What are the symptoms of intrahepatic bile duct stones?

What are the symptoms of intrahepatic bile duct stones?

Intrahepatic bile duct stones mainly refer to stones that occur in the bile duct system. The early symptoms are not obvious. As the disease progresses, the patient will experience symptoms such as right lower abdominal pain, indigestion, and nausea. The treatment of intrahepatic bile duct stones also needs to be considered comprehensively based on the size of the stones, whether there are corresponding lesions around them, and the patient's clinical symptoms.

Symptoms of intrahepatic bile duct stones:

1. The patient has obvious pain in the right upper abdomen, which can radiate to the right shoulder and back, and manifests as colic. Ordinary painkillers generally cannot relieve the pain, but it is also accompanied by fever and even nausea and vomiting.

2. Most patients have no obvious symptoms in the early stage. As the disease progresses, patients will experience symptoms such as indigestion and mild abdominal pain, which are very similar to the symptoms of stomach problems and colds, and are easily misdiagnosed and mistreated.

3. In severe cases, if complicated by acute severe obstruction or suppurative cholangitis, the patient will have obvious symptoms of high fever, chills, and even impaired consciousness.

What to do if you have intrahepatic bile duct stones?

1. Patients with intrahepatic bile duct stones who have no clinical symptoms can be followed up regularly to prevent the stones from expanding and no treatment is required for the time being.

2. If the symptoms repeatedly cause cholangitis, clinical symptoms include right upper abdominal pain, chills, high fever, and even jaundice. Further examination can reveal corresponding bile duct stenosis and distal bile duct dilatation, as well as corresponding liver tissue atrophy. In this case, active surgical treatment should also be considered.

3. If bile duct stenosis and liver atrophy occur, surgical treatment is recommended, and laparoscopic resection is the first choice. For simple bile duct dilatation and intrahepatic bile duct stones, spleen and liver puncture and choledochoscopy can be used for stone removal. For patients with suspected recurrent gallbladder and liver cancer, radical surgical resection should also be performed.