Will running cause pain if there are stones in the bile ducts within the liver?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on October 28, 2024
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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.

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Written by Zhang Tao
Hepatobiliary Surgery
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What should be noted for intrahepatic bile duct stones?

Patients with intrahepatic bile duct stones should pay attention to the following: First, try to reduce the intake of fats, especially animal fats; second, the formation of a considerable number of intrahepatic bile duct stones is related to high cholesterol levels and metabolic disorders in the body, so it is necessary to limit foods high in cholesterol, such as eggs and the organs of various meat animals; third, food should be prepared by steaming, boiling, or stewing; fourth, increase the supply of fish, lean meats, soy products, and fresh fruits and vegetables.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Can liver intrahepatic bile duct stones be detected by ultrasound?

Patients with intrahepatic bile duct stones can be detected via ultrasound examination, where the stones are clearly visible, especially for those with larger stones. These patients may also experience recurrent right upper abdominal pain, nausea, and vomiting. For patients with intrahepatic bile duct stones who exhibit significant symptoms, it is advisable to undergo surgical treatment as soon as possible. Only by surgically opening the bile duct and removing the stones can a cure be achieved. However, if the stones are relatively small and asymptomatic, they might not be detected during an ultrasound examination, and no special treatment is required at that time. If small gallstones are observed, it is recommended to regularly recheck with an ultrasound to monitor changes in size.

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Written by Li Hu Chen
Imaging Center
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Ultrasound presentation of intrahepatic bile duct stones

Intrahepatic bile duct stones can generally be detected via ultrasound, as they show up as strong echoes due to their solid nature which reflects sound waves back to the surface. However, the majority of these intrahepatic bile duct stones are asymptomatic. Since they rarely cause dilation of the intrahepatic bile ducts, and as long as the bile ducts do not appear dilated, thickened, or tortuous on the ultrasound, they usually do not have any significant impact. Therefore, most intrahepatic bile duct stones do not require treatment and can be managed through observation.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is the incidence of intrahepatic bile duct stones high?

Intrahepatic bile duct stones have a relatively low incidence rate. They are a type of gallstone, and compared to gallbladder stones, their occurrence is less frequent. Patients with intrahepatic bile duct stones often experience concurrent cholangitis, leading to symptoms such as upper abdominal pain, significant nausea, and vomiting, along with other gastrointestinal symptoms. Therefore, for patients with intrahepatic bile duct stones, when significant symptoms occur, not only is the use of antibiotics necessary to treat the infection and control the inflammation, but surgery is also required to achieve therapeutic effects. The primary surgical method is choledochotomy for stone removal, which can lead to better treatment outcomes after the stones are extracted.