Do gallstones need treatment if they don't hurt?

Even if gallstones are painless, they may require treatment, depending on their size, number, and potential risk of complications. Many asymptomatic gallstones may not cause problems for a long time, but if the stones are large or may cause complications such as cholecystitis and cholangitis, treatment should be considered.

The formation of gallstones can be caused by a variety of factors, including genetic factors, improper diet, high cholesterol, obesity, etc., and the symptoms of gallstones are mainly right upper abdominal discomfort, indigestion, jaundice, etc. If the gallstones are particularly large, they may cause chronic irritation and inflammation of the gallbladder wall, increasing the risk of gallbladder cancer. In addition, some asymptomatic gallstones may also cause acute cholecystitis under certain circumstances. If the gallstones block the cystic duct, even if it does not cause pain temporarily, once acute obstruction occurs, it may cause serious consequences.

If gallstones are diagnosed as asymptomatic and without a tendency for complications, they can be observed through regular ultrasound examinations. However, for high-risk groups or those with a significant potential risk of complications, treatments such as medical lithotripsy, ultrasound extracorporeal shock wave lithotripsy (ESWL), or laparoscopic cholecystectomy should be considered. A healthy diet is also key to preventing gallstone symptoms from worsening. You can eat more fiber-rich foods such as fruits and vegetables, and moderately control the fat content and cholesterol in your diet. If symptoms worsen, it is important to seek medical attention in a timely manner to avoid serious complications and repeated biliary colic.

When dealing with gallstones, maintaining an active lifestyle, paying attention to diet, and regular physical examinations are important preventive measures. When gallstones are present, fully communicate with your doctor to choose a suitable treatment plan. Caring about your own health and paying attention to the adjustment of your daily diet and lifestyle habits will help reduce the impact of gallstones on your quality of life. For people with suspected symptoms or suspected gallstones, it is necessary to consult professional medical advice in time to obtain a personalized treatment plan.