Autumn wind rises, crab fat and chrysanthemum yellow. Many people are busy sticking autumn fat and tasting autumn flavors. There is also a department in the hospital that quietly enters a busy mode - hepatobiliary surgery. Patients with acute attacks of gallstones and acute exacerbation of chronic cholecystitis gather together for treatment. Why is the gallbladder prone to "tantrums" in autumn? What signals should we be alert to? Chen Chen, Chief Physician of the Second Department of Biliary Surgery (Hepatobiliary Surgery Fifth Ward) at Hunan Provincial People's Hospital, provided a detailed explanation. After autumn, the Hepatobiliary Surgery Department of the hospital entered a busy mode. "Doctor, I ate crab and suddenly felt severe pain in my upper right abdomen in the middle of the night, accompanied by nausea and vomiting. ”I have had gallstones for several years now, and recently I have been feeling bloated after cooling down. Eating greasy food makes me uncomfortable. During this period, the Hepatobiliary Surgery ward of Hunan Provincial People's Hospital has entered a "high-pressure mode" - medical staff work around the clock to deal with various emergencies. Xiaomei, a 24-year-old girl from Huarong County, Hunan Province, is one of the patients. After a dinner, she suddenly experienced severe pain in her upper right abdomen and was eventually diagnosed with gallstones accompanied by cholecystitis and common bile duct stones. She had to be urgently hospitalized for treatment. Recalling the course of her illness, Xiaomei (pseudonym) still has lingering fears to this day. Four days ago, several hours after finishing dinner, she suddenly experienced persistent bloating and pain in her upper right abdomen, which lasted for about an hour and was accompanied by nausea and vomiting. After vomiting, I felt a little better in my stomach, but there was still a slight pain. She immediately went to the local hospital for treatment. After B-ultrasound examination, Xiaomei was diagnosed with "gallstones, cholecystitis, and common bile duct stones". After receiving symptomatic treatment such as spasmolysis, pain relief, and maintaining water and electrolyte balance at the local hospital, her abdominal pain symptoms quickly improved, but due to various reasons, no further treatment was given. Xiaomei thought her condition had come to an end, but a day ago, a severe pain without obvious cause struck again: this time the pain became paroxysmal, involving the shoulders and back, and nausea and vomiting symptoms worsened simultaneously. The pain was even more intense than the first time. She urgently went to the nearby community health service center for intravenous anti infective treatment. After the symptoms improved slightly, she came to Hunan Provincial People's Hospital for thorough diagnosis and treatment. After admission, after standardized treatment such as anti infection, antispasmodic pain relief, and maintaining water and electrolyte balance, Xiaomei's abdominal pain symptoms have significantly improved, and her mental and dietary health have gradually returned to normal. These factors lead to the vulnerability of the gallbladder in autumn, and the situation of "small beauty" is not uncommon. Recently, the number of patients with gallstones and cholecystitis admitted to the second department of biliary surgery has increased by nearly 30% compared to usual. ”Chen Chen explained that the core function of bile is to digest fatty foods, and the gallbladder is a "warehouse" for storing and concentrating bile, sensitive to seasonal changes and dietary adjustments. However, many factors in autumn happen to trigger biliary system diseases, especially gallbladder diseases, and accurately "attack" the weak points of the gallbladder. Chen Chen stated that the high incidence of gallbladder diseases in autumn is not accidental, but the result of the combined effects of diet, climate, and physical condition. Eating high in oil and sugar can double the burden on the gallbladder. Autumn is the peak season for delicious food, and foods such as crabs, mooncakes, hot pot, and stewed meat are mostly high in oil, sugar, and cholesterol. The gallbladder needs to constantly contract and excrete bile to digest these foods. Long term high-intensity work can easily lead to bile stasis, which not only increases the risk of gallstones formation but may also induce gallbladder inflammation. Large temperature difference+abdominal coldness, gallbladder contraction disorder. The temperature difference between morning and evening in autumn gradually increases, and many people wear less when going out in the morning, which can easily cause their abdomen to catch a cold. After catching a cold in the abdomen, the contraction function of the gallbladder may become disrupted, and bile excretion may not be smooth, accumulating in the gallbladder. Over time, this may lead to inflammation. Insufficient moisture causes bile to become viscous. In autumn, the air is dry and the body loses moisture quickly, but many people do not have the habit of replenishing water in a timely manner. Insufficient water can cause bile to concentrate, become viscous, and have poor fluidity. This not only makes it easy to precipitate cholesterol crystals, but also affects the normal excretion of bile, increasing the risk of gallbladder disease. Chen Chen said that after a night of fasting, the bile in the gallbladder will be highly concentrated. If breakfast is not eaten, the bile cannot be emptied in time and will accumulate in the gallbladder for a long time, creating conditions for the formation of stones; Overeating and consuming high-fat and high sugar diets (such as fatty meat, fried foods, desserts) can stimulate severe gallbladder contractions - if there are already stones in the gallbladder, the contractions may cause the stones to jam in the bile duct, causing severe pain and even triggering cholecystitis; In addition, alcohol can directly increase the burden on the gallbladder, and overeating during late night snacks can make the gallbladder work overtime at night, further reducing gallbladder function. Don't ignore the distress signal sent by the gallbladder. Chen Chen said that gallbladder diseases are not without warning before they occur. When the following four symptoms appear in the body, it is likely that the gallbladder is giving an alarm and should be promptly examined by medical professionals. Pain in the upper right abdomen, especially worsening after meals. The upper right abdomen is the exclusive area of the gallbladder. If there is dull pain, bloating or severe colic here, especially after eating greasy food, the symptoms worsen and even affect sleep. Be alert to gallstones or cholecystitis, which are the most typical signals of gallbladder disease. Nausea and vomiting, with persistent abdominal pain after vomiting. Gallbladder inflammation can affect digestive function, and many patients may experience nausea and even vomiting in severe cases. However, the abdominal pain may not alleviate after vomiting, but may continue to worsen. If accompanied by pain in the upper right abdomen, do not mistake it for stomach disease. It is recommended to promptly investigate gallbladder problems. Skin and eyes turn yellow, and urine becomes darker. If gallstones block the bile duct, bile cannot flow into the intestine normally, and bilirubin will enter the bloodstream, causing yellowing of the skin, eyes, and sclera. Urine will also become darker and appear dark brown. If this situation occurs, seek medical attention immediately to avoid complications such as cholangitis and pancreatitis. Fever and fear of cold, accompanied by general fatigue. When gallbladder inflammation worsens, the body will activate defense mechanisms, resulting in fever, accompanied by symptoms such as fear of cold, general fatigue, and decreased appetite. This means that the gallbladder may be infected and requires timely treatment to prevent the spread of inflammation. How to protect the gallbladder in daily life? Chen Chen suggests that everyone pay attention to the following aspects: do not miss breakfast. Eating breakfast at a fixed time, stimulating gallbladder contraction and emptying bile through food, reducing bile stasis at the root and lowering the risk of stones. Don't go to extremes in your diet. During meals, control your food intake to avoid bloating, strictly limit the intake of high-fat and high sugar foods, and avoid alcohol as much as possible; The principle of night snack is light and small, such as millet porridge and vegetable salad. Avoid eating a lot of food 2 hours before going to bed. Don't relax when losing weight. Moderate exercise such as brisk walking, jogging, and swimming can promote metabolism and prevent obesity from causing abnormal cholesterol metabolism - obesity is an important risk factor for gallstones. Take more vitamins. Supplement enough fresh vegetables and fruits every day, among which vitamin A can protect gallbladder epithelial cells, vitamin C can promote cholesterol metabolism, help regulate bile components, and reduce stone formation. Drink plenty of water every day. Drink 1500 to 2000 milliliters of warm water every day, in small amounts and multiple times. Adequate hydration can dilute bile, reduce the formation of cholesterol crystals, promote bile excretion, and lower the risk of gallbladder disease. Avoid using milk tea or beverages instead of warm water, as sugary drinks can increase the burden on the gallbladder. In addition, regular inspections are necessary. People with a history of gallstones, chronic cholecystitis, or a family history of gallbladder disease are recommended to undergo an annual abdominal ultrasound examination to monitor the condition of the gallbladder and detect and treat it early. Patients with diabetes, hyperlipidemia and women over 40 years old are high-risk groups of gallbladder diseases. In addition to regular inspection, they should actively control the primary disease and reduce the impact on the gallbladder. If you experience discomfort such as upper right abdominal pain and nausea, do not take painkillers on your own to avoid masking the condition. You should seek medical attention promptly. (New Society)