What are the symptoms and treatment of acute cholecystitis?

Symptoms of cholecystitis in middle-aged and elderly people and related common sense.

How long has this been the case?

The symptoms of acute cholecystitis are as follows:

1. Abdominal pain: mainly right upper quadrant pain, which can be presented as swelling pain, colic, and paroxysmal aggravation in severe cases;

2. Gastrointestinal abnormalities: anorexia, nausea, vomiting, abdominal distension and other uncomfortable symptoms;

3. Symptoms of jaundice: if there is no biliary obstruction jaundice, it may be mainly mild jaundice, and if it is combined with biliary obstruction caused by biliary stones, jaundice will be progressively aggravated;

4. Fever: severe acute cholecystitis will be combined with chills, chills and even septic shock.

The specific ** depends on the severity of cholecystitis, if it is simple acute cholecystitis, anti-inflammatory, antispasmodic, analgesic, symptomatic, choleretic treatment, to see whether the symptoms have improved. If there is no improvement in an aggressively conservative** setting, emergency surgery should be considered. Surgery involves gallbladder removal, and if the patient is too poor to tolerate surgery, gallbladder drainage or other methods may be needed to rule out infectious bile and relieve symptoms.

Patients with acute cholecystitis, if it is the first attack and the pain is not particularly severe, they can choose a conservative plan, including the use of anti-inflammatory choleretic tablets or according to the needs of the condition, choose cephalosporin antibiotics for anti-inflammatory symptomatic treatment, and for more severe pain, hyoscyamine can also be used for antispasmodic and analgesic.

For acute cholecystitis that is more severe, or the pain is more severe, or even suppuration or even perforation is complicated by high fever and chills, such acute cholecystitis, in principle, surgery can be performed in the acute stage**, including cholecystectomy surgery, or cholecystostomy surgery. Therefore, if you have acute cholecystitis, you must go to the hospital in time, improve the relevant examinations, and choose the appropriate method according to the different conditions.

Taking Chinese medicine for half a month (15 pairs)** cholecystitis, it can be basically cured!

Acute cholecystitis is inflammation of the gallbladder due to blockage and bacterial invasion of the cystic ducts; It is typically characterized by paroxysmal cramping in the right upper quadrant with marked tenderness and abdominal rigidity.

**Method. General**: Bed rest, give an easily digestible liquid diet, avoid greasy food, fasting, gastrointestinal decompression, intravenous nutrition, water and electrolytes in severe cases.

Antispasmodic, analgesic**: atropine or 654-25 mg intramuscularly; nitroglycerin, sublingual; Vitamin K 38-16 mg, intramuscularly; For analgesia such as durandine or isometrical pain, morphine should not be used.

Antimicrobial**: ampicillin, ciprofloxacin, metronidazole; Aminoglycosides or cephalosporins may also be used, preferably based on culture and susceptibility testing.

Anti-inflammatory choleretic tablets.

Choleretic: Shucholetong, anti-inflammatory choleretic tablets or Qinggan choleretic oral liquid are taken orally, and can only be used after the attack is relieved.

**Acute cholecystitis:

Generally** Stay in bed and rest, give a liquid diet that is easy to digest, avoid greasy food, fasting, gastrointestinal decompression, intravenous nutrition, water and electrolytes in severe cases.

Antispasmodic, analgesic drugs**.

Antibacterial**. Defu Li Danshu tea has the ability to protect the gallbladder, repair the damage, and can be used to alleviate the symptoms of Jane.

Surgery** Patients with necrosis, suppuration, perforation, and incarcerated stones should be surgically operated in a timely manner**, and gallbladder resection or cholecystostomy should be performed in the sedator.