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 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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Multiple intrahepatic bile duct stones

Multiple intrahepatic bile duct stones are a description used in imaging studies such as ultrasound and CT, meaning there are multiple stones within the intrahepatic bile ducts. Particularly in cases where there is recurrent upper right abdominal pain, the appearance of jaundice, chills, and high fever, it is important to pay attention and consider early surgical treatment. The main surgical approach is laparoscopic choledocholithotomy, which can completely treat the condition by removing the stones. Additionally, for patients with intrahepatic bile duct stones, it is also important to avoid spicy and irritating foods in their diet to reduce inflammatory irritation and better promote recovery from the condition. The diet should primarily consist of light meals, and eating fresh vegetables and fruits can better facilitate relief from the condition.

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Written by Zhang Tao
Hepatobiliary Surgery
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"Intrahepatic bile duct stones"

Intrahepatic bile duct stones, as the name implies, are stones located within the bile ducts inside the liver. The biliary tract is divided into extrahepatic and intrahepatic bile ducts. The intrahepatic bile ducts refer to the left and right hepatic ducts and their related branches. The intrahepatic bile ducts evolve from the left and right hepatic ducts into the common hepatic duct, common bile duct, and gallbladder, which are part of what we commonly refer to as the extrahepatic bile ducts. The symptoms of intrahepatic bile duct stones are not as apparent as those of common bile duct stones, but most intrahepatic bile duct stones cause upper abdominal pain in patients; generally, jaundice does not occur.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

doctor image
home-news-image
Written by Liu Wu Cai
Hepatobiliary Surgery
52sec home-news-image

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.