Cholecystitis gallstones dietary taboos

Patients diagnosed with cholecystitis or gallstones must not touch three red lines - overeating with high oil, fat and cholesterol, long-term fasting (especially without eating for more than 12 hours in a row), and highly irritating food + alcohol. If you step on any of them, there is a high probability of causing biliary colic. In severe cases, it can also induce acute pancreatitis. This is really not a scare.

I just met an old patient who works in Internet operations a while ago. He was 32 years old. Last year, he had 2mm cholesterol crystals during his physical examination. He was warned not to eat blindly. But last week, he accompanied a client to make up for it. He had a butter hot pot and three bottles of cold beer. That night, he called 120 and went to the emergency department. It was found that the gallbladder was three times the normal size.

To be honest, many people either take the dietary taboos of this disease too seriously or go too far. There are many opinions that have long been controversial. For example, the most frequently asked question is "can you eat eggs?" The traditional view of Western medicine is that egg yolks are high in cholesterol and should be avoided. However, in recent years, more and more clinical studies have found that if patients are in a stable phase, if they eat one hard-boiled egg a day, the lecithin in it can actually help regulate the cholesterol ratio in bile. As long as it is not eaten like three fried poached eggs with fried dough sticks at a meal, there is no problem. On the contrary, some patients dare not touch any egg yolks and only eat egg whites every day. In the long run, their nutrition will not keep up, but their immunity will decrease and inflammation will be more likely to recur. The view of traditional Chinese medicine is more relaxed. Many traditional Chinese medicine doctors also recommend that patients occasionally take a small amount of Gallus gallus gallinae to help eliminate accumulated fossils. The restrictions on high-cholesterol foods should not be excessive as long as they are not excessive, and there is no need to apply them across the board.

Oh, by the way, there are many people who think that being vegetarian is absolutely safe. I met an aunt in her 40s at the outpatient clinic before. She had been a vegetarian for 5 years. Her physical examination showed a bunch of silt-like gallstones. She was stunned. In fact, if you don’t consume fat at all, your gallbladder will not receive the signal to contract. The bile that has been stored overnight will remain in the gallbladder. The concentration will become higher and higher, and crystallized stones will still form. So it’s not that you can’t touch oil at all. You usually use oils with unsaturated fatty acids such as olive oil and tea seed oil. Control it within 20g a day. It’s no problem to stir-fry green vegetables. On the contrary, it can help the gallbladder to be emptied regularly and reduce stasis.

The pitfall that is most easily overlooked is actually long-term fasting, especially many young people who skip breakfast all year round in order to sleep for an extra ten minutes. Not long ago, a girl in her senior year of high school came over. She had not eaten breakfast for 3 consecutive years. She was in so much pain that she could not take the mock test before she came for a check-up. Her gallbladder was already filled with silt-like stones, so she could only be treated conservatively and observed first. Think about it, after sleeping for seven or eight hours at night, the gallbladder has already stored a bag full of bile. If you don't eat in the morning, it will stimulate it to contract and release bile. If it remains empty until noon, the bile will be so thick that it will almost become a paste. It would be strange if you don't develop stones. There are also people who go on a crazy diet to lose weight and skip meals every meal, which makes them particularly susceptible to the disease.

If you are in an acute attack and are so painful that you are sweating, don't think about what to eat or drink. Go to the hospital immediately without eating or drinking. If you still eat food by force, it will only make the gallbladder contract more severely and cause more pain. In severe cases, it may lead to gallbladder perforation, which will be troublesome.

During the normal period, you don’t actually have to dig through the taboo lists on the Internet, such as whether you can eat tofu or whether you can eat spinach. In fact, as long as you don’t feel uncomfortable after eating it, you don’t need to deliberately avoid food. What you really want to avoid are the things that are fried as soon as you eat them: such as freshly baked fried dough sticks, sauced elbows, animal offal, crab roe and fish roe that are high in oil and cholesterol, as well as iced milk tea, cold beer just taken out of the refrigerator, and especially spicy hot pot. I advise you to touch less of these things, otherwise you will roll in pain just for one bite.

Oh, by the way, there is another question that everyone asks a lot: Can I drink coffee? The current research conclusion is quite interesting. Pure black coffee without sugar or milk can promote gallbladder contraction and reduce the risk of gallstones. However, forget about the vanilla latte with a thick layer of milk cap and half a cup of syrup. It is essentially sugar and oil. Drinking it is no different from eating a cream cake. It hurts when it should.

To put it bluntly, the core of the diet for this disease is "don't cause trouble for the gallbladder." Everyone's tolerance is different. Some people feel pain after eating half an egg yolk, and some people are fine if they eat braised pork once a week. You don't need to copy other people's experience. The most important thing is that you feel comfortable eating. Of course, it is much more reliable to review the B-ultrasound regularly every year and observe the size changes of the stones than to focus on the details of dietary taboos.