Cholecystitis is an inflammatory disease related to the gallbladder. Many people think it is a small problem, so they don't take it seriously. In fact, it is not. Cholecystitis is also a serious inflammation, and we hope that everyone does not underestimate it. The following article will lead everyone to understand cholecystitis, and we hope that this article can help everyone.
What is cholecystitis? Cholecystitis is an inflammatory disease of the gallbladder, which can be divided into acute cholecystitis and chronic cholecystitis. Cholecystitis is often secondary to gallstones, and gallstones caused by various reasons can lead to chronic inflammation of the gallbladder. The clinical manifestation is abdominal distension, which can be induced by eating greasy food and after a full meal. For example, small stones stuck in the neck of the gallbladder can cause acute cholecystitis. At this time, there will be severe pain in the upper right abdomen, and the doctor can feel a palpable lump in the patient's upper right abdomen. During physical examination, positive Murphy's sign will be found. Acute cholecystitis often requires surgical treatment, while chronic cholecystitis can be treated through lifestyle adjustments and targeted medication. When the surgical indications are met, surgery can be scheduled for removal.
Symptoms of Cholecystitis
The symptoms of cholecystitis mainly manifest as severe pain in the upper right abdomen, often caused by stones or parasitic impaction or obstruction of the gallbladder neck, resulting in sudden onset of acute cholecystitis pain, which is very severe and presents as colic. It often occurs after eating high-fat foods, and some may occur at night. Pain in the upper right abdomen is common in non obstructive and acute cholecystitis of the gallbladder duct, and nausea and vomiting are also common symptoms. Nausea, persistent or frequent vomiting can cause dehydration and electrolyte imbalances. Another issue is chills, shivering, and fever. Mild cases often manifest as chills and low-grade fever, while severe cases may experience high fever and shivering, with body temperatures reaching up to 39 ℃. Jaundice is rare and generally mild. The main signs are abdominal examination showing muscle tension, tenderness, rebound pain, and positive Murphy's sign in the upper right abdomen and upper abdomen. For patients with gallbladder hydronephrosis or perigallbladder abscess, a tender mass or significantly enlarged gallbladder can be palpated in the upper right abdomen.
The harm of cholecystitis can be discussed from two aspects: firstly, the harm of acute cholecystitis. If acute cholecystitis is severe, its consequences may be more serious. For example, acute cholecystitis can lead to complications such as gallbladder gangrene, gallbladder perforation, and so on. Once these complications occur, the consequences can be very serious. Therefore, when acute cholecystitis occurs, it is recommended that patients seek medical attention promptly and not endure it at home or take arbitrary treatment measures on their own. Generally speaking, chronic cholecystitis does not bring very serious consequences. However, if chronic cholecystitis is not treated with medication for a long time, chronic inflammation and thickening of the gallbladder wall will gradually form, leading to damage to the contraction and secretion functions of the gallbladder. Over time, the gallbladder will shrink. For chronic cholecystitis accompanied by gallbladder atrophy, we recommend surgical treatment. Because gallbladder atrophy is a high-risk population for gallbladder cancer. So patients with chronic cholecystitis should also undergo regular clinical follow-up, with an annual ultrasound to see if there is gallbladder atrophy. If there is gallbladder atrophy, early surgical treatment should be performed.
The treatment methods for cholecystitis are generally divided into three aspects. The first is general treatment, such as actively preventing and treating bacterial infections and complications; Diet and lifestyle should be moderate, and attention should be paid to balancing work and rest; The third one is patients who often have stones, and we need to consider whether surgery is necessary; In addition, our diet mainly consists of very low-fat meals, which reduce the secretion of bile and alleviate the burden on the gallbladder. This is a general treatment. The second drug treatment for cholecystitis mainly manifests in acute cholecystitis, mainly including spasmolysis and analgesia. Atropine intramuscular injection, nitroglycerin incorporation, pethidine, etc. can be used to relieve the spasm and pain of the Oddi sphincter muscle. In addition, the use of antibiotics is also crucial for the occurrence of acute cholecystitis. The third choleretic treatment, such as oral magnesium sulfate treatment
Conclusion
The above is the relevant knowledge about cholecystitis. The harm of cholecystitis should not be underestimated. If you feel uncomfortable, please seek medical attention in a timely manner. I hope this article can help everyone understand cholecystitis and provide assistance.