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 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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Written by Liu Wu Cai
Hepatobiliary Surgery
46sec home-news-image

Can acute cholecystitis recur?

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 Xie Zheng Yuan
Gastroenterology
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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.

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Written by Huang Gang
Gastroenterology
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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.

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Written by Wu Hai Wu
Gastroenterology
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What should I do if cholecystitis does not improve?

If cholecystitis does not improve over time, it is crucial to actively identify the reasons behind this persistent issue. For instance, it could be due to improper diet, such as frequently consuming greasy foods or overeating. It might also be due to an acute exacerbation of chronic cholecystitis, or possibly because of the presence of polyps or stones in the gallbladder, which can lead to persistent cholecystitis. In such cases, it is important to pay closer attention to the diet, opting for lighter meals, and to take oral anti-inflammatory and bile-promoting medications for treatment. If necessary, gallbladder removal surgery may be required.