What to do if gallbladder stones are found on physical examination

  With the popularity of physical examinations, it is very common to find gallbladder stones on ultrasound during physical examinations. For asymptomatic gallbladder stones found on physical examination, not all need to be treated, but according to the number and size of the stones, the thickness of the gallbladder wall, whether they are combined with polyps or adenomyosis, and whether there are other accompanying diseases.
What kind of gallbladder stones need surgery?

  Patients who have had cholecystitis or biliary colic need surgery to remove the gallbladder. In addition, for asymptomatic gallbladder stones, surgical removal of the gallbladder is recommended when the following conditions exist: the
  stones fill the gallbladder and cause the dark areas of the gallbladder to disappear and lose function; gallbladder stones with thickening of the gallbladder wall more than 5 mm; gallbladder stones with common bile duct Stones; Gallbladder stones with polyps and polyps larger than 5 mm; Gallbladder stones compress the common hepatic duct or common bile duct; History of unexplained acute pancreatitis with gallbladder stones; Stones exceeding 3 cm; Stones with a history of more than 10 years or female patients with stones over 65 years old ; Patients with gallbladder stones with diabetes or coronary heart disease.

Can gallbladder stones that do not require surgery be treated with medication?

  For patients who do not have the above indications for surgery, it is recommended to review them regularly. If the stone is less than 1 cm and there is no calcification, you can try to take ursodeoxycholic acid, compound azimide and Chinese patent medicines for choleretics. Some patients may get obvious stone-dissolving effect.
What should patients with gallbladder stones usually pay attention to?

  After the gallbladder stones are found, you can work and live normally. You should always pay attention to eating three meals a day on time, avoid frequent skipping breakfast or dinner; eat less high-fat diet appropriately. A balanced diet is necessary to meet the body’s needs, and long-term non-intake of fatty foods can lead to malnutrition.
What should I do if gallbladder stones are found during physical examination?

  Most asymptomatic gallbladder stones found on physical examinations can be left untreated, and regular follow-up observations are enough. There are often the following situations:
  1. There has been no symptoms and no treatment is needed.
  2. Discomforts such as dull pain and bloating of the right upper abdomen occur intermittently, which need to be differentiated from gastrointestinal diseases. If it is confirmed that it is caused by gallbladder stones, surgical treatment should be considered.
  3. During the follow-up observation process, it was found that the gallbladder was filled with stones, the gallbladder wall thickened more than 5 mm, biliary colic or cholecystitis occurred, the stones fell into the bile duct and even caused cholangitis or pancreatitis. There are indications for cholecystectomy. Surgery should be considered.
  Given that the gallbladder has the function of concentrating, storing bile, and expelling bile into the bile duct and then entering the intestine after eating, it is helpful for the digestion and absorption of food; therefore, when asymptomatic gallbladder stones are found on physical examination and the gallbladder is still functioning, it is recommended not to temporarily Urgent treatment can be reviewed regularly. If the disease progresses to the indications for cholecystectomy during the observation process, laparoscopic cholecystectomy should be actively considered.

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