How is chronic cholecystitis treated? How is chronic cholecystitis treated?

What medicine to take: The conservative ** of acute cholecystitis is mainly to take anti-inflammatory and choleretic drugs orally, such as oral gold gallbladder tablets, or anti-inflammatory choleretic tablets to treat the symptoms**, if necessary, it may also be necessary to stay in the outpatient clinic for observation, infusion of antibiotics to fight infection**, specifically according to the patient's personal situation, under the guidance of the doctor to choose the drug, the premise of medication is that there is no history of drug allergies, pay attention to a light diet during the medication, and avoid greasy food aggravating the onset of the disease. In addition to paying attention to diet, it is recommended to use Dejing's Lidanshu tea to recuperate, stick to it for a period of time, and pay attention to regular work and rest, so as not to overwork yourself.

Good luck.

The best way to treat chronic cholecystitis is as follows:

1. Dietary adjustment: adjust the dietary structure or lifestyle, eat a low-fat diet, and eat on time;

2. Symptomatic**: use anti-inflammatory and choleretic drugs for cholecystitis**, such as digestive dysfunction and other symptoms, use multi-enzyme tablets and other drugs that are conducive to digestion;

3. Traditional Chinese medicine**: Actively carry out syndrome differentiation and treatment, emphasizing the use of decoction pieces or decoctions of traditional Chinese medicine for targeting**.

The specific medication should be combined with clinical practice, and the doctor's face-to-face guidance shall prevail.

Chronic cholecystitis**:

For patients with obvious clinical symptoms and gallstones, cholecystectomy should be performed, which can not only relieve the symptoms but also prevent cancer. For elderly and frail patients or with severe organic lesions of vital organs, non-surgical procedures may be used**, including dietary restriction, oral bile acids and choleretic drugs, or a combination of traditional Chinese and Western medicine**.

First, the first cycle.

Chronic cholecystitis without surgery often requires prolonged intermittent**.

2. General**.

Acalculous chronic cholecystitis can be maintained without disease with diet and medical care**, but efficacy is not always reliable.

3. Drugs**.

1. Antibacterial**.

For patients with chronic cholecystitis, antibiotics such as piperacillin, metronidazole, etc., should be given antibiotics if they have fever and positive bile cultures**.

2. Choleretic.

Patients with stones can take gallstones, Tongli, cholelithion, ursodeoxycholic acid, which is conducive to the gradual dissolution of cholesterol in gallstones.

3. Antispasmodic and analgesic.

It should be used under the guidance of a doctor, unauthorized use may lead to delay the disease, commonly used drugs are atropine, meperidine, hyoscyamine, etc.

4. Surgery**:

1. Laparoscopic cholecystectomy.

It is as effective as classical open cholecystectomy, and has less pain, faster recovery, and shorter hospital stay, which is suitable for most patients and has become the preferred operation for cholecystectomy without serious local comorbidities. The probability of laparotomy is increased in patients with acute cholecystitis, and it should not be used when gallbladder perforation, gallbladder fistula and gallbladder cancer are suspected.

2. Open cholecystectomy.

**The common method of this disease is to anticipate that laparoscopic cholecystectomy cannot be completed, or laparoscopic surgery is judged to be inappropriate before surgery, or if insurmountable difficulties are encountered during laparoscopic cholecystectomy.

3. Percutaneous cholecystoscopic cholecystotomy and stone removal.

Considering the possibility of stones after surgery**, long-term use of choleretic drugs and changes in dietary habits after surgery may help delay stones**.

5. Traditional Chinese Medicine**.

This disease belongs to the categories of "abdominal pain" and "depression" in traditional Chinese medicine. Seven emotions are depressed, fat and sweet, and the spleen is deficient and damp as the main **. Liver stagnation and qi stagnation, liver and gallbladder dampness and heat, so that the spleen is not healthy, and qi obstruction is the main pathological mechanism, which needs to be treated dialectically and symptomatically.

6. Prognosis**.

Most patients with chronic cholecystitis have a good prognosis, and patients should have regular follow-up visits, and if symptoms recur, they need to be promptly** and surgery if necessary.

Chronic cholecystitis is caused by acute or subacute cholecystitis, or long-standing gallstones that cause gallbladder dysfunction. Attention should be paid to small and frequent meals, with a light diet as the mainstay, and fried foods are contraindicated. Then you can go to the local hospital and ask the doctor to prescribe some medication.

For chronic cholecystitis**, if there are no clinical symptoms, chronic cholecystitis is not needed**, if there are obvious clinical symptoms, patients can take choleretic drugs to control the clinical symptoms of chronic cholecystitis, and at the same time, regular re-examination, abdominal ultrasound to monitor the progress of chronic cholecystitis.

Chronic cholecystitis** is a common concern because it is a very common condition. With regard to chronic cholecystitis**, it is important to first understand how chronic cholecystitis is formed, which usually has the following factors:

First, the most common is combined with gallbladder diseases, such as gallstones, gallbladder polyps, etc., and the reason for chronic cholecystitis, gallbladder stones and gallbladder polyps is relatively simple, because the lesions in the gallbladder lead to gallbladder dysfunction, and chronic cholecystitis is formed in the long run.

Second, it is to form chronic cholecystitis in the absence of stones and polyps, in most cases, patients may have the habit of drinking alcohol for a long time, alcohol will affect the liver, and at the same time affect the gallbladder, and in the long run, it is easy to form chronic cholecystitis.

Third, there is chronic cholecystitis without any cause, this kind of chronic cholecystitis is more noteworthy, to monitor the changes in the gallbladder, if the gallbladder wall is getting thicker and thicker, or there is an uneven thickening of the gallbladder wall, this chronic cholecystitis may develop in a more serious direction, such as the formation of gallbladder cancer.

If you are diagnosed with chronic cholecystitis and the symptoms are mild, you can take conservative**, such as taking painkillers, anti-inflammatory and other drugs according to the doctor's instructions; Usually you should pay attention to the rationality of your diet and avoid eating cold, spicy food.

Chronic cholecystitis is often the long-term existence of stones in the gallbladder, causing abnormal gallbladder function, or by acute or subacute cholecystitis, and finally forming chronic cholecystitis.

Opinions and suggestions: The best ways of chronic cholecystitis are: first, drugs.

For chronic cholecystitis that causes gallbladder pain, you can reduce bile secretion and relieve pain by taking medicine, such as anti-inflammatory choleretic tablets. Antibiotics may also be given to fight the infection if necessary**. Second, dietary aid**.

It is necessary to pay attention to diet, do not eat too greasy and spicy food, in order to reduce bile secretion, thereby alleviating the condition and preventing recurrence. Third, surgery**. For chronic cholecystitis or accompanied by gallstones, the gallbladder can be removed by surgery.