How to diagnose gallstones

How to diagnose gallstones

The diagnosis of gallstones mainly relies on imaging tests such as ultrasound, CT scan or MRI, which can effectively detect the stones in the gallbladder and their size, number and location. At the same time, blood tests can also help evaluate whether there are related infections or complications.

Ultrasound examination is the preferred method for diagnosing gallstones. It uses high-frequency sound waves to clearly observe the stones in the gallbladder and the surrounding tissues. It is highly accurate and non-invasive. For asymptomatic gallstones discovered accidentally, no special treatment is required in most cases, but if symptoms such as abdominal pain and nausea occur, further examination is required. CT scans are usually used to assist in the diagnosis of complex cases, such as suspected stones causing bile duct obstruction or pancreatitis. Magnetic resonance pancreaticobiliary imaging (MRCP) is more suitable for observing stones or strictures in the bile duct. Blood tests are also very important, especially when accompanied by symptoms such as fever and yellow skin. Indicators such as liver function tests and white blood cell counts can be used to determine whether there is inflammatory infection or bile duct obstruction.

Ultrasound examination is the preferred method for diagnosing gallstones. It uses high-frequency sound waves to clearly observe the stones in the gallbladder and the surrounding tissues. It is highly accurate and non-invasive. For asymptomatic gallstones discovered accidentally, no special treatment is required in most cases, but if symptoms such as abdominal pain and nausea occur, further examination is required. CT scans are usually used to assist in the diagnosis of complex cases, such as suspected stones causing bile duct obstruction or pancreatitis. Magnetic resonance pancreaticobiliary imaging (MRCP) is more suitable for observing stones or strictures in the bile duct. Blood tests are also very important, especially when accompanied by symptoms such as fever and yellow skin. Indicators such as liver function tests and white blood cell counts can be used to determine whether there is inflammatory infection or bile duct obstruction.

For patients with a clear diagnosis of gallstones, if the stones are small and asymptomatic, regular imaging follow-up can be performed to observe whether they develop; for patients with obvious symptoms such as repeated right upper abdominal pain, it is recommended to discuss the possibility of surgical treatment or extracorporeal shock wave lithotripsy with a doctor. On weekdays, you should pay attention to a low-fat and light diet, eat more fiber-rich foods to help lower bile cholesterol concentrations, and maintain moderate exercise to promote bile metabolism. If you experience unexplained severe abdominal pain or yellowing of the skin or eyes, you should seek medical treatment in time to avoid serious complications.

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