How is cholelithiasis cholecystitis treated?

Written by Li Ying
Gastroenterology
Updated on September 15, 2024
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The treatment of cholecystitis with gallstones is divided into two main categories. The first category refers to the treatment of asymptomatic gallstone cholecystitis, as well as symptomatic treatment. For asymptomatic cases, treatment can include dietary management for chronic, symptom-free cholecystitis, including those with gallstones. In symptomatic cases, the treatment focuses on improving gallbladder function and symptomatic relief. Dietary treatment mainly suggests regular meals without overeating, promoting a regular eating pattern. The second method is to use medication to improve gallbladder function, and preventive gallbladder removal can also be considered. For symptomatic cases, the primary goal is to control symptoms and reduce inflammation, mainly through medication. If medical treatment is not effective, surgical options may be considered.

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Written by Zhang Tao
Hepatobiliary Surgery
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The difference between acute cholecystitis and chronic cholecystitis

Chronic cholecystitis clinically manifests as recurrent dull pain in the upper abdomen and biliary colic, which the patient can quickly relieve on their own; acute cholecystitis involves more severe pain that cannot be relieved without intervention, and is usually accompanied by fever, nausea, and vomiting. In chronic cholecystitis, pressing on the right upper abdomen elicits no special reaction; in acute cholecystitis, pressing on the right upper abdomen causes obvious pain, known as a positive Murphy's sign. Acute cholecystitis is accompanied by a significant increase in white blood cells, and an ultrasound can reveal a marked enlargement and thickening of the gallbladder wall; chronic cholecystitis does not show these specific characteristics.

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Written by Si Li Li
Gastroenterology
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How to relieve gallblitis pain?

Gallbladder inflammation generally presents as sudden severe pain in the upper right abdomen, typically occurring after consuming a large amount of fatty foods or most frequently at night. The pain may radiate to the right shoulder or back, indicating gallbladder inflammation. For treatment, antispasmodic pain relief medications can be used. If these are ineffective, opiates like pethidine may be employed to alleviate symptoms. Additionally, it is necessary to perform routine blood tests and imaging, such as an abdominal CT scan or ultrasound, to confirm the diagnosis. Once the diagnosis is confirmed, aggressive anti-inflammatory treatment should be pursued. (Medication should be used under the guidance of a physician.)

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Written by Zhao Xin Lan
Endocrinology
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Can cholecystitis be cured?

Can cholecystitis be cured? The answer is definitely yes. Cholecystitis can be cured through either medical or surgical means. Firstly, if it is chronic cholecystitis without obvious clinical symptoms, one can prevent acute attacks by paying attention to their daily life, avoiding high-fat and high-calorie diets, and keeping warm. If it is acute cholecystitis, then acute anti-infection treatment is needed. Moreover, if the inflammation is severe and the gallbladder is significantly enlarged, or there is even a risk of perforation, then emergency surgical treatment is necessary at this time.

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Hepatobiliary Surgery
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What to do if you have cholecystitis?

Cholecystitis usually occurs in people with gallstones or gallbladder polyps. Patients with cholecystitis generally experience discomfort and bloating pain in the upper right abdomen. Cholecystitis is an inflammation of the inner wall of the gallbladder, which can cause abdominal pain in mild cases and lead to bile stasis and suppurative cholecystitis in severe cases. The first step in treating cholecystitis is to actively use antibiotics. Those with cholecystitis should actively use antimicrobial and anti-inflammatory drugs. It is also important to maintain a light diet and avoid consuming too many greasy foods. To prevent recurrence, it is generally recommended that patients take oral anti-inflammatory and bile-promoting tablets after cholecystitis symptoms are controlled. These medications can play a preventive role in patients with acute and chronic cholecystitis.

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Is rib pain gallblitis?

The gallbladder is located in the upper right abdomen, at the intersection of the midpoint of the right costal margin and the costal arch, near the midclavicular line. If there is tenderness in this area, it indicates a positive Murphy's sign. Usually, an ultrasound can reveal whether there is gallbladder wall thickening or a rough surface. Additionally, the ultrasound can detect gallstones or bile duct stones. Furthermore, a complete blood count should be performed to check for elevated white blood cells, which could indicate acute suppurative cholangitis. This condition may present with fever, positive Murphy's sign, Charcot's triad or pentad, and all require ultrasound for differentiation. Rib pain is mostly related to trauma, strain, or localized pressure during sleep, such as from a pillow corner, ashtray, or remote control. It can also be associated with costochondritis or intercostal neuralgia, and breathing heavily or coughing may cause pain. To confirm a diagnosis of cholecystitis, an ultrasound and a complete blood count should be performed.