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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 it normal to feel nauseous with gallstones?
Patients with gallstones experiencing nausea and vomiting is normal, as gallstones often cause acute cholecystitis, leading to pain and discomfort in the upper right abdomen. At this time, it may also affect the stomach causing nausea and vomiting, so it is advisable to use antibiotics for anti-infection treatment as soon as possible. Once the inflammation is controlled, the condition can be alleviated. When nausea and vomiting occur, it is also advisable to fast for gastrointestinal decompression, which can better alleviate the condition. Additionally, after returning to a normal diet, one should avoid spicy and irritating foods to reduce inflammation and aid in the relief of the condition. If symptoms do not improve with conservative treatment, surgery should be considered as soon as possible.
How long does it take for gallstones to develop into gallbladder cancer?
Gallstones do not necessarily develop into gallbladder cancer. For patients with gallstones, they mainly experience discomfort and pain in the upper right abdomen, especially after overeating or drinking alcohol, when the symptoms suddenly appear. Gallstones do not necessarily cause gallbladder cancer. If symptoms occur, surgery should be performed at this time. Only through surgery can a cure for gallbladder cancer be achieved. It is a common malignant tumor of the gallbladder, mainly caused by repeated inflammatory stimuli or genetic factors. At this time, surgery should be performed to better improve the prognosis of the patient. Early stage gallbladder cancer can be completely removed surgically to achieve a cure.
Is it serious if a liver hemangioma occasionally causes needle-prick-like pain?
For patients with liver hemangiomas, if they occasionally experience needle-like pain, the condition is relatively mild at that time, but regular follow-up ultrasound exams are still needed to monitor changes in the condition. The diet should primarily be light, including plenty of fresh vegetables and fruits, avoiding hard-to-digest foods, and avoiding spicy and irritating foods to reduce inflammatory stimulation, which is beneficial for controlling the condition. Of course, if the hemangioma is large, it may cause local compression symptoms, primarily characterized by persistent pain in the liver area. For such cases, surgery should be performed as soon as possible to achieve a cure and improve the patient's prognosis.
What foods to eat for late-stage gallbladder cancer?
Patients with advanced liver cancer will experience metastasis to other parts of the body, presenting corresponding clinical symptoms that affect the quality of life. Furthermore, patients with advanced liver cancer often exhibit significant weight loss and cachexia, commonly accompanied by hypoalbuminemia. Therefore, for patients with advanced gallbladder cancer, it is advisable to include a diet rich in high-protein foods, which can help replenish the proteins needed by the body, such as albumin, and improve the patient's immunity. It is beneficial to eat fresh vegetables, fruits, as well as lean meats, eggs, and fish, to address these symptoms appropriately. At the same time, for patients with advanced gallbladder cancer, it is important to avoid spicy and irritating foods, as well as foods that are difficult to digest, because these can increase the burden on the gallbladder, exacerbating the condition and impeding treatment. Hence, this should be given careful consideration.
Is the likelihood of malignant transformation of intrahepatic bile duct stones high?
Intrahepatic bile duct stones have a relatively low probability of becoming cancerous. Patients with intrahepatic bile duct stones may develop acute cholangitis, presenting with symptoms like severe pain in the upper right abdomen, nausea, vomiting, jaundice, and systemic infectious symptoms such as chills and high fever, but generally, these stones do not become cancerous. When patients with intrahepatic bile duct stones exhibit significant symptoms, it is important to take them seriously and perform timely surgical treatment to achieve a radical cure. The main surgical approach is laparoscopic salpingotomy for stone removal, which can lead to better treatment outcomes. Additionally, dietary adjustments should include avoiding spicy and irritating foods to reduce inflammatory stimuli and better prevent exacerbation of the condition.
Can I eat before a gallbladder stone examination?
Before checking for gallstones, one should not eat, as the main methods of examination are through color ultrasound and CT scans, which can better lead to a diagnosis. Both color ultrasound and CT scans require fasting because eating can cause the stomach to fill, potentially resulting in artifacts that hinder the observation of the condition. Therefore, patients with gallstones need to fast before the examination. The approach to treatment depends on the presence of symptoms and the size of the stones. For large gallstones that cause recurrent episodes, early surgical treatment should be considered. Only by surgically removing the gallbladder can a definitive cure be achieved, which can significantly improve the prognosis for the patient.
What should I do if I feel abdominal distension due to a liver cyst?
For patients with liver cysts, if abdominal distension occurs, it is important to promptly recheck with an ultrasound, which can better observe the size of the liver cysts. For larger liver cysts, which might cause abdominal distension and potentially liver function abnormalities, surgical removal is necessary to achieve therapeutic effects. Generally, liver cysts that are small in size do not cause noticeable discomfort and are mostly discovered during ultrasound examinations, requiring no special treatment other than regular ultrasound monitoring. For patients with larger liver cysts, it is crucial to pay close attention and perform surgical removal as early as possible to improve the prognosis.
How should gallstones be treated?
For the treatment of gallstones, the decision mainly depends on whether there are symptoms and the size of the stones. Patients with small gallstones generally do not exhibit clear symptoms and are often discovered only through ultrasound. They do not require special treatment; regular follow-up ultrasounds to dynamically observe any changes in size are sufficient. In daily diet, it is advised to avoid food high in cholesterol and fats, and to maintain a light diet, which can better control the condition. Patients with large gallstones often experience recurrent upper right abdominal pain and discomfort, which affects their quality of life. Treatment can include the use of antibiotics to manage infections. Once the inflammation is controlled, the condition can be alleviated, but recurrences are common, necessitating eventual surgical removal of the gallstones to achieve a better treatment outcome. Primarily, complete removal of the gallbladder through surgery can potentially cure the condition.
Is inflammation of a liver cyst always accompanied by severe fever?
If a patient with a liver cyst experiences inflammation, and presents with a high fever indicating a relatively severe condition, it is crucial to start treatment with antibiotics to combat the infection as soon as possible. Only after the inflammation is under control can the condition be alleviated. If the inflammation is not controlled in time, it may develop into a liver abscess, which is a serious and critical condition, thus early treatment is crucial. Moreover, patients should also avoid spicy and irritating foods in their diet to reduce inflammatory irritation, which can better facilitate the recovery from the condition. The diet should include more protein-rich foods such as eggs, lean meats, and fish, which can provide the necessary energy and improve resistance, beneficial for the recovery of the condition.
What's causing the vomiting in gallbladder cancer?
Gallbladder cancer patients, if they experience vomiting, the causes primarily include two aspects. On one hand, vomiting may occur due to obstructive jaundice caused by gallbladder cancer. At this time, the patient may experience abdominal distension and poor digestion, which could lead to nausea and vomiting. For treatment, it is advisable to perform surgery as soon as possible to achieve therapeutic effects and prevention. On the other hand, for gallbladder cancer patients, vomiting should be taken seriously as it could be a sign of metastasis to other parts of the body, such as the gastrointestinal tract or liver. Therefore, for gallbladder cancer patients, it is important to conduct comprehensive examinations to rule out metastasis to other locations. If metastasis occurs, systemic chemotherapy may be necessary to achieve better suppressive effects.