What are the serious consequences of cholecystitis?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on November 13, 2024
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The severe consequences of cholecystitis include gangrene and perforation of the gallbladder, leading to obvious signs of peritonitis throughout the abdomen, with noticeable tenderness and rebound pain. For patients with recurrent cholecystitis, it is advisable to use antibiotics for anti-infection treatment as soon as possible, as the condition can only be alleviated after the inflammation is under control. During recurrent episodes, surgical treatment should also be considered promptly. Removal of the gallbladder through surgery is the only way to achieve a radical cure. In most cases, laparoscopic cholecystectomy is chosen because it has the advantages of smaller incisions, less damage, and faster recovery, and is therefore often the preferred option in clinical settings. Patients who have undergone surgery should also avoid spicy and irritating foods to reduce inflammation and better facilitate recovery.

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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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Written by Huang Ya Juan
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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 Si Li Li
Gastroenterology
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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
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Gallbladder inflammation has the following symptoms

Cholecystitis is divided into acute cholecystitis and chronic cholecystitis. The symptoms of acute cholecystitis manifest as sudden severe pain in the upper right abdomen, which can also radiate to the right shoulder and back, and is the most typical symptom of acute cholecystitis. These symptoms generally occur after consuming a large amount of fat, at night, or after a full meal. It may also be accompanied by moderate fever, severe chills, nausea, vomiting, loss of appetite, and other gastrointestinal symptoms. Chronic cholecystitis generally has atypical symptoms; it often causes pain in the upper right abdomen after a full meal or consuming greasy foods. The intensity of pain varies among individuals, and it can sometimes radiate to the right shoulder and back. Fever and chills are rarely present in chronic cholecystitis.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What foods should not be eaten with cholecystitis?

For patients with cholecystitis, the condition mainly arises from an inflammatory reaction in the gallbladder. Therefore, patients should avoid spicy and stimulating foods such as chili peppers, barbecue, and garlic, and hard-to-digest foods. A light diet composed mainly of fresh vegetables and fruits is recommended to better alleviate the condition. For patients with cholecystitis, there isn't much need to be cautious about diet, but they should also use antibiotics for anti-infection treatment. Once the inflammation is controlled, the condition can be alleviated. It is also important to promptly complete related examinations, rule out any surgical contraindications, and proceed with surgery as soon as possible for a definitive treatment. Laparoscopic cholecystectomy is commonly used clinically and can achieve therapeutic effects.