What to do about vomiting due to intrahepatic bile duct stones?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on April 07, 2025
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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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will liver bile duct stones cause facial spots?

Patients with intrahepatic bile duct stones generally do not experience facial pigmentation. The symptoms of intrahepatic bile duct stones primarily manifest as acute cholangitis, with noticeable right upper abdominal pain, and may be accompanied by nausea, vomiting, abdominal distension, diarrhea, and other gastrointestinal symptoms. Some patients may also exhibit symptoms of systemic infection such as chills, high fever, and fatigue. Additionally, obstructive jaundice can occur, characterized by lighter stool color, darker urine color, and yellowing of the skin and mucous membranes. However, facial pigmentation generally does not occur. Therefore, for patients with recurrent intrahepatic bile duct stones, early surgical treatment should be considered. Surgery is the only definitive treatment to relieve the condition effectively.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

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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 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 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.