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 Si Li Li

Gastroenterology

51sec

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Methods to alleviate gallbladder inflammation pain

The primary symptoms of cholecystitis include sudden, severe pain in the upper right abdomen, which typically radiates to the right shoulder, scapula, and back. The pain often occurs more frequently at night and can be exacerbated by consuming a large amount of fatty foods, which may lead to acute cholecystitis. In terms of treatment, if severe abdominal pain occurs, timely pain relief is necessary. Spasmolytic painkillers and analgesics, such as opioids, can be used for pain relief. Additionally, treatment should address the underlying cause, including the use of antibiotics. Aminoglycoside antibiotics or cephalosporin antibiotics can be effective in treating the infection, and controlling the infection will also help alleviate the pain.

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Written by Zhao Xin Lan

Endocrinology

49sec

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Gallblitis Symptoms

The symptoms of cholecystitis are divided into chronic cholecystitis and acute cholecystitis, and they present differently clinically. During acute cholecystitis, there is pain in the right upper abdomen in the gallbladder area, accompanied by fever, fatigue, decreased appetite, and even jaundice. Physical examination can reveal obvious tenderness and rebound pain in the right upper abdomen at the gallbladder. In contrast, chronic cholecystitis may not have obvious symptoms. Occasional pain may occur in the gallbladder area, but it is bearable. Typically, there is no obvious tenderness in the area, and the condition usually requires diagnosis through examinations such as an ultrasound.

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Written by Guan Yu Hua

Orthopedic Surgery

1min 8sec

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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.

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Written by Huang Ya Juan

Gastroenterology

3min 8sec

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Symptoms and Treatment of Cholecystitis

Cholecystitis is divided into acute cholecystitis and chronic cholecystitis. Acute cholecystitis typically presents very typical and obvious clinical symptoms, primarily manifesting as acute abdominal pain. Acute cholecystitis often occurs after eating greasy food, mainly presenting as severe colicky pain in the upper right abdomen, which is episodic and worsens. The pain may radiate to the right shoulder or back, followed by nausea, vomiting, and in severe cases, fever. Some severe cases may also present with jaundice and symptoms of systemic infection and toxicity. Acute simple cholecystitis is often treated non-surgically, and most cases can be cured. If the patient has a history of multiple attacks or the presence of stones, elective cholecystectomy is usually performed later. For suppurative or gangrenous cholecystitis, surgery should be performed promptly after appropriate preparation to remove the diseased gallbladder, typically within three days of onset. If the patient's condition is critical at the time of surgery, or if there is severe local infection and the anatomy is unclear, the doctor will not forcibly remove the gallbladder to avoid major bleeding and damage. Instead, a cholecystostomy may be performed first, followed by cholecystectomy after three months. Chronic cholecystitis, besides occasional upper abdominal discomfort and indigestion, usually shows no prominent symptoms, and most patients only learn about their condition through ultrasound examination. However, for recurrent acute attacks or symptomatic chronic cholecystitis, especially those with stones larger than 1 cm or multiple stones, cholecystectomy should be performed. Elderly or frail individuals with other serious illnesses, such as cardiovascular disease, diabetes, kidney disease, or liver disease, may receive medical treatment, including general digestive aids and antispasmodic medications. Bile preparations have choleretic effects, can increase the secretion of bile, promote the digestion and absorption of fats, and facilitate the excretion from the gallbladder, which can alleviate symptoms and stabilize the condition. Considering that acute attacks of chronic cholecystitis in elderly people progress rapidly and that emergency surgery has a much higher mortality rate than elective surgery, it is advisable to perform surgery during a remission period. Whether treated with medication or surgery, it is important to follow medical advice.

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Written by Xie Zheng Yuan

Gastroenterology

50sec

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Symptoms of acute cholecystitis

Acute cholecystitis is a relatively common digestive system disease in clinical practice, often triggered by the presence of gallstones, leading to acute inflammation of the gallbladder. When an acute cholecystitis attack occurs, it typically presents as pain in the upper right abdomen, accompanied by fever, and sometimes nausea and vomiting, similar to symptoms of gastric discomfort. Additionally, if a gallstone falls and lodges in the cystic duct, or even in the common bile duct, it can cause jaundice, as indicated by the yellowing of the skin and sclera. During a physical examination, it might be possible to detect tenderness in the upper right abdomen, or even rebound tenderness. Another possible positive sign could be Murphy's sign, which are all common manifestations of acute cholecystitis.