What are the symptoms of cholelithiasis cholecystitis?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 04, 2024
00:00
00:00

Cholecystitis due to gallstones is relatively common in clinical practice, with abdominal pain being a frequent reason for seeking medical attention. The pain usually manifests in the upper abdomen or right side, occurring in intermittent or continuous episodes. Typically, the nature of the pain is described as distension, colic, or dull pain. Patients may also experience radiating pain in the lower back, typically extending to the right side of the abdomen. Additionally, a small number of patients may experience nausea, vomiting, and even fever alongside abdominal pain. Fevers are usually mild to moderate, with body temperatures around 38°C (100.4°F). Nausea and vomiting occur as a digestive response following gallbladder contraction and subsequent inflammatory stimulation, with vomitus generally consisting of gastric contents and bile, but not blood. Therefore, if gallstone-induced cholecystitis is suspected, it is recommended for patients to undergo active endoscopic removal, typically via laparoscopic surgery. Of course, older patients might be treated conservatively with medications.

Other Voices

doctor image
home-news-image
Written by Li Ying
Gastroenterology
52sec home-news-image

Is surgery necessary for cholecystitis with gallstones?

Gallstone cholecystitis primarily has several treatment methods, targeted towards symptomatic and asymptomatic treatments. These include medical treatment and surgical treatment. Not all cases of cholecystitis require surgery. For some asymptomatic gallbladder stones, treatments can be managed through dietary therapy, symptomatic treatment, and preventive treatment for those at high risk, including dietary adjustments or treatments that promote bile flow. Preventive gallbladder removal may be considered for those at high risk of gallbladder cancer. For symptomatic cases, the main goal is to control symptoms and primarily reduce inflammation. For chronic cholecystitis and gallstones, if there is no significant improvement with medical treatment, then surgical treatment may be considered.

doctor image
home-news-image
Written by Zhao Xin Lan
Endocrinology
49sec home-news-image

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.

doctor image
home-news-image
Written by Huang Gang
Gastroenterology
41sec home-news-image

How to deal with nausea and the urge to vomit from cholecystitis?

Nausea and vomiting caused by cholecystitis should be treated with medications according to individual clinical symptoms. At the same time, it is important to make a correct judgment based on the cause of the disease. If cholecystitis is caused by overeating, medications that aid digestion should be used first to alleviate symptoms. If a bacterial infection is confirmed, antibiotics should also be used to reduce inflammation and treat the condition symptomatically. Patients with cholecystitis should maintain a light diet, avoid overeating and greasy food, and should quit smoking and drinking alcohol, maintaining a structured lifestyle.

doctor image
home-news-image
Written by Huang Gang
Gastroenterology
42sec home-news-image

How to treat gallbladder inflammation pain in women?

Women with cholecystitis causing pain, when the condition is more severe, can appropriately consume some antispasmodic and analgesic medications, and simultaneously use antibiotics for treatment, to alleviate these symptoms of pain. Normally, a light diet should be maintained, avoiding overly greasy foods. Smoking and alcohol should be quit, spicy peppers should not be consumed, and it is best to avoid fried foods or barbecued items. Regular attention to developing good dietary and lifestyle habits is necessary to manage the condition and reduce the likelihood of recurrent cholecystitis.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
52sec home-news-image

Location of pain in female cholecystitis

The main symptoms of cholecystitis include upper abdominal pain. Mild cases generally are limited to the upper abdomen, while severe cases may affect the entire body, and 70% of patients with cholecystitis do not show any symptoms. The early symptoms of cholecystitis can suddenly manifest as severe colicky pain in the upper right abdomen, which can also radiate to the right shoulder and back. These symptoms are generally triggered by consuming a large amount of fatty foods and are more likely to occur at night. If the condition progresses, the pain becomes persistent and progressively worsens, and may also be accompanied by mild to moderate fever. Some patients may experience chills and high fever, indicating that the condition is very severe.