Can I eat before a gallbladder stone examination?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 01, 2024
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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.

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Written by Zhang Tao
Hepatobiliary Surgery
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Can gallstones turn into cancer?

If gallstones are not treated promptly, the probability of developing gallbladder cancer is higher than in healthy individuals. Long-term untreated gallstones can irritate the gallbladder, leading to decreased gallbladder function and causing cancerous changes. Chronic thickening of the gallbladder wall can occur from prolonged episodes of gallstones, worsening inflammation, which can lead to more severe inflammation of the gallbladder mucosa and result in cancerous changes. In fact, gallstones are an important factor in the development of gallbladder cancer. However, not all patients with gallbladder cancer have gallstones, but clinically, about 70% of patients with gallbladder cancer have concurrent gallstones. Therefore, even if patients with gallstones do not exhibit symptoms, they should be particularly cautious and undergo regular physical examinations annually to detect problems early and treat them promptly.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What should not be eaten with gallstones?

Patients with gallstones should primarily avoid spicy and stimulating foods, such as chili peppers, barbecue, and garlic, to reduce inflammation. They should also avoid foods high in fats and cholesterol, such as animal organs and fatty meats. For patients with gallstones, the diet should mainly consist of light and mild foods, and include plenty of fresh vegetables and fruits to lessen the burden on the gallbladder and reduce the frequency of symptoms. If a patient with gallstones repeatedly experiences discomfort or pain in the upper right abdomen, it is necessary to consider surgical removal of the gallbladder at an early stage. Surgery is the only definitive treatment to improve the quality of life for these patients, and diet still needs to be carefully managed post-surgery.

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Written by Zhang Tao
Hepatobiliary Surgery
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Gallbladder stones incidence rate in men and women

Understanding the gender differences in the prevalence of various diseases has important practical significance for the occurrence, development, and prevention of diseases. Research in this area has gradually gained attention from health prevention workers and provides a scientific basis for health prevention efforts. Various clinical studies indicate that the prevalence of gallstones is significantly higher in women than in men, with an incidence ratio of about 3:1 in the affected population. With economic development, people's lifestyles and dietary structures have undergone tremendous changes, leading to an increasing trend in the incidence of gallstones. In China, approximately 8%-11% of patients suffer from gallstones, predominantly obese women around forty years old, often referred to by the three Fs: fat, forty, female.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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How should gallstones be treated?

For the treatment of gallstones, the decision mainly depends on whether there are symptoms and the size of the stones. Patients with small gallstones generally do not exhibit clear symptoms and are often discovered only through ultrasound. They do not require special treatment; regular follow-up ultrasounds to dynamically observe any changes in size are sufficient. In daily diet, it is advised to avoid food high in cholesterol and fats, and to maintain a light diet, which can better control the condition. Patients with large gallstones often experience recurrent upper right abdominal pain and discomfort, which affects their quality of life. Treatment can include the use of antibiotics to manage infections. Once the inflammation is controlled, the condition can be alleviated, but recurrences are common, necessitating eventual surgical removal of the gallstones to achieve a better treatment outcome. Primarily, complete removal of the gallbladder through surgery can potentially cure the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Dietary Taboos for Gallstones

Patients with gallstones should primarily avoid spicy and irritating foods, such as chili peppers, barbecue, and garlic. They should adopt a light diet, eat more fresh vegetables and fruits, and also avoid foods high in cholesterol and fats, as these foods can exacerbate gallstone symptoms. Since most gallstones are cholesterol stones, patients with symptomatic gallstones should also undergo surgery as soon as possible. Only through surgery can a cure be achieved, which can significantly improve the patient's quality of life. Post-surgery, patients still need to be mindful of their diet to facilitate recovery.