustments and regular follow-up examinations to support recovery.
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Where is the incision made for gallstone surgery?
In general, the surgical incision site for gallstones is determined based on the surgical approach and the patient's specific condition. Common incision sites include below the right upper abdominal rib margin, mid-upper abdomen, laparoscopic port sites in the right upper abdomen, the umbilicus, and below the xiphoid process. Ultimately, the choice of incision site must be decided by the physician, taking into account factors such as the size and location of the stones, the degree of gallbladder inflammation, and the selected surgical method.
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Can gallstones be passed out?
In general, whether gallstones can be passed depends on the size and location of the stones, as well as the patient's specific symptoms and complications. If discomfort occurs—such as abdominal pain, jaundice, or fever—it is recommended to seek medical attention promptly to avoid risks associated with self-treatment. Regardless of whether the stones can be expelled, regular monitoring via ultrasound is necessary to track changes in the stones. A low-fat diet should be maintained in daily life.
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Is it good for patients with gallstones to drink tea?
In general, whether it is beneficial for patients with gallstones to drink tea depends on a comprehensive assessment of the severity of their condition, the type of gallstones, the way tea is consumed, and individual differences. In daily life, avoid drinking tea on an empty stomach or before bedtime to prevent irritation of the gastrointestinal tract and gallbladder; do not consume overnight tea to avoid bacterial growth. If abdominal discomfort or worsening pain occurs after drinking tea, appropriate measures should be taken promptly.
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Is a 10mm gallstone severe?
In general, the severity of a 10mm gallstone depends on whether symptoms are present. A 10mm gallstone without symptoms is usually not considered serious and can be managed with regular monitoring. However, a 10mm gallstone that causes symptoms or complications is more serious and requires timely intervention. In daily care, it is important to maintain a low-fat diet and avoid fried foods, fatty meats, and similar high-fat items.
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How long does pain last after minimally invasive surgery for gallstones?
In general, pain after minimally invasive surgery for gallstones is short-lived. Most patients experience significant pain relief within 1 to 3 days after surgery, with pain essentially disappearing within about one week. The exact duration varies depending on surgical conditions, individual physical constitution, and postoperative care. Proper postoperative care can accelerate pain resolution, such as avoiding strenuous activity, keeping the incision site clean and dry, and following medical advice regarding a light diet.
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