Diet taboos for gallbladder polyps

Do not consume large amounts of high-fat and high-cholesterol foods for a long time, do not eat irregularly for a long time (either to the point of dizziness from hunger or overeating), and do not frequently encounter alcohol and highly irritating foods. The rest of the so-called "cannot eat eggs, cannot touch seafood, and cannot eat soy products" are mostly over-interpretations. There is no need to put yourself into a state of malnutrition because of a polyp and "don't dare to eat this or touch that."

A while ago, I accompanied an elder in my family to the gastroenterology department for a follow-up visit, and I met a young man who, after being diagnosed with 3mm gallbladder polyps, stopped eating eggs, milk, and seafood, and only ate boiled vegetables every day. He lost more than ten kilograms in just two months. During the follow-up check-up, the doctor couldn't laugh or cry, saying that he was completely overcorrecting.

Take the eggs that people ask about most. Different doctors have different opinions: some old doctors with long clinical experience will advise patients to eat as little egg yolks as possible. After all, the cholesterol content of egg yolks is not low, and they are afraid of stimulating gallbladder contraction and increasing the burden.； But now the latest "China Guidelines for the Diagnosis and Treatment of Gallbladder Polypoid Lesions" has long made it clear that only about 20% of the body's cholesterol comes from diet, and the remaining 80% is synthesized by itself. As long as you have no major problems with cholesterol metabolism, eating a complete egg a day will not cause trouble to the gallbladder at all. Instead, it can supplement high-quality protein, which is much more cost-effective than eating only egg whites.

The real high-fat and high-cholesterol foods that we need to avoid are not ordinary eggs, fish, and shrimps, but the kind of braised fatty meat every meal, animal offal every now and then, and butter hot pot as a daily meal. There was a patient in the outpatient clinic who was diagnosed with a 4mm gallbladder polyp. The doctor asked him to adjust his diet and have regular check-ups. As a result, he was greedy and ate late-night barbecue at least three times a week, with cold beer every time. Only half a year later, he was checked again and found that the polyps had grown to 8mm, almost reaching the threshold for surgery. To put it bluntly, it doesn’t mean that you are not allowed to eat these “happy foods” at all. It means that you should not take high-fat and high-sugar foods as your daily routine. It’s perfectly fine to satisfy your craving once in a while, and your gallbladder is not that fragile.

Oh, by the way, there is also the myth that "not eating breakfast will definitely aggravate gallbladder polyps", which is actually also true. If you have a body with abnormal cholesterol metabolism, have developed cholesterol polyps, and have not eaten breakfast all year round, bile has been stored in the gallbladder for more than 10 hours and cannot be excreted. As the concentration becomes higher and higher, it is indeed easy for more crystals to precipitate, making the polyps larger. ； But if you have adenomatous polyps, which are hyperplastic, the impact of diet on them is very small. Even if you eat breakfast every time, they will still grow. The focus is on regular follow-up visits to observe changes in size, and there is no need to be obsessed with diet.

As for the way to eat high-quality liquor and spicy meals, you should try to touch them as little as possible. I have a friend who doesn't like anything spicy. He always has millet spicy food and loves to drink with others. He was diagnosed with a 2mm gallbladder polyp before but didn't take it seriously. After a heavy drink last year, he suddenly suffered a cholecystitis attack. He was rolling on the floor in pain. He was hospitalized for 3 days. After that, he didn't dare to mess around anymore. Of course, if you are used to eating mildly spicy food, there is no need to quit all of it suddenly, as long as you don’t eat too frequently or too hard.

There is another pitfall that everyone easily falls into, which is not to buy those so-called "gallbladder news meat" health care products, such as liver-clearing tea and fossil pills. I have seen several patients drink these for more than half a year, and the polyps did not shrink, but instead caused chronic gastritis in their stomachs. If you really want to protect your gallbladder, it is better to eat more fresh dark green vegetables and drink less sweet drinks. It will be more effective than any IQ tax products.

In fact, more than 90% of gallbladder polyps themselves are benign cholesterol polyps, and the probability of becoming cancerous is less than 1%. There is really no need to feel like facing an enemy as soon as they are detected. Just avoid those core pitfalls in diet and eat normally. Do a B-ultrasound review every six months to one year. If you have any questions, the doctor will naturally remind you. Worrying about "can you eat eggs" every day is not conducive to endocrine stability, and may have a greater impact on polyps than eating egg yolks.