Do I have to have surgery for gallbladder stones?

  As a patient suffering from gallbladder stones, you must have the experience that when you consult different doctors about the management of gallbladder stones, you may be given different answers. Some will say surgery; some will say wait; some will say medication is available. Is there a best answer or not? Some people live with stones for the rest of their lives and live peacefully; others will suffer from a small gallbladder stone and even have a life-threatening condition. Why is this?  To understand the best treatment options for gallbladder stones, we must first understand what gallbladder stones are to be treated?  1, gallbladder stones complications of cholecystitis. Gallbladder inflammation attacks cause pain, which can be mild or severe in degree. The milder ones have vague pain and discomfort or only abdominal fullness. In severe cases, the pain is unbearable. When these symptoms affect your life, work, and rest, this is the time to go for treatment.  2. Gallbladder sediment-like stones. Although not complicated by cholecystitis, it can have more serious complications: cholangitis and pancreatitis. Because sediment-like stones are small, they can drain through the cystic duct to the common bile duct. Since the common bile duct and the pancreatic duct have a common opening and are surrounded by a sphincter, bile can be drained when it is open, while stones are difficult to drain, causing cholangitis and pancreatitis. Therefore, in order to prevent such complications, early treatment is necessary.  3. Filled or multiple stones with atrophy of the gallbladder. Although there is no direct evidence to prove that this condition is prone to malignant transformation, a large proportion of gallbladder cancer patients have gallbladder filled stones and gallbladder atrophy.  4. Gallbladder stones with diabetes mellitus. Diabetic patients are prone to infection (inflammation of the gallbladder), and the infection is difficult to control.  These are the four conditions that need treatment. Otherwise, they can coexist peacefully. However, these four conditions are also those that require surgical removal. The purpose of medication is to reduce inflammation and bile and improve symptoms. There is no clinical drug that can cure gallbladder stones or replace surgery.  Gallbladder stones are a surgical category, and its treatment specialty is hepatobiliary surgery. Some hospitals do not have a special hepatobiliary surgery department, but are under the general surgery department.