Will running cause pain if there are stones in the bile ducts within the liver?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on October 28, 2024
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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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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 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.

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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.

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Written by Zhang Tao
Hepatobiliary Surgery
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How is intrahepatic bile duct stones treated?

Intrahepatic bile duct stones refer to stones located in the branches of the bile duct above the junction of the left and right hepatic ducts. Surgical treatment is currently the main method of treatment. Treatment should be based on the number and distribution of stones within the bile ducts, the location and extent of hepatic and biliary strictures, pathological changes in the liver, the state of liver function, and the patient's overall symptoms. Appropriate surgical approaches should be adopted, including hepatectomy, high position bile ductotomy for stone removal, transhepatic choledochotomy for stone removal, biliary-intestinal internal drainage, liver transplantation, etc.

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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.