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Liu Wu Cai
Hepatobiliary Surgery
About me
Deputy Chief Physician, has repeatedly visited provincial tertiary hospitals for further training in general surgery.
Proficient in diseases
Standardized treatment for gallstones, tumors, gastrointestinal tumors, as well as general surgery such as thyroid and breast surgery.
Voices
Will running cause pain if there are stones in the bile ducts within the liver?
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.
Does Jin Qian Cao expel gallstones from the liver's bile ducts?
This method cannot eliminate intrahepatic bile duct stones. The treatment for intrahepatic bile duct stones mainly depends on the symptoms. For patients with intrahepatic bile duct stones who do not have significant symptoms and whose stones are relatively small, no special treatment is required. Avoiding spicy and irritating foods in the diet can reduce inflammatory stimuli and better control the condition. Regular follow-up with ultrasonography is sufficient. However, for patients with larger intrahepatic bile duct stones, acute cholangitis may occur, presenting with significant upper abdominal pain. In such cases, proactive treatment is necessary. The treatment mainly involves surgery, which can significantly improve the prognosis and potentially cure the condition.
Can acute cholecystitis recur?
Acute cholecystitis can recur. This condition often results from a bacterial infection leading to an inflammatory response. At this stage, it can be treated with antibiotics to control the inflammation and alleviate the condition. However, if the gallbladder is not surgically removed, the inflammation can repeatedly flare up, potentially leading to chronic cholecystitis. This results in recurrent discomfort and pain in the upper right abdomen, affecting the quality of life. Therefore, for patients with acute cholecystitis, especially those caused by gallstones, it is advisable to undergo surgery as soon as possible. Only through surgical removal of the gallbladder can a complete cure be achieved, preventing recurrence.
Can you drink red wine with a liver cyst?
Patients with liver cysts are best advised not to drink alcohol. Liver cysts are common benign tumors of the liver that usually do not show obvious symptoms when they are small. They are often discovered only through ultrasound screening, and usually do not require special treatment at this stage. However, dietary adjustments should be made to avoid spicy and irritating foods to reduce inflammatory stimuli, avoid foods high in cholesterol, and eat easily digestible foods, such as vegetables and fruits. This can help better control the progression of the condition, thus smoking and alcohol consumption should be avoided. For patients with larger liver cysts, there may be pain in the liver area and even liver function abnormalities. In such cases, active treatment should be sought, and surgical removal can achieve a cure.
Is there air or water in a liver cyst?
Regarding liver cysts, the fluid inside them is essentially water. When liver cysts appear, there is no need to be overly concerned, as patients generally do not experience significant discomfort. Most are discovered during an ultrasound examination, and at this moment, there is no need for special treatment. Just regular follow-up ultrasounds to dynamically observe any changes in volume are sufficient. Of course, for a minority of patients, if the liver cyst grows relatively large and causes local compression symptoms that affect liver function, surgical removal may be necessary to achieve effective treatment. However, this likelihood is relatively small. Thus, when liver cysts are present, there is no need for excessive worry. It is sufficient to avoid spicy, irritating foods, and hard-to-digest foods in the diet.
What is good to eat for gallstones?
Patients with gallbladder stones should primarily observe the following dietary guidelines: First, it is particularly important for patients with gallbladder stones to avoid spicy and stimulating foods such as chili peppers, barbecues, and garlic. A diet primarily composed of mild foods, supplemented by fresh vegetables and fruits, can better control the onset of the condition. Second, patients with gallbladder stones can also appropriately include protein-rich foods such as eggs, lean meats, and fish in their diet to enhance their immunity. Third, patients with gallbladder stones should avoid foods high in cholesterol and fats, such as animal offal and fatty meats. These foods might cause the stones to increase in size and lead to recurrent right upper abdominal pain and discomfort, thus requiring attention.
Are intrahepatic bile duct stones the same as gallstones?
Intrahepatic bile duct stones are a type of gallstone, and patients with intrahepatic bile duct stones often develop cholangitis. Thus, patients may exhibit symptoms such as chills, high fever, jaundice, and significant upper abdominal pain. They might also experience nausea and vomiting. In severe cases, the condition can lead to acute obstructive suppurative cholangitis, septic shock, and even result in death. Therefore, intrahepatic bile duct stones should be taken seriously. If significant symptoms occur, it is advisable to undergo surgery as soon as possible. The surgical method can be a laparoscopic choledochotomy to remove the stones, which can be curative. Gallstones also include gallbladder stones, which are a common type clinically. If symptoms occur, the treatment method is also surgical, involving the removal of the gallbladder to achieve a cure.
What is causing the right-sided distension and pain in a liver hemangioma?
Patients with hepatic hemangioma primarily experience discomfort and pain in the upper right abdomen. Hepatic hemangioma is a benign tumor, but there is a possibility of rupture and hemorrhage, leading to hemorrhagic shock. Therefore, patients with symptomatic hepatic hemangioma should be treated promptly to prevent complications. For patients with hepatic hemangioma who experience discomfort and pain in the upper right abdomen and liver area, early surgical intervention is advised. The primary approach for surgery is interventional surgery, which can achieve better therapeutic effects. Additionally, patients with asymptomatic hepatic hemangioma still require regular follow-up with ultrasound to monitor any changes in the size of the tumor.
Can liver cysts cause fever?
Patients with liver cysts generally do not experience fever. Liver cysts are a common type of benign tumor, and most do not exhibit any symptoms and are discovered during ultrasound examinations. In such cases, no special treatment is required; regular follow-up ultrasounds to monitor any changes in size are sufficient. However, larger liver cysts may cause pain in the liver area, compression, or even liver function abnormalities. If a liver abscess is also present, as it is a type of purulent infection, the patient may experience fever. Generally, simple liver cysts do not cause fever. If fever occurs, it should be taken seriously, and further examinations should be completed to identify the cause, and treatment should be directed at this cause to achieve a better prognosis.
Are liver cysts easy to misdiagnose?
Liver cysts are generally not easily misdiagnosed. A liver cyst is a common benign tumor of the liver, usually asymptomatic and mostly discovered during ultrasound examinations. The most common cause of liver cysts is genetic, so the diagnosis for patients with liver cysts is relatively clear. Of course, if the liver cyst is large, it may cause local compression symptoms and pain in the liver area. In such cases, it is advisable to opt for surgical removal as soon as possible to achieve a better prognosis. Therefore, the treatment of liver cysts should be assessed based on the individual's specific condition to achieve the best treatment outcomes.