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Liu Wu Cai
Hepatobiliary Surgery
About me
Deputy Chief Physician, has repeatedly visited provincial tertiary hospitals for further training in general surgery.
Proficient in diseases
Standardized treatment for gallstones, tumors, gastrointestinal tumors, as well as general surgery such as thyroid and breast surgery.
Voices
Is the recurrence rate of intrahepatic bile duct stones high?
Intrahepatic bile duct stones can potentially recur. Intrahepatic bile duct stones are often accompanied by acute cholangitis, resulting in significant right upper abdominal pain, and may also present with nausea, vomiting, abdominal distension, diarrhea, and other gastrointestinal symptoms. When symptoms occur, surgery can be performed to open the bile duct and remove the stones for a radical cure. However, there is also a possibility of recurrence in postoperative patients. The likelihood of recurrence cannot be definitively determined but should be assessed based on the condition of the illness. Therefore, patients who have undergone surgery should also have regular ultrasonographic follow-ups to dynamically observe changes in their condition and prevent the worsening of the disease.
Is a liver cyst hard to the touch?
Liver cysts are a common type of benign tumor in the liver, often undetectable through physical examination because most liver cysts are small in size and are usually found during ultrasonography. At this stage, no special treatment is necessary; it is advisable to regularly recheck with ultrasound to monitor any changes in size. However, for patients with large liver cysts, localized compression symptoms may occur, affecting liver function, and can be detected during physical examination. These cysts typically feel soft, not hard. Therefore, early surgical removal should be considered to improve patient outcomes.
Can you drink water with acute cholecystitis?
Whether patients with acute cholecystitis can drink water mainly depends on the course of the disease. In the early stages of acute cholecystitis, patients may experience digestive symptoms such as nausea, vomiting, and abdominal distension. At this time, they should not drink water; instead, they require fasting and gastrointestinal decompression to better control the condition, especially to prevent the occurrence of intestinal obstruction. After antibiotic treatment and control of the inflammation, once the gastrointestinal function is fully restored, patients can then drink water, but only in small amounts. For patients with acute cholecystitis, if symptoms do not improve after conservative treatment, it may even be necessary to surgically remove the gallbladder to achieve a definitive cure. The primary method is laparoscopic cholecystectomy, which can effectively treat the condition.
Will intrahepatic bile duct stones cause a bluish complexion?
Patients with intrahepatic bile duct stones, if experiencing an episode, may exhibit symptoms such as sharp pain in the upper right abdomen, often accompanied by nausea, vomiting, abdominal bloating, and diarrhea. These patients are prone to acute cholangitis. Additionally, this condition is a type of biliary colic, thus the pain is significant and may even manifest as a bluish complexion. Therefore, patients with prominent symptoms should undergo surgery as soon as possible. Surgery is the only definitive treatment. Although the use of antibiotics for infection control can alleviate the inflammation and improve the condition temporarily, recurrence is common.
Can intrahepatic bile duct stones with calcification foci become larger?
When intrahepatic bile duct stones are accompanied by calcification, the volume may increase. The calcification is a description found in ultrasonography and CT imaging, and is considered a benign lesion that does not require special treatment. Regular follow-up with ultrasound can be conducted to dynamically observe changes in volume, which generally tends to increase at a relatively slow pace. Of course, for patients with intrahepatic bile duct stones, if acute cholangitis occurs repeatedly, it will manifest as discomfort or pain in the upper right abdomen. Therefore, early surgical treatment should be undertaken to fully address the issue. The mentioned method mainly involves laparoscopic choledocholithotomy, which can achieve better treatment outcomes.
Will liver hemangiomas cause spots on the face?
Patients with hepatic hemangiomas generally do not experience issues with scarring. For patients with hepatic hemangiomas, liver function abnormalities typically do not occur, so there won’t be any formation of spots. If spots do appear, they are mainly due to other causes. When the hepatic hemangioma is small in size, patients generally do not exhibit noticeable symptoms and special treatment is not necessary at this stage; periodic follow-up with ultrasonography to monitor any changes in size is sufficient. However, for patients with large hepatic hemangiomas, there may be pain in the liver area, potential rupture and bleeding, and even the possibility of hemorrhagic shock; therefore, it is crucial to be vigilant and pursue surgical removal early to better improve the prognosis of the patients.
What to do about vomiting due to intrahepatic bile duct stones?
Patients with intrahepatic bile duct stones often have concomitant acute cholangitis, presenting with prominent right upper abdominal pain. Thus, they may experience clinical symptoms such as nausea, vomiting, chills, high fever, and jaundice. At this point, treatment should involve the use of antibiotics to combat the infection. Once the inflammation is controlled, the condition can be alleviated. Gastric protective drugs can also be used for symptomatic treatment to better relieve symptoms. However, for patients with symptomatic intrahepatic bile duct stones, the primary treatment is surgical, which is the only way to cure the condition completely. Conservative treatment can only alleviate symptoms. The surgical method mainly involves laparoscopic choledochotomy for stone removal, which can cure the condition by removing the stones.
How to deal with inflammation and pain caused by intrahepatic bile duct stones?
For patients with intrahepatic bile duct stones, acute cholangitis may occur, which can cause fever and significant upper abdominal pain. At this time, antibiotic treatment should be used to control the infection, and the condition can be alleviated once the inflammation is under control. Moreover, if the condition recurs repeatedly, surgical treatment should be chosen. Only by surgically removing the stones can the symptoms be completely cured. Patients with intrahepatic bile duct stones should also be careful with their diet. They should avoid spicy and irritating foods to reduce inflammation, and eat more fresh vegetables and fruits that are rich in vitamins to better promote recovery. Patients who have undergone surgery should also have regular ultrasound check-ups to dynamically observe changes in their condition.
Is dandelion useful for intrahepatic bile duct stones?
Dandelion has no effect on intrahepatic bile duct stones. For patients with intrahepatic bile duct stones, if the stones are small, generally there are no obvious symptoms at this time, and no special treatment is needed. It is possible to periodically review with color ultrasound to dynamically observe the change in size. Of course, spicy and irritating foods should be avoided in the usual diet to reduce inflammatory stimulation, and eating more fresh vegetables and fruits can better control the development of the condition. For patients with larger intrahepatic bile duct stones, there might be complications such as acute cholangitis, characterized by severe pain and jaundice. Therefore, in such severe cases, early surgical treatment should be considered.
What should not be eaten after a tetanus shot?
After a tetanus injection, one should avoid spicy and irritating foods, such as chili peppers, barbecue, and garlic, as these foods may cause inflammatory stimulation and increase the burden on liver function, potentially leading to unnecessary side effects. Additionally, patients should avoid hard-to-digest foods and primarily consume a light diet, eating plenty of fresh vegetables and fruits, which is beneficial in controlling the condition. Also, alcohol should be avoided after a tetanus vaccination to prevent adverse reactions from drinking. Tetanus is a severe disease, and there are no specific drugs for its acute episodes, so prevention is crucial, especially for deep tissue burns, where a timely tetanus shot should be administered.