What are the symptoms of common bile duct obstruction

The human gallbladder is particularly important to humans. If there is something wrong with the gallbladder, the patient is likely to vomit gallbladder fluid, and many patients with cholecystitis will often feel pain. Patients with severe gallbladder problems generally need to be hospitalized. During the hospitalization, they will feel pain while receiving treatment. However, common bile duct obstruction is a late manifestation of cholecystitis. So what are the symptoms of common bile duct obstruction?

Diagnosis of obstructive jaundice

1. The sclera (white of the eye) and skin turn yellow. In the early stage, it is golden yellow, in the middle stage, it is yellow-green, and in the late stage, it is green-brown or even almost black. (2) Urine that is like strong tea is due to increased bilirubin in the blood. (3) The stool is grayish white or white clay-like. This is because the bile duct is blocked and the stool cannot be dyed yellow by bile. (4) Skin itching is the result of bile salts deposited under the skin stimulating peripheral nerves. (5) Bradycardia is caused by bile salts stimulating the vagus nerve. In clinical diagnosis and treatment, invasive or non-invasive imaging and interventional examinations such as B-ultrasound, CT, PTC (percutaneous liver puncture), MRCP (magnetic resonance pancreaticobiliary imaging), and ERCP (endoscopic retrograde pancreaticocholangiopancreatography) are mainly used to clarify the cause of obstruction. Endoscopic retrograde cholangiopancreatography, abbreviated as ERCP, is an important means of diagnosing bile duct and pancreatic diseases by retrograde duodenoscope intubation. The bile duct and pancreatic duct both open at the duodenal papilla. The duodenoscope is inserted into the duodenum through the mouth to find the papilla. The contrast tube is inserted into the bile duct or pancreatic duct through the papilla and contrast agent is injected to make the bile duct or pancreatic duct visible, thereby achieving the purpose of diagnosing bile duct and pancreatic diseases.

2. Recipe of Niuhuang Wuhua Powder: buffalo horn powder, rhubarb, coptis root, gardenia, licorice, scutellaria, double flower, dandelion, grass carp, wild yam, wild chrysanthemum, and isatis indigotica. The buffalo horn powder in the prescription can clear away heat, detoxify and cool the blood. When combined with coptis root and gardenia, the heat-clearing and detoxifying effects are even greater. Artemisia capillaris and rhubarb can reduce stagnant heat, clear away heat and dampness to relieve jaundice. Add double flower, dandelion, carnelian, isatis indigo leaf, and wild chrysanthemum to clear away heat and detoxify. As the saying goes, "To cure jaundice, you need to detoxify; and jaundice can be easily cured by detoxifying." Licorice harmonizes various medicines and can also harmonize the stomach and detoxify.

3. Recipe of Yinchenshufu Decoction: Yinchen, Atractylodes, Fupian, dried ginger, and roasted licorice. In the formula, Artemisia capillaris and Aconite root are used together to warm and transform cold and dampness, and can also promote bile secretion. Atractylodes macrocephala, dried ginger, and licorice can invigorate the spleen and warm the middle. If there is abdominal distension and thick tongue coating, remove Atractylodes macrocephala and licorice, and add Atractylodes lancea and Magnolia officinalis to dry out dampness and eliminate fullness. For skin itching, add Qinqi and Difuzi to dispel wind and relieve itching, promote diuresis and reduce jaundice.

2What are the dangers of bile duct obstruction?

When stones become lodged in the neck of the gallbladder or in the cystic duct, the gallbladder swells and the concentrated bile inside cannot be discharged. This concentrated bile produces strong chemical stimulation to the gallbladder wall, making bacterial infection more likely to occur. Common pathogens include Escherichia coli (accounting for 60% to 70%), Klebsiella, anaerobic bacteria and other Gram-negative bacteria, most of which enter the gallbladder from the intestine through the common bile duct in a retrograde manner, and a few enter the liver through the portal vein system and then flow into the gallbladder with bile. Due to the invasion of bacteria, the gallbladder wall becomes edematous and inflamed, which can cause blood supply obstruction to the gallbladder wall, thereby further aggravating the inflammation of the gallbladder wall and causing acute cholecystitis.

This is all we have to say about the dangers of bile duct obstruction. To avoid bile duct obstruction, it is recommended that patients with gallstones larger than 0.2 cm should actively seek treatment. If you want to know more about gallstone treatment methods and the cost of gallstone treatment,