How to relieve gallblitis pain?

Written by Si Li Li
Gastroenterology
Updated on January 04, 2025
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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 Wu Hai Wu
Gastroenterology
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Does a woman's back hurt after gallblitis?

Women with cholecystitis generally do not experience back pain. Pain associated with cholecystitis may cause pain in the right shoulder. In addition to shoulder pain, patients with cholecystitis may also experience pain under the right ribs. Severe cases may also be accompanied by chills, fever, jaundice, dark urine, etc. It is necessary to promptly complete abdominal imaging studies, such as ultrasound, CT, MRI, etc., to clarify the diagnosis. Active anti-infection treatment is required, which may include third-generation cephalosporin antibiotics or fluoroquinolone antibiotics. If necessary, surgical treatment may also be required. (The use of medications should be under the guidance of a physician)

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Written by Zhao Xin Lan
Endocrinology
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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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Written by Zhang Tao
Hepatobiliary Surgery
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Does acute cholecystitis require hospitalization?

Patients with acute cholecystitis often have a history of gallstones or gallbladder polyps. An acute attack of cholecystitis can be triggered by inattention to diet or other reasons, such as unclean food. If the patient's abdominal pain is not severe, they can be advised to rest in bed and take oral anti-inflammatory and bile-promoting medications. If the patient experiences significant upper abdominal pain, accompanied by fever and other discomforts, and the abdominal pain persists and radiates to the back, it is recommended that the patient be hospitalized. During the hospital stay, it is essential to ensure the patient eats and receives clinical infusions, as well as complete relevant examinations.

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Written by Zhu Dan Hua
Gastroenterology
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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 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.