How to diagnose gallstones

The diagnosis of gallstones is mainly completed through imaging examinations, laboratory tests and symptom assessment, among which B-ultrasound is the most commonly used and effective examination method. Through these methods, doctors can determine the presence, size, location and complications of gallstones.

Imaging examinations are the core of gallstone diagnosis. Abdominal ultrasound (B-ultrasound) can detect gallstones quickly and non-invasively, with high sensitivity and specificity, and is the preferred method. For cases with complex conditions or suspected small stones, it may be necessary to rely on more advanced imaging techniques such as magnetic resonance pancreaticobiliary imaging (MRCP) or endoscopic ultrasound (EUS). CT scans can be used to evaluate bile duct obstruction or changes in the gallbladder wall, which can help detect potential inflammation or tumors. Laboratory tests are auxiliary means. Abnormalities in liver function indicators (such as alanine aminotransferase, alkaline phosphatase) and bilirubin levels in the blood may indicate bile duct obstruction or inflammatory infection. Combined with the patient's symptoms, such as right upper abdominal pain, jaundice, nausea and vomiting, the doctor can determine whether further examination is needed.

Imaging examinations are the core of gallstone diagnosis. Abdominal ultrasound (B-ultrasound) can detect gallstones quickly and non-invasively, with high sensitivity and specificity, and is the preferred method. For cases with complex conditions or suspected small stones, it may be necessary to rely on more advanced imaging techniques such as magnetic resonance pancreaticobiliary imaging (MRCP) or endoscopic ultrasound (EUS). CT scans can be used to evaluate bile duct obstruction or changes in the gallbladder wall, which can help detect potential inflammation or tumors. Laboratory tests are auxiliary means. Abnormalities in liver function indicators (such as alanine aminotransferase, alkaline phosphatase) and bilirubin levels in the blood may indicate bile duct obstruction or inflammatory infection. Combined with the patient's symptoms, such as right upper abdominal pain, jaundice, nausea and vomiting, the doctor can determine whether further examination is needed.

To improve the accuracy of the diagnosis, the patient's medical history and symptoms, such as the frequency and severity of pain attacks, should be explained in advance. Try to avoid consuming a high-fat diet before the examination to avoid affecting the results. If gallstones are confirmed, the patient needs to decide on a treatment plan based on the degree of pain, size and location of the stones. Mild cases can be closely observed, while more severe cases require consideration of surgery or other medical interventions.