How to treat very small gallstones

Very small gallstones can be treated with medications, dietary changes, and regular monitoring, but more severe cases may require surgery. Treatments include stone-dissolving medications, improved diet, and cholecystectomy.

1. Drug therapy is a common method for treating very small gallstones. Doctors usually prescribe litholytic drugs, such as ursodeoxycholic acid, which can help dissolve cholesterol stones. Another option is to use bile acid drugs, such as chenodeoxycholic acid, which promote stone dissolution by changing the composition of bile. The course of drug treatment usually takes several months, and regular follow-up is required to evaluate the effect.

2. Diet adjustment is crucial to the prevention and treatment of gallstones. Reducing the intake of high-fat, high-cholesterol foods, such as fried foods, fatty meats, and cream products, can reduce the concentration of cholesterol in bile and reduce the risk of stone formation. Increasing fiber-rich foods, such as whole grains, vegetables, and fruits, can help promote bile excretion and prevent stone formation. Maintaining regular eating habits and avoiding overeating can also help gallbladder health.

3. Regular monitoring is an important part of managing very small gallstones. Through ultrasound or other imaging methods, doctors can assess the size and location of the stones and determine whether further treatment is needed. For asymptomatic very small stones, regular follow-up can detect changes in the condition in time and avoid complications. If the stones grow larger or cause symptoms, the doctor may recommend surgical intervention.

4. Surgery is the final means of treating severe gallstones. Laparoscopic cholecystectomy is the most commonly used surgical method, which has the advantages of less trauma and quick recovery. For patients who are not suitable for surgery, percutaneous cholecystostomy can be selected to relieve symptoms by draining bile. In some cases, doctors may recommend extracorporeal shock wave lithotripsy, which uses sound waves to break up the stones for easy discharge.

Although very small gallstones usually do not cause serious problems immediately, long-term neglect may lead to complications such as cholecystitis and bile duct obstruction. The condition can be effectively controlled through medication, dietary adjustments and regular monitoring. If the stones grow larger or cause symptoms, timely surgical intervention is necessary. Maintaining good living habits and regular physical examinations can help prevent the occurrence and recurrence of gallstones.