Can Exercise Cause Gallstones to Move Before Surgery? - Gastroenterology and Hepatology

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Exercise after the discovery of gallstones?


Hello, Doctor: I would like to ask, after experiencing pain in the upper right abdomen for the first time in early March this year, I underwent an abdominal ultrasound that diagnosed gallstones (less than 1 cm).
The doctor recommended laparoscopic surgery.
I have not yet decided when to have the surgery.
Before the surgery, can I continue to exercise, such as swimming, running, or cycling? Is there a risk that exercising could cause the gallstones to move and slip into the bile duct? Thank you.

A-Jia, 30~39 year old female. Ask Date: 2012/03/14

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir: Exercise will not trigger an episode.
High-fat foods will.
If you have experienced pain before, surgical treatment may be considered to avoid complications in case of unexpected situations (such as traveling abroad) that could lead to difficulties in seeking medical care.
Dr.
Chen Shih-Tien from Changhua Hospital cares about your health.

Reply Date: 2012/03/14

More Info


When it comes to gallstones and the potential impact of exercise on their movement, it's essential to understand the nature of gallstones and how they interact with physical activity. Gallstones are solid particles that form in the gallbladder, often due to an imbalance in the substances that make up bile. They can vary in size and may cause symptoms when they obstruct the bile ducts.

In your case, you have been diagnosed with gallstones smaller than 1 cm and are considering laparoscopic surgery. It's understandable to be concerned about whether exercise could lead to complications, such as the movement of gallstones into the bile duct, which can cause acute pain or other serious issues.

Based on current medical understanding, engaging in moderate exercise, such as swimming, running, or cycling, is generally considered safe for individuals with gallstones who are awaiting surgery. Exercise does not typically cause gallstones to move or dislodge. The movement of gallstones is more commonly associated with factors such as the contraction of the gallbladder during digestion, particularly after consuming fatty meals. High-fat foods can trigger gallbladder contractions, which may lead to the stones moving into the bile duct, potentially causing pain or complications.

In fact, maintaining an active lifestyle can be beneficial for overall health and may help manage weight, which is a significant factor in gallstone formation. Regular exercise can also improve digestion and reduce the risk of developing further complications related to gallstones.

However, it is crucial to listen to your body. If you experience any significant discomfort or pain during exercise, it would be wise to stop and consult your healthcare provider. They can provide personalized advice based on your specific situation and health status.

In summary, moderate exercise is generally safe for individuals with gallstones before surgery and is unlikely to cause the stones to move into the bile duct. It is always advisable to maintain open communication with your healthcare provider regarding your symptoms and any concerns you may have about your condition or the timing of your surgery. They can offer tailored recommendations and ensure that you are taking appropriate steps to manage your health effectively while awaiting your procedure.

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