Hepatolithiasis

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Where to massage for intrahepatic bile duct stones?

If intrahepatic bile duct stones are present without obvious symptoms, no special treatment is needed at this time. It is advisable to regularly re-examine with ultrasound and dynamically observe any changes in size. Of course, diet should avoid spicy and irritant foods, mainly light foods, and consume more fresh vegetables and fruits to reduce inflammatory stimulation and better control the progression of the disease. If there are significant symptoms, there will be obvious pain in the upper right abdomen, and possibly nausea, vomiting, and other gastrointestinal symptoms. Therefore, the treatment should involve early surgical intervention, as surgery is the only way to achieve a cure. The main surgical method is laparoscopic choledochotomy for stone removal.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is the incidence of intrahepatic bile duct stones high?

Intrahepatic bile duct stones have a relatively low incidence rate. They are a type of gallstone, and compared to gallbladder stones, their occurrence is less frequent. Patients with intrahepatic bile duct stones often experience concurrent cholangitis, leading to symptoms such as upper abdominal pain, significant nausea, and vomiting, along with other gastrointestinal symptoms. Therefore, for patients with intrahepatic bile duct stones, when significant symptoms occur, not only is the use of antibiotics necessary to treat the infection and control the inflammation, but surgery is also required to achieve therapeutic effects. The primary surgical method is choledochotomy for stone removal, which can lead to better treatment outcomes after the stones are extracted.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will running cause pain if there are stones in the bile ducts within the liver?

Patients with intrahepatic bile duct stones may experience pain while running. For patients with intrahepatic bile duct stones, symptoms often worsen after vigorous activities. These patients frequently also suffer from cholangitis, which can cause significant pain in the upper right abdomen, along with clinical symptoms such as jaundice, nausea, vomiting, chills, and high fever, especially after consuming greasy food or overeating combined with intense activity. Therefore, it is advisable to seek surgical treatment as soon as possible. The main surgical method is laparoscopic choledochotomy for stone removal, which can achieve better treatment outcomes after the stones are extracted.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Does Jin Qian Cao expel gallstones from the liver's bile ducts?

This method cannot eliminate intrahepatic bile duct stones. The treatment for intrahepatic bile duct stones mainly depends on the symptoms. For patients with intrahepatic bile duct stones who do not have significant symptoms and whose stones are relatively small, no special treatment is required. Avoiding spicy and irritating foods in the diet can reduce inflammatory stimuli and better control the condition. Regular follow-up with ultrasonography is sufficient. However, for patients with larger intrahepatic bile duct stones, acute cholangitis may occur, presenting with significant upper abdominal pain. In such cases, proactive treatment is necessary. The treatment mainly involves surgery, which can significantly improve the prognosis and potentially cure the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Are intrahepatic bile duct stones the same as gallstones?

Intrahepatic bile duct stones are a type of gallstone, and patients with intrahepatic bile duct stones often develop cholangitis. Thus, patients may exhibit symptoms such as chills, high fever, jaundice, and significant upper abdominal pain. They might also experience nausea and vomiting. In severe cases, the condition can lead to acute obstructive suppurative cholangitis, septic shock, and even result in death. Therefore, intrahepatic bile duct stones should be taken seriously. If significant symptoms occur, it is advisable to undergo surgery as soon as possible. The surgical method can be a laparoscopic choledochotomy to remove the stones, which can be curative. Gallstones also include gallbladder stones, which are a common type clinically. If symptoms occur, the treatment method is also surgical, involving the removal of the gallbladder to achieve a cure.

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Written by Li Hu Chen
Imaging Center
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Ultrasound presentation of intrahepatic bile duct stones

Intrahepatic bile duct stones can generally be detected via ultrasound, as they show up as strong echoes due to their solid nature which reflects sound waves back to the surface. However, the majority of these intrahepatic bile duct stones are asymptomatic. Since they rarely cause dilation of the intrahepatic bile ducts, and as long as the bile ducts do not appear dilated, thickened, or tortuous on the ultrasound, they usually do not have any significant impact. Therefore, most intrahepatic bile duct stones do not require treatment and can be managed through observation.

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Written by Zhang Tao
Hepatobiliary Surgery
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How long does it take for intrahepatic bile duct stones to form?

Intrahepatic bile duct stones are a relatively common biliary system disease, related to patients' poor lifestyle and dietary habits. The formation time of intrahepatic bile duct stones varies; some people may form stones within a few months, while others may take several years, or even more than a decade or decades to form. Therefore, it is recommended that patients go to a regular public hospital for examination and maintain a light diet with plenty of vegetables.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is running effective for intrahepatic bile duct stones?

For patients with intrahepatic bile duct stones, frequent running has no effect on treatment. For patients with intrahepatic bile duct stones, since it often coincides with cholangitis, they may experience significant pain in the upper right abdomen, along with clinical symptoms such as nausea, vomiting, chills, high fever, and jaundice. Therefore, when symptoms occur in patients with intrahepatic bile duct stones, surgery is required to achieve treatment effects. The main surgical method is a choledochotomy for stone removal, which can cure the condition by removing the stones. Generally, treatment effects cannot be achieved through diet and exercise alone. Of course, avoiding spicy and irritating foods can reduce the likelihood of cholangitis and somewhat alleviate symptoms.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do intrahepatic bile duct stones fear cold?

Patients with intrahepatic bile duct stones can possibly experience chills. This is because patients with intrahepatic bile duct stones often have concurrent cholangitis, which manifests as chills, high fever, prominent upper abdominal pain, and jaundice. In severe cases, it can even lead to acute suppurative cholangitis, septic shock, and death. Therefore, for patients with intrahepatic bile duct stones presenting with significant symptoms, early surgical treatment is advised. Surgery involves opening the bile duct to remove the stones, which can be curative. Post-surgery, it is still necessary to avoid spicy and irritating foods, such as peppers, barbecues, and garlic, and to mainly consume a bland diet with plenty of fresh vegetables and fruits to facilitate recovery. After recovery, patients generally do not experience significant discomfort.

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Written by Zhang Tao
Hepatobiliary Surgery
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Symptoms of intrahepatic bile duct stones

Intrahepatic bile duct stones, depending on the duration and pathology, can present with various clinical manifestations. In the early stages, patients generally do not show obvious symptoms, with stones limited to a certain segment within the intrahepatic bile ducts. In later stages, stones can be found throughout the intra- and extrahepatic biliary system, and may even lead to biliary cirrhosis, liver atrophy, and liver abscesses. The clinical manifestations can include: first, pain in the upper abdomen; second, a long history of biliary tract diseases, with patients experiencing chills, fever, and jaundice; third, frequent pain and discomfort in the liver area on the affected side and the lower chest, which can radiate to the shoulder and back, etc.