Can acute cholecystitis recur?

Written by Liu Wu Cai

Hepatobiliary Surgery

Updated on October 21, 2024

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Acute cholecystitis can recur. This condition often results from a bacterial infection leading to an inflammatory response. At this stage, it can be treated with antibiotics to control the inflammation and alleviate the condition. However, if the gallbladder is not surgically removed, the inflammation can repeatedly flare up, potentially leading to chronic cholecystitis. This results in recurrent discomfort and pain in the upper right abdomen, affecting the quality of life. Therefore, for patients with acute cholecystitis, especially those caused by gallstones, it is advisable to undergo surgery as soon as possible. Only through surgical removal of the gallbladder can a complete cure be achieved, preventing recurrence.

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Written by Zhu Dan Hua

Gastroenterology

1min 24sec

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What are the symptoms of cholelithiasis cholecystitis?

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.

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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 Si Li Li

Gastroenterology

56sec

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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 Liu Wu Cai

Hepatobiliary Surgery

55sec

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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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Written by Huang Gang

Gastroenterology

42sec

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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.