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The dissolution of cholesterol-rich gallstones can be achieved with medications that contain bile acids. Bile acids are natural substances that help to dissolve and break down fats in the digestive tract. These medications work by increasing the concentration of bile acids in the gallbladder, which helps to dissolve cholesterol-rich gallstones over time.
The most commonly used medication for the dissolution of gallstones is ursodeoxycholic acid (UDCA). UDCA works by reducing the amount of cholesterol in the bile, which can help to prevent the formation of new gallstones and dissolve existing ones. It is effective in dissolving small, radiolucent (not visible on X-ray) gallstones and can take several months to dissolve them.
Gallstone dissolution with medication may not be appropriate for all patients, and in some cases, surgery may be necessary to remove the gallbladder and any associated gallstones. Your healthcare provider can help you determine if gallstone dissolution with medication is a suitable treatment option for you.
It is important to note that even if gallstones are dissolved, they may recur in the future. To prevent the recurrence of gallstones, it is important to maintain a healthy weight, eat a balanced diet, and exercise regularly.