1. Biliary colic
The patient is often in a full meal, after eating greasy food, or change of position during sleep, due to the contraction of the gallbladder or the displacement of the stone coupled with the vagus nerve excitation, the stone is embedded in the jugular abdominal or neck of the gallbladder, the gallbladder emptying is blocked, the pressure in the gallbladder is elevated, the gallbladder forcefully contracted and caused colic pain. The pain is located in the right upper abdomen or epigastrium, paroxysmal, or continuous pain paroxysmal intensification, can be radiated to the right shoulder blade and back, can be accompanied by nausea, vomiting. Some patients are unable to name the exact location of the pain due to the severity of the pain. After the first occurrence of biliary colic, it recurs in about 70% of patients within a year.
2. Epigastric pain
Most patients feel epigastric or right epigastric pain only when they eat too much, eat high-fat food, work stress, or do not have a good rest, or feel full, belching, eructation, etc., which is easy to be misdiagnosed as "gastric disease".
3. Gallbladder fluid
Gallbladder stones long embedded or blocked gallbladder ducts but not combined with the infection, the gallbladder mucosa absorbs bile bile in the bile bile pigment. Secretion of mucus material, the formation of gallbladder fluid. The fluid is clear and colorless, also known as white bile.
Most patients are asymptomatic and are found only during physical examination, surgery, and autopsy, and are called quiescent gallbladder stones. The typical symptom of gallbladder stones in a few patients is biliary colic, which manifests as acute or chronic cholecystitis. The main clinical manifestations are as follows:
1. Biliary colic
The patient is often in a full meal, after eating greasy food, or change of position during sleep, due to the contraction of the gallbladder or the displacement of the stone coupled with the vagus nerve excitation, the stone is embedded in the jugular abdominal or neck of the gallbladder, the gallbladder emptying is blocked, the pressure in the gallbladder is elevated, the gallbladder forcefully contracted and caused colic pain. The pain is located in the right upper abdomen or epigastrium, paroxysmal, or continuous pain paroxysmal intensification, can be radiated to the right shoulder blade and back, can be accompanied by nausea, vomiting. Some patients are unable to name the exact location of the pain due to the severity of the pain. After the first occurrence of biliary colic, it recurs in about 70% of patients within a year.
2. Epigastric pain
Most patients feel epigastric or right epigastric pain only when they eat too much, eat high-fat food, work stress, or do not have a good rest, or feel full, belching, eructation, etc., which is easy to be misdiagnosed as "gastric disease".
3. Gallbladder fluid
Gallbladder stones long embedded or blocked gallbladder ducts but not combined with the infection, the gallbladder mucosa absorbs bile bile in the bile bile pigment. Secretion of mucus material, the formation of gallbladder fluid. The fluid is clear and colorless, also known as white bile.
The following symptoms should be alert to the possibility of gallstones:
①Persistent right upper abdominal pain with alternating light and heavy, can radiate to the back of the shoulders. ② heartburn, belching, nausea, vomiting, postprandial fullness and dyspepsia and other symptoms, more pronounced after eating greasy. ③Acute attacks are also accompanied by fever and jaundice.
It should be noted that chronic gastritis, gastric and duodenal ulcers can also appear in varying degrees of the above symptoms. Therefore, some patients with cholelithiasis can be easily misdiagnosed as gastric disease in the early stages.
Dietary factors can lead to gallstones
1 ① do not eat breakfast and dietary irregularities: do not eat breakfast, the gallbladder can not be emptied in a timely manner, it is easy to make the bile concentration and cholesterol deposits, and easy to form stones.
②Long-term dieting to lose weight: the same reasons for not eating breakfast, are related to the concentration of bile and cholesterol deposition.
3 diet unbalanced, vegetables eat less, high fat high calorie food intake: high calorie, high cholesterol food easy to cause obesity and hypercholesterolemia. Dietary fiber in vegetables helps prevent not gallstones from forming.
4 Excessive vegetarianism: Insufficient intake of protein and lipids, lack of enzymes and phospholipids in the bile that can inhibit the formation of stones, cholesterol and bile pigments are also easy to be deposited to form stones.