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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
Liver cysts causing nausea, what's going on?
Generally speaking, patients with liver cysts do not experience nausea. If nausea occurs, it is necessary to complete abdominal CT scans, color Doppler ultrasounds, and other related examinations to clarify the cause. If necessary, a gastroscopy should also be performed. Simply put, liver cysts do not typically cause nausea. However, if liver cysts are complicated by a liver abscess, an acute purulent infection might occur, in which case the patient may experience symptoms related to digestion such as nausea, vomiting, abdominal distension, and diarrhea. Additionally, when biliary system diseases are complicated by a liver abscess, nausea and vomiting might also occur. Therefore, when nausea and vomiting occur in the presence of liver cysts, it is crucial first to perform the relevant examinations to determine the exact cause and then treat according to the identified cause.
"Liver cyst benign" means what?
Liver cysts are benign and are described through ultrasonography and CT imaging. Liver cysts are a type of benign tumor and typically do not cause any noticeable discomfort. Most are discovered incidentally during ultrasound examinations. Therefore, when liver cysts are identified, there is generally no cause for extreme concern, nor is there a need for special treatment; regular ultrasound follow-ups are sufficient. However, in some patients, if the liver cysts grow large, they may cause pain in the liver area or even affect liver function. In these cases, surgical removal is necessary to achieve better treatment outcomes. Thus, the treatment for liver cysts primarily depends on their size.
Do people with intrahepatic bile duct stones experience weight loss?
Generally, patients with intrahepatic bile duct stones do not experience weight loss. If there is a significant weight decrease over a short period of time, resulting in weight loss or even cachexia, attention should be raised. It is necessary to complete relevant examinations to determine if there are malignant tumors. For patients with intrahepatic bile duct stones, although they may repeatedly experience upper abdominal pain and discomfort, along with nausea and vomiting, and sometimes concurrent cholangitis that results in jaundice, generally, it does not affect their weight. Of course, the condition of patients with intrahepatic bile duct stones should be actively managed. For treatment, typically, laparoscopic choledochotomy for stone removal is chosen, which can completely eliminate the stones and significantly improve the patients' quality of life.
Is it normal to feel nauseous with gallstones?
Patients with gallstones experiencing nausea and vomiting is normal, as gallstones often cause acute cholecystitis, leading to pain and discomfort in the upper right abdomen. At this time, it may also affect the stomach causing nausea and vomiting, so it is advisable to use antibiotics for anti-infection treatment as soon as possible. Once the inflammation is controlled, the condition can be alleviated. When nausea and vomiting occur, it is also advisable to fast for gastrointestinal decompression, which can better alleviate the condition. Additionally, after returning to a normal diet, one should avoid spicy and irritating foods to reduce inflammation and aid in the relief of the condition. If symptoms do not improve with conservative treatment, surgery should be considered as soon as possible.
How long does it take for gallstones to develop into gallbladder cancer?
Gallstones do not necessarily develop into gallbladder cancer. For patients with gallstones, they mainly experience discomfort and pain in the upper right abdomen, especially after overeating or drinking alcohol, when the symptoms suddenly appear. Gallstones do not necessarily cause gallbladder cancer. If symptoms occur, surgery should be performed at this time. Only through surgery can a cure for gallbladder cancer be achieved. It is a common malignant tumor of the gallbladder, mainly caused by repeated inflammatory stimuli or genetic factors. At this time, surgery should be performed to better improve the prognosis of the patient. Early stage gallbladder cancer can be completely removed surgically to achieve a cure.
Is it serious if a liver hemangioma occasionally causes needle-prick-like pain?
For patients with liver hemangiomas, if they occasionally experience needle-like pain, the condition is relatively mild at that time, but regular follow-up ultrasound exams are still needed to monitor changes in the condition. The diet should primarily be light, including plenty of fresh vegetables and fruits, avoiding hard-to-digest foods, and avoiding spicy and irritating foods to reduce inflammatory stimulation, which is beneficial for controlling the condition. Of course, if the hemangioma is large, it may cause local compression symptoms, primarily characterized by persistent pain in the liver area. For such cases, surgery should be performed as soon as possible to achieve a cure and improve the patient's prognosis.
What foods to eat for late-stage gallbladder cancer?
Patients with advanced liver cancer will experience metastasis to other parts of the body, presenting corresponding clinical symptoms that affect the quality of life. Furthermore, patients with advanced liver cancer often exhibit significant weight loss and cachexia, commonly accompanied by hypoalbuminemia. Therefore, for patients with advanced gallbladder cancer, it is advisable to include a diet rich in high-protein foods, which can help replenish the proteins needed by the body, such as albumin, and improve the patient's immunity. It is beneficial to eat fresh vegetables, fruits, as well as lean meats, eggs, and fish, to address these symptoms appropriately. At the same time, for patients with advanced gallbladder cancer, it is important to avoid spicy and irritating foods, as well as foods that are difficult to digest, because these can increase the burden on the gallbladder, exacerbating the condition and impeding treatment. Hence, this should be given careful consideration.
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.
Can I eat before a gallbladder stone examination?
Before checking for gallstones, one should not eat, as the main methods of examination are through color ultrasound and CT scans, which can better lead to a diagnosis. Both color ultrasound and CT scans require fasting because eating can cause the stomach to fill, potentially resulting in artifacts that hinder the observation of the condition. Therefore, patients with gallstones need to fast before the examination. The approach to treatment depends on the presence of symptoms and the size of the stones. For large gallstones that cause recurrent episodes, early surgical treatment should be considered. Only by surgically removing the gallbladder can a definitive cure be achieved, which can significantly improve the prognosis for the patient.
What should I do if I feel abdominal distension due to a liver cyst?
For patients with liver cysts, if abdominal distension occurs, it is important to promptly recheck with an ultrasound, which can better observe the size of the liver cysts. For larger liver cysts, which might cause abdominal distension and potentially liver function abnormalities, surgical removal is necessary to achieve therapeutic effects. Generally, liver cysts that are small in size do not cause noticeable discomfort and are mostly discovered during ultrasound examinations, requiring no special treatment other than regular ultrasound monitoring. For patients with larger liver cysts, it is crucial to pay close attention and perform surgical removal as early as possible to improve the prognosis.