Are you really "asymptomatic"?
Many people think that "rolling on the floor in pain", "cramping in the back", "going to the emergency room in the middle of the night to hang saline, get painkillers", "high fever", etc., are symptomatic gallstones, and this understanding is misunderstood.
In fact, the above symptoms only appear during an acute attack of cholecystitisHidden right upper quadrant pain, bloating, mild radiating pain extending to the right side of the back, transient right upper quadrant cramping after eating greasy food, and even belching and mild nauseaand other symptoms may be caused by gallstones.
Mr. Li has been diagnosed with "gallstones" since 10 years ago, and although he usually does not feel pain, the physical examination in the past two years has found that the stones have a tendency to increase, and he will have mild abdominal pain from time to time. During this period, I also consulted a lot of information, some said that "gallstones that are not painful do not need surgery", and some said "just take some medicine".
When Mr. Li was upset, he went to Shenzhen Overseas Chinese Hospital for medical treatment at the recommendation of a friend, and finally removed the stones and preserved the gallbladder in the minimally invasive gallstone-preserving surgery performed by President Hu Mingyan, a general surgeon. Mr. Lee's quality of life has been greatly improved after the operation and he is very satisfied with it.
Be aware of the characteristics of your "gallstones".
Many people will say that only symptomatic large stones need to be **. On the other hand, "small stones will not hurt" and "small stones do not need to be treated" are common sayings.
How small a stone is a "small stone"?
Does it really matter if there are "small stones"?
In fact, there has never been such a thing as a "small stone" in medicine. Clinically recognized, generally with a diameter of 1 2 mm, can be called sediment-like stones. "Stones" of this size, if not in large number, can pass the gallbladder and bile ducts on their own, causing fewer significant symptoms and complications.
However, "small stones" with a diameter of 2mm should be careful, as they can easily damage the ampulla of biliary and pancreatic at the end of the common bile duct, resulting in narrowing of the end of the common bile duct, secondary to common bile duct stones and biliary pancreatitis.
Are "asymptomatic gallstones" really asymptomatic?
It's not that there are no symptoms, but that the symptoms are not obvious. Many so-called asymptomatic patients with gallstones will have some atypical gastrointestinal symptoms, such as discomfort after a greasy diet, anorexia and greasy, postprandial fullness, vague epigastric pain, bloating, poor appetite, dyspepsia, etc., but it is not easy to distinguish from other diseases, and cannot establish a definite connection with gallstones and is ignored.
However, it should be noted that as the stone grows or the location changes, symptoms such as abdominal cramps and dull pain will appear.
No processing
Gallstones stay in the body for a long time, and there is a risk of porcelain gallbladder cavillamine caused by inflammatory stimulation to the gallbladder wall for a long time, and repeated inflammatory stimulation will gradually impair the function of the gallbladder, and once the damage is serious, it will be difficult to recover, and it will also lose the precious opportunity to preserve gallstones. In addition, it may also lead to suppuration and perforation of the gallbladder, and secondary peritonitis, which can be life-threatening.
Watch and wait
The reason why doctors recommended observation of asymptomatic gallstones in the past is because considering the harm of gallbladder surgery and the many inconveniences caused by sequelae, it does not mean that asymptomatic gallstones are really harmless and should not be taken lightly.
Timely intervention
With the development of technology, minimally invasive cholelithotomy has become the first choice for many gallstone patients, which can not only preserve the functional gallbladder but also cause less surgical damage and do not leave large scars on the surface of the body. Under this technical condition, the harm of surgery is relatively less than that of asymptomatic gallstones. And the earlier**, the higher the likelihood of preserving the gallbladder and the less damage to the function of the gallbladder.
Dean Hu reminded:
Gallstones are only temporarily "silent", and eventually they will show obvious symptoms, the difference is only sooner or later, even if gallstones are asymptomatic, we should also pay attention to the harm of gallstones, so as to detect them as soon as possible, diagnose them early, and diagnose them early.