Symptoms of bile duct stone pain

summary

There are many patients with intrahepatic bile duct stones around us. This disease has a great adverse impact on their daily life. If we can't pay attention to it and actively treat it, it will endanger life safety in serious cases. The following part introduces the symptoms of bile duct stone pain, hoping to increase our understanding of this disease.

Symptoms of bile duct stone pain

Abdominal pain usually occurs in the lower xiphoid process or right upper abdominal colic, showing paroxysmal or persistent pain. Paroxysmal aggravation often radiates to the right shoulder and back. Shivering and high fever often appear after severe abdominal pain, presenting as flaccid fever. The body temperature can be as high as 39 ℃ - 40 ℃.

About 70% of patients with jaundice can have jaundice 12-24 hours after upper abdominal colic, chills and high fever. Jaundice accompanied by skin itching, urine was dark brown, stool color became pale or showed clay color, most patients with jaundice can be fluctuating, in a week or so to ease. 　　

Intrahepatic bile duct stones can be asymptomatic or have deep and persistent pain in the liver area, chest and back, affecting sleep. When acute obstructive suppurative cholangitis occurs, there may be shivering, fever, hepatomegaly and tenderness. Jaundice may be absent or mild. Septicemia and shock may occur in the late stage.

matters needing attention

It is suitable for young patients with first attack; The symptoms were relieved rapidly after non-surgical treatment; Patients who have been ill for more than 3 days and have no indication of emergency operation. The commonly used treatment measures include: bed rest, no diet or low-fat diet, infusion, correction of water electrolyte disorder and acid-base imbalance, anti infection, spasmolysis, cholagogic and symptomatic treatment. Patients with shock should strengthen anti shock treatment, such as oxygen inhalation, maintenance of blood volume, timely use of pressor drugs, etc.