What to do about chronic cholecystitis? What to do about chronic cholecystitis?

First of all, the patient should go to a regular hospital immediately, and the patient can confirm the diagnosis of the disease through plain abdominal radiograph, and the condition should be evaluated by a doctor. If the patient's symptoms are relatively mild, oral gallbladder tablets, gallbladder capsules and other drugs can be taken under the guidance of a doctor to relieve the symptoms.

Suggestions: The onset of chronic cholecystitis is directly related to skipping breakfast, eating snacks after meals, and not exercising regularly. Therefore, patients usually eat regularly, do not overeat, eat three meals regularly and quantitatively, and at the same time should have appropriate physical exercise to improve the body's resistance.

Hello. For chronic cholecystitis, it is recommended to go to a regular hospital for examination. Performed under the guidance of a physician**. Good luck soon**! Wish. Thank you.

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. When it is found that you have cholecystitis, two cups of Lisan Shu Lin a day have the ability to protect the gallbladder and repair the damage, and there is no ***, for purulent or gangrenous cholecystitis, you should be operated on in time to avoid complications.

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 special manifestations: rheumatic arthralgia, 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.

For chronic cholecystitis, surgery should be advocated, as it can only be achieved by surgical removal of the gallbladder. Patients with chronic cholecystitis will have recurrent vague pain and discomfort in the right upper quadrant, and most of them occur after overeating or drinking, which often affects the quality of life, so for patients with chronic cholecystitis, surgical resection should be performed as soon as possible**.

Although antibiotics can be used to fight infection** during the attack, the inflammation is controlled and the condition can be relieved, but it is easy to recur, so for patients with chronic cholecystitis, surgery is advocated**, and most of the surgical methods are laparoscopic cholecystectomy, because it has the advantages of small incision, small damage and faster recovery, so it is often used as the first choice in clinical practice.

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.

Chronic cholecystitis is caused by obesity and dietary habits. Patients are advised to eat a regular, low-fat, low-calorie diet and to eat regularly and quantitatively.

Guidance: In this case, you first need to adjust your diet, eat more soft and easily digestible food, and then you can go to the local hospital and let the doctor prescribe some medicine for conditioning, and you can find a Chinese medicine doctor to prescribe some Chinese medicine conditioning.

The symptoms of chronic cholecystitis are generally chosen to use traditional Chinese medicine and anti-inflammatory drugs. It is recommended to pay attention to maintenance at all times. Eat a light diet.

Keep your heart at ease. First of all, it is recommended to have a low-fat diet and a low-cholesterol diet. However, if the condition is severe, the drug control effect is not good, and surgery is required.

Asymptomatic patients with gallstones may not be performed**; Oral calculates may be considered in symptomatic patients who are not candidates for surgery and have cholesterol stones with normal gallbladder function and negative x-ray as assessed by abdominal ultrasound**.

Ursodeoxycholic acid (UDCA) is currently the only bile acid drug approved by the US FDA for non-surgical** gallstones, and should be discontinued if abdominal ultrasonography or cholecystography does not improve after 12 months.

Antispasmodic and analgesic. Fasting and effective pain relief should be given during an acute attack of biliary colic**, but it should be used under the guidance of a physician, as unauthorized use may delay the condition or affect the physician's diagnosis. Commonly used drugs include atropine, hyoscyamine, meperidine, and nonsteroidal anti-inflammatory drugs (eg, diclofenac sodium, indomethacin).