What is the best medicine for gallstones? Analysis of hot topics and treatment plans on the Internet in the past 10 days
Recently, topics related to gallstone treatment have become increasingly popular on social media and medical forums, especially discussions around drug-based stone dissolution, traditional Chinese medicine conditioning, and the latest clinical research. This article will analyze the drug treatment options for gallstones in a structured way based on the hot topics on the Internet in the past 10 days.
1. Hot search list for gallstone drugs (data in the past 10 days)
| Drug name | Hot search index | Applicable type | core ingredients |
|---|---|---|---|
| Ursodeoxycholic acid | ★★★★★ | cholesterol stones | UDCA |
| Chenodeoxycholic acid | ★★★☆☆ | Stones <1.5cm in diameter | CDCA |
| Danning tablets | ★★★★☆ | Liver and gallbladder damp-heat type | Rhubarb, knotweed, etc. |
| Anti-inflammatory and choleretic tablets | ★★★☆☆ | combined with cholecystitis | Andrographis paniculata, river yellow grass |
2. Analysis of Hot Topic Treatment Plans
1.New progress in stone dissolving therapy: As mentioned in the Weibo health topic #Gallstones without Surgery#, the improved formula of ursodeoxycholic acid (UDCA) has been shown in clinical trials to increase the stone-dissolving efficiency by 30% and needs to be taken continuously for 6-24 months.
2.Chinese medicine combination plan: Under the topic of Douyin #TCM regulates gallstones, the combined use of Danning tablets + Desmodium granules has received high attention, and it needs to be combined with a low-fat diet.
3.Painkiller Controversy: Zhihu hot post pointed out that NSAIDs drugs such as ibuprofen can only relieve pain in the short term, and long-term use may mask the progression of the disease.
3. Precautions for drug treatment
| drug type | efficient | Contraindications | Course of treatment |
|---|---|---|---|
| chemical stone dissolving agent | 40-70% | Calcium salt stones/pregnant women | More than 6 months |
| Chinese patent medicine | 30-50% | abnormal liver function | 3 month cycle |
| antibiotics | -- | Allergy | Use in acute phase |
4. The latest suggestions from experts (excerpted from an interview with the director of the Hepatobiliary Surgery Department of a tertiary hospital)
1. Drug treatment must meet three conditions: the diameter of the stone is less than 2cm, the gallbladder function is normal, and the cholesterol content is >70%.
2. A recent study in the "Chinese Journal of Digestion" shows that the combination of UDCA + atorvastatin can improve the stone-dissolving effect, but liver function needs to be monitored.
3. Be wary of "stone removal remedies" circulating on the Internet, especially false claims that they can dissolve stones in 7 days.
5. QA on hot topics that patients pay attention to
Q: Will stones recur after drug treatment?
A: Data shows that the 5-year recurrence rate is about 50%, and a low-cholesterol diet needs to be maintained.
Q: What symptoms suggest the need for surgery?
A: Surgery should be considered when there is recurrent fever, jaundice, persistent abdominal pain or a stone diameter >3cm.
Q: Can health products replace medicines?
A: There is currently no clinical evidence to support the stone-dissolving effect of health products. The "Gallstone Buster" removed from the shelves of an e-commerce platform is a typical case.
Note: The statistical period of the data in this article is from X month X to X month X, 2023. The treatment plan must be used under the guidance of a doctor. Continuously update the latest developments in the field of gallstone treatment. It is recommended to collect and follow it.
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