Gallbladder stones incidence rate in men and women

Written by Zhang Tao
Hepatobiliary Surgery
Updated on September 08, 2024
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Understanding the gender differences in the prevalence of various diseases has important practical significance for the occurrence, development, and prevention of diseases. Research in this area has gradually gained attention from health prevention workers and provides a scientific basis for health prevention efforts.

Various clinical studies indicate that the prevalence of gallstones is significantly higher in women than in men, with an incidence ratio of about 3:1 in the affected population. With economic development, people's lifestyles and dietary structures have undergone tremendous changes, leading to an increasing trend in the incidence of gallstones. In China, approximately 8%-11% of patients suffer from gallstones, predominantly obese women around forty years old, often referred to by the three Fs: fat, forty, female.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

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Radiology
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Gallbladder stones CT manifestations

Gallstones typically display characteristic features on a CT scan. Depending on the calcium content and the chemical composition of the stones, they can appear as high-density, isodense, or low-density stones. High-density stones present as multiple areas of increased density within the gallbladder, though they can also be solitary. A solitary high-density stone generally appears as a concentric circle with low central density surrounded by high density. Isodense stones have the same density as bile, which sometimes makes them difficult to distinguish. Low-density stones, which are primarily cholesterol stones, can sometimes contain gas, appearing as low-density shadows. CT is not the first choice for diagnosing gallstones; abdominal ultrasound is generally preferred.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Dietary Taboos for Gallstones

Patients with gallstones should primarily avoid spicy and irritating foods, such as chili peppers, barbecue, and garlic. They should adopt a light diet, eat more fresh vegetables and fruits, and also avoid foods high in cholesterol and fats, as these foods can exacerbate gallstone symptoms. Since most gallstones are cholesterol stones, patients with symptomatic gallstones should also undergo surgery as soon as possible. Only through surgery can a cure be achieved, which can significantly improve the patient's quality of life. Post-surgery, patients still need to be mindful of their diet to facilitate recovery.

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Written by Zhang Tao
Hepatobiliary Surgery
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Clinical manifestations of gallstones

Clinical manifestations of gallbladder stones: 1. Patients often experience abdominal pain after a full meal or when eating greasy food. 2. Patients may experience upper abdominal pain, bloating, belching, and regurgitation after consuming a high-fat diet in excess, or during periods of stress or poor rest. These symptoms are often misdiagnosed as stomach disorders. When gallstones chronically press against and block the gallbladder ducts without causing an infection, the gallbladder mucosa absorbs bile pigments and secretes mucinous substances, leading to the accumulation of fluid in the gallbladder. This fluid is usually clear and colorless, commonly referred to as white bile.