Gallbladder stones Gallbladder contraction

Gallstones may cause the gallbladder to not contract, which is usually related to stone obstruction of the bile duct, gallbladder wall damage or gallbladder dysfunction. Treatment includes drug dissolution, dietary adjustment and surgical treatment, which are graded according to the severity of the disease.

1. Causes of gallbladder failure due to gallstones

The gallbladder is an organ that stores and concentrates bile. It contracts normally when you eat and transports bile to the small intestine to help digest fat. When stones form in the gallbladder, the following problems may occur:

-Bile duct obstruction: When stones block the common bile duct or cystic duct, bile outflow is blocked and the gallbladder cannot complete normal contraction.

- Gallbladder wall damage: Long-term cholestasis or repeated inflammation may cause the gallbladder wall to gradually become fibrotic, leading to weakened or even complete failure of its contractile function.

-Gallbladder dysfunction: Certain metabolic diseases (such as diabetes) or autonomic nervous system dysfunction can also cause the gallbladder muscles to lose coordination and fail to contract normally.

2. Treatment of gallbladder incontraction

For cases of gallbladder incontraction, the specific treatment plan needs to be selected according to the size and number of gallstones and whether there are complications:

-Drug treatment: For small, cholesterol-containing stones, ursodeoxycholic acid (such as Ursofol) can be used to dissolve the stones, but it is necessary to strictly follow the doctor's instructions and the treatment course is longer.

-Surgery:

-Minimally invasive laparoscopic cholecystectomy is currently the most common treatment option and is suitable for cases with recurrent pain or critical gallbladder function.

-If there is severe infection or other contraindications to surgery, a cholecystostomy may be performed to relieve cholestasis.

-ERCP (endoscopic retrograde cholangiopancreatography) can also be used to remove common bile duct stones and also unblock the bile duct.

-Dietary adjustment and lifestyle management: Avoid high-fat, high-cholesterol diets, and add fiber-rich foods (such as oats and vegetables) in moderation; at the same time, control rapid weight loss to prevent the formation of new stones.

3. Self-management and medical advice

Patients diagnosed with gallstones should be closely monitored for related symptoms, such as recurrent upper abdominal pain, nausea, vomiting, or jaundice. If severe right upper abdominal pain or persistent fever occurs, seek medical attention immediately to avoid delaying treatment.

Patients with gallstones are advised to have their gallbladder function checked regularly and take active measures to intervene in the progression of the disease. For serious functional problems such as gallbladder incontraction, surgery is still the main option, but preventing new stones and maintaining a healthy diet are particularly important. Regardless of the stage, it is particularly important to develop a personalized treatment plan in combination with the doctor's advice.