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Cholecystitis is very painful, if you really feel that the position of the gallbladder is very painful, go to the hospital for a check-up.
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It is difficult to judge by yourself, so it is best to go to a regular hospital for diagnosis.
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If you want to know if you have cholecystitis, you usually need to go to the hospital for a checkup. First of all, patients can observe whether they usually have pain in the right upper abdomen, in addition, patients with cholecystitis generally show symptoms of the digestive tract, such as loss of appetite, nausea and vomiting. Patients with cholecystitis may have symptoms of jaundice, but the specific situation should be determined after a detailed examination in the hospital.
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Symptoms of cholecystitis:
1. Early stage of cholecystitis. The right hypochondrium is often painful, the tongue coating is thick, red and dry, the veins are many strings and slippery, the stool is dry and knotted, and the small puddles are red.
2. Acute attack. It is mostly transferred from chronic cholecystitis, and the clinical manifestations are severe pain in the right hypochondrium and refusal to press, fever, chills, vomiting, nausea, thick tongue coating, irritability, two pulses are slippery, stool has not been passed for several days, and small red fever.
3. Long-term cholecystitis. The veins are like thin strings, the tongue is red and the mouth is dry, and there are signs of yin and yang.
Fourth, the yin injury and the yang heat is too excessive. The two veins are small and slippery, the heart is upset, the mouth is dry and irritable, the night sleeps a lot, the body is thin and weak, and even the afternoon has a low-grade fever.
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Whether or not you have cholecystitis should be determined according to the patient's clinical symptoms and corresponding auxiliary examinations. In general, patients with cholecystitis will have pain in the right upper abdomen, and sometimes patients will also have radiating pain in the right shoulder and back, in addition to pain, patients will also have nausea, vomiting, abdominal distension, fever, jaundice and other clinical manifestations. Moreover, it should be noted that if the patient has a routine blood test, the white blood cell count and neutrophil count in the patient's blood routine will be significantly elevated.
In addition, if the patient has a gallbladder ultrasound examination or abdominal CT examination, the gallbladder will be enlarged, and there will be inflammatory exudation around it, and the gallbladder wall will be thickened, and then the patient will be judged to have cholecystitis. Moreover, cholecystitis requires active anti-infection** so that the patient can be cured. Moreover, some patients with cholecystitis are more seriously ill, with suppuration, gangrene, and even perforation, and they also need surgery, so that the patient can completely have cholecystitis, and the patient's recovery is also good.
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The diagnosis of cholecystitis is mainly based on our most basic symptoms and signs, the patient's right upper quadrant pain, a pain after eating greasy, radiation to the right pad and back, and then the physical examination found that there is tenderness in the right upper quadrant, especially in the gallbladder area. Cholecystitis is divided into acute and chronic types: 1. Acute cholecystitis:
Onset is acute, presenting with severe pain in the right upper quadrant with fever, chills, and, occasionally, jaundice. 2. Chronic cholecystitis: manifested as persistent dull pain or discomfort in the right upper quadrant, with nausea, belching, acid reflux, abdominal distension and other symptoms.
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Symptoms of cholecystitis are sudden onset of severe cramping in the right upper quadrant, often after eating, or at night. If you suspect you have cholecystitis, go to the hospital for a check-up.
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The main symptom of acute attack of cholecystitis is epigastric pain, radiating to the right shoulder, scapula and back, accompanied by gastrointestinal symptoms such as nausea and vomiting, anorexia, constipation, etc., and the attack is common at night, and it is easy to induce full meals and fatty foods, and some patients may have fever, chills, jaundice, etc.
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Many people around us are patients with cholecystitis, they are deeply troubled by this disease, experts say that this is a relatively common disease, if it can not be carried out reasonably**, it will also lead to many other diseases causing patients to have nausea, vomiting, body pain and jaundice, so is cholecystitis serious.
Dangers of cholecystitis:
1. Fear of cold, shivering, fever.
Patients with cholecystitis who are not particularly severe often have symptoms such as cold intolerance and chills, and patients with severe cholecystitis will also have mild symptoms of low-grade fever, the fever will reach more than 39, and there will be some mental problems.
2. Nausea and vomiting.
This is a relatively common symptom in patients with cholecystitis, long-term nausea and vomiting can cause dehydration, electrolyte disorders, which are more common when stones or roundworms obstruct the cystic duct.
3. Pain. Patients with cholecystitis will have a cramping sensation in the right upper abdomen, and the pain is often sudden, very intense, or colic-like, and mostly occurs after eating high-fat foods, and mostly occurs at night.
4. Jaundice. Jaundice is an uncommon symptom of cholecystitis, and even if it is present, it is mild, indicating that the infection has spread to the liver through the lymphatic vessels, causing liver damage, or that inflammation has invaded the common bile duct.
I hope that everyone will seriously understand the above hazards, so it is best to drink Devocate's Lizishu tea every day, which has the ability to protect the gallbladder and repair the damage, and there is no ***, for purulent or gangrenous cholecystitis, surgery should be performed in time to avoid complications. Usually need to pay attention to exercise, strengthen more exercise, help to promote blood circulation, and lumbar spine health care methods, reasonable diet to pay attention to hygiene, to prevent intestinal roundworm infection, in fact, life also needs to pay attention to conditioning matters, so that the disease is more beneficial.
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To determine whether you have cholecystitis, you are generally judged mainly based on clinical symptoms. Cholecystitis is more likely to be considered if the patient has symptoms of tenderness and discomfort in the upper right abdomen, especially if the right shoulder and back are involved. Pay attention to observation, once there is an acute onset of pain symptoms after eating greasy food, accompanied by nausea, bitter mouth and other symptoms, you can basically confirm the diagnosis of cholecystitis, and go to the hospital for ultrasound examination to help diagnose.
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Cholecystitis is more related to sudden obstruction or incarceration of gallstones in the gallbladder, and some of it is caused by overeating. During an acute attack of cholecystitis, most patients will have severe pain or cramping in the right upper quadrant. In addition, there will be nausea, vomiting, chills, chills, fever and other uncomfortable symptoms.
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Symptoms of cholecystitis:
1. If there is severe pain in the upper abdomen, it is likely to be a pre-symptom of cholecystitis, so when you find that you have abdominal distension and severe pain, you must go to the hospital for examination in time.
2. If nausea occurs frequently, or even vomiting, it is possible to further confirm cholecystitis, so you must seek medical attention in time if you have this symptom.
3. Fever and cold body may also be the early symptoms of cholecystitis, remind everyone to pay more attention, drink Depu's Zufang tea in time to treat Li Bile Shu tea, clear damp heat, reduce yellowing and detoxification, and clear choleretic and breathing. Do not avoid raw, cold, sour and spicy foods in your diet.
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Patients can make a preliminary judgment on whether they have cholecystitis according to the symptoms and physical examination, cholecystitis patients can have symptoms such as jaundice, oil aversion, overeating, eating high-fat food, obesity and other factors can induce pain in the right upper quadrant, and Murphy's sign is positive when pressing the bile area. Asymptomatic patients need to be diagnosed with imaging examinations and regular follow-up.
Cholecystitis can be roughly divided into acute cholecystitis and chronic cholecystitis, about 70% of patients with chronic cholecystitis can have no obvious uncomfortable symptoms, they are unable to judge, need to go to the hepatobiliary department for liver function laboratory examination, abdominal ultrasound examination and hepatobiliary system nuclide scan and other imaging examinations to see if there is gallbladder enlargement, cyst wall edema or thickening and other manifestations.
Patients with cholecystitis often present with pain in the upper right quadrant at night or after eating a greasy, fatty food, which can radiate to the right shoulder, shoulder blade, and back. If the patient has acute cholecystitis, the examination will show a sign of gallbladder tenderness, also called Murphy's sign, in which the person suddenly holds his breath when he presses the gallbladder in the lower part of the right rib and causes him to breathe slowly and deeply.
In addition to the above manifestations, a small number of patients will also have symptoms such as fever and chills of varying degrees. If the patient has cholestasis, jaundice may also occur, which is manifested by yellowing of the sclera of the eye and body fluids, and yellowing of the urine color. These symptoms only provide clues and directions for the doctor's diagnosis, and the patient should not blindly use the medication because of this.
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Cholecystitis is a common disease in our country, cholecystitis is often accompanied by gallstones, especially in female patients, cholecystitis is divided into chronic cholecystitis and acute cholecystitis.
Chronic cholecystitis, generally speaking, basically has no symptoms, but when eating a greasy diet, there will be symptoms of digestive tract indigestion such as dull pain in the right upper abdomen, belching, acid reflux, etc.
Acute cholecystitis, the problem is severe, there will be severe pain in the right upper abdomen can radiate to the pain in the back of the right shoulder, generally after eating a greasy diet, the pain will be aggravated, acute cholecystitis, on the signs, sometimes you can feel the enlarged gallbladder, Murphy's sign is positive, most of the acute cholecystitis is caused by gallstones obstructed in the neck of the gallbladder or cystic duct, at this time acute cholecystitis needs to go, ** plan is generally to reduce inflammation first, control infection, Once the infection is under control, laparoscopic cholecystectomy is done.
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Local thickening of the gallbladder wall, and even the formation of a mass, especially the local thickening of the gallbladder wall, can be detected by ultrasound. After eating fried eggs, the gallbladder did not move, and surgery was needed to remove him.
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The diagnosis of cholecystitis is mainly through our most basic symptoms and signs, the patient's right upper quadrant pain, a pain after eating greasy, radiation to the right cushion back, then there is a physical examination found that there is tenderness in the right upper abdomen, especially the tenderness in the gallbladder area, in addition to our first choice is a B ultrasound examination, after arriving at the hospital, in addition to the doctor's primary judgment can be used to diagnose cholecystitis through a B ultrasound examination, B ultrasound examination has an advantage, it can not only judge the wall thickness of the gallbladder, And it can judge whether the bile in the gallbladder is turbid or clear. In addition, whether there are gallstones, then B ultrasound examination is fast and easy is the first choice, other examination is a better method, magnetic resonance can not only check a lesion of the gallbladder, but also can check the lesion of the common bile duct, especially when cholecystitis combined with gallstones, it is necessary to identify whether the common bile duct is inflamed and stones, then the magnetic resonance examination can play a role in auxiliary judgment, the magnetic resonance can also judge the thickness of the wall of the gallbladder, and make a judgment on the severity of the gallbladder. The third is CT examination, which is also used as a relatively common examination method because it is relatively fast and can clearly diagnose stone lesions.
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1. Symptoms.
The age and gender of onset in patients with chronic cholecystitis is similar to that in patients with acute cholecystitis. The clinical manifestations can vary greatly from patient to patient, and are often inconsistent with actual pathological changes, sometimes asymptomatic patients, and postmortem autopsy reveals significant chronic lesions of the gallbladder; Sometimes people have a history of severe biliary colic, but the gallbladder lesions found during surgery are not serious. In particular, I would like to tell you that if you have symptoms of cholecystitis, you should pay attention to it in time, in addition to special attention to diet, it is more important to choose the right conditioning, it is recommended to use Depu's Cinnamomum tea to regulate, clear heat and detoxify, and reduce cholesterol.
Symptoms may be evident from the first episode of acute cholecystitis, or they may be subtle and mild, and symptoms may not be noticed until the diagnosis is confirmed. It can have irregular reversal, and the clinical symptoms are the same as those of acute cholecystitis in acute attacks; When there is no attack, the clinical symptoms are vague, similar to chronic "stomach disease"; It can also be present without an acute flare-up and with only frequent vague epigastric pain and discomfort and dyspepsia, sometimes completely asymptomatic. The difference in symptoms is mainly due to the different degrees of gallbladder inflammation, with or without gallstones, and the degree of reflex sphincter spasm caused by different degrees, so the functional status of the gallbladder is also different.
Patients usually have flatulence, belching, anorexia and greasy food, and often feel epigastric discomfort after eating, unlike duodenal ulcers, which can reduce pain after eating. Patients often have vague pain under the right scapula, right hypochondrium, or right lower back, which is more pronounced after standing, exercising, or taking a cold bath. Because of the frequent dull pain and discomfort, the patient rarely exercised and often lost weight.
In the event of an acute attack due to incarceration of stones, there will be a frequent, dull pain in the right upper quadrant with paroxysmal exacerbations, and 80% of patients may have nausea and vomiting (although nausea and vomiting are rare in normal times). Mild jaundice occurs in 25% of patients with gallstones, and can occur in up to 60% of patients with gallstones that enter the common bile duct. Therefore, deep jaundice after severe biliary colic mostly indicates that there is a stone obstruction in the common bile duct.
Sometimes, however, there may be no pain or jaundice despite the presence of stones. In addition, patients with chronic cholecystitis can also have two hemorrhoidal joint pain, especially in the neck, back and other joints, which is said to be a special chronic poisoning phenomenon; Cardiac symptoms, such as precordial pain, palpitations, and shortness of breath, sometimes resemble angina. Both of these special manifestations can be improved or cured after gallbladder removal, so this condition is not contraindicated for surgery, but is also an indication for surgery.