Can people with gallstones eat durian?

In general, individuals with gallstones are advised not to eat durian, especially during acute episodes, as it may worsen the condition. The detailed explanation is as follows:

Durian is high in fat and classified as a medium-to-high-fat fruit. After consumption, it stimulates the gallbladder to contract and secrete large amounts of bile. If gallstones are blocking the cystic duct, this contraction may trigger biliary colic, causing severe abdominal pain. Even in the absence of obvious blockage, durian may still increase the burden on the gallbladder, leading to discomfort such as bloating or dull abdominal pain. Additionally, durian is extremely high in calories. Long-term excessive consumption can lead to weight gain, and obesity is a significant risk factor for both the formation and progression of gallstones, further increasing the likelihood of existing stones growing larger or new stones developing.

Moreover, durian contains high levels of sugar, which may cause indigestion in some patients. This digestive burden becomes particularly noticeable when gallbladder function is already impaired by gallstones. During an acute episode of gallstones, patients must strictly avoid all stimulating foods, and durian should be completely avoided. Even during stable periods, if one occasionally consumes a small amount, they should carefully monitor for any adverse reactions and reduce intake of other fatty foods on that day.

Therefore, to prevent recurrent symptoms, patients with gallstones should尽量 avoid eating durian and instead prioritize low-fat, low-calorie fruits such as apples and pears. If there are any dietary concerns, it is recommended to consult a doctor or dietitian to develop a safe and personalized eating plan.