What to do with sand-like gallstones

Silt-like gallstones are small granular stones formed by abnormal bile components in the gallbladder, usually related to cholestasis and abnormal cholesterol metabolism. Treatments include drug dissolution, dietary adjustments, and surgical intervention.

1. Drug litholysis: Drug litholysis is a common non-surgical treatment for mud-like gallstones. Commonly used drugs include ursodeoxycholic acid, chenodeoxycholic acid, etc. These drugs can promote the dissolution of cholesterol stones. Drug treatment usually takes a long time, and patients need to have regular checkups under the guidance of a doctor to monitor changes in stones.

2. Diet adjustment: Diet management is crucial for the prevention and treatment of mud-like gallstones. Reducing the intake of high-fat, high-cholesterol foods, such as fried foods and animal offal, can help reduce the concentration of cholesterol in bile. Increasing fiber-rich foods, such as whole grains, vegetables, and fruits, can promote bile excretion and reduce bile stasis. Drinking more water can help dilute bile and reduce the risk of stone formation.

3. Surgical intervention: When mud-like gallstones cause severe symptoms or complications, surgery may be a necessary option. Common surgical methods include laparoscopic cholecystectomy and open cholecystectomy. Laparoscopic surgery is less invasive and has a quick recovery, so it is the preferred method. For patients who are not suitable for surgery, extracorporeal shock wave lithotripsy is also an option, but it needs to be evaluated in combination with specific circumstances.

The treatment of mud-like gallstones requires a personalized plan based on the patient's specific situation. Early detection and intervention can effectively control the disease and reduce the occurrence of complications. Regular physical examinations and a healthy diet are important measures to prevent mud-like gallstones. If symptoms such as abdominal pain and jaundice occur, seek medical attention in time to avoid delaying treatment.