What should I do if I always have back pain due to intrahepatic bile duct stones?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on March 09, 2025
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If patients with intrahepatic bile duct stones repeatedly experience back pain, this should be taken seriously. Intrahepatic bile duct stones often coincide with acute cholangitis, which can cause discomfort and pain in the upper right abdomen. There might also be radiating pain in the right shoulder and scapular area, resulting in a sensation of soreness. At this time, antibiotic treatment should be used to fight the infection. Once the inflammation is under control, the condition can be alleviated. Of course, if the symptoms recur, surgical treatment should be carried out as soon as possible. Only surgery can achieve a complete cure, significantly improving the patient's quality of life and alleviating the condition more 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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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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How to deal with inflammation and pain caused by intrahepatic bile duct stones?

For patients with intrahepatic bile duct stones, acute cholangitis may occur, which can cause fever and significant upper abdominal pain. At this time, antibiotic treatment should be used to control the infection, and the condition can be alleviated once the inflammation is under control. Moreover, if the condition recurs repeatedly, surgical treatment should be chosen. Only by surgically removing the stones can the symptoms be completely cured. Patients with intrahepatic bile duct stones should also be careful with their diet. They should avoid spicy and irritating foods to reduce inflammation, and eat more fresh vegetables and fruits that are rich in vitamins to better promote recovery. Patients who have undergone surgery should also have regular ultrasound check-ups to dynamically observe changes in their condition.

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Written by Zhang Tao
Hepatobiliary Surgery
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Do you need to cut the liver for intrahepatic bile duct stones?

The treatment of intrahepatic bile duct stones primarily requires surgery to remove the stones, relieve obstruction, and correct deformities. Generally, there is no need to remove the liver. However, if the liver has a tumor, or if intrahepatic bile duct stones are accompanied by liver fibrosis or even liver atrophy, partial liver lobe resection can be considered. For asymptomatic patients with intrahepatic bile duct stones, temporary observation and follow-up are feasible.

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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.