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

Written by Huang Gang
Gastroenterology
Updated on April 08, 2025
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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.

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Does cholecystitis require surgery?

Whether cholecystitis requires surgery depends on the acute or chronic status of the inflammation and its severity. If it is acute suppurative cholecystitis, emergency surgery is needed to avoid gallbladder perforation and resultant peritonitis, which could lead to serious septic shock, thus emergency surgical treatment is necessary. If it is mild chronic cholecystitis, elective surgery can be considered, and there is no need for emergency treatment. If it is asymptomatic chronic cholecystitis, it can also be managed with dietary adjustments and symptomatic medical treatment, and surgery may not be strictly necessary.

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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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Can you drink water with acute cholecystitis?

Whether patients with acute cholecystitis can drink water mainly depends on the course of the disease. In the early stages of acute cholecystitis, patients may experience digestive symptoms such as nausea, vomiting, and abdominal distension. At this time, they should not drink water; instead, they require fasting and gastrointestinal decompression to better control the condition, especially to prevent the occurrence of intestinal obstruction. After antibiotic treatment and control of the inflammation, once the gastrointestinal function is fully restored, patients can then drink water, but only in small amounts. For patients with acute cholecystitis, if symptoms do not improve after conservative treatment, it may even be necessary to surgically remove the gallbladder to achieve a definitive cure. The primary method is laparoscopic cholecystectomy, which can effectively treat the condition.

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Where to massage for symptoms of gallblitis pain?

Gallbladder inflammation pain requires massaging the upper right abdomen, also known as the Murphy's point. The symptoms of gallbladder inflammation primarily include chills, fever, jaundice, pain, etc. Once a gallbladder inflammation attack occurs, it is necessary to promptly complete the relevant auxiliary examinations to determine the cause of the disease. Treatment should be based on the cause, and surgical treatment may be necessary when needed. The main causes of gallbladder inflammation include biliary infection, bile stasis, and biliary stones, etc. Patients with gallbladder inflammation should have a light diet and avoid greasy food.

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Where is the pain located for cholecystitis?

The pain from cholecystitis typically presents as noticeable abdominal pain. Generally, a clear projection point in the abdomen is in the upper right quadrant, below the edge of the rib cage, which corresponds to the projection point of the gallbladder. This is a typical site of pain during a cholecystitis attack. Additionally, some people may experience pain and discomfort in the right back, which characterizes radiating pain. During an attack of cholecystitis, this radiating pain can extend to the right back area. A very small number of people might experience chest tightness, nausea, and even vomiting, all of which are accompanying symptoms of cholecystitis.