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Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis, acute cholecystitis is often acute onset of right upper quadrant pain or paroxysmal colic, can also appear radiating pain in the right shoulder, severe symptoms can appear nausea, vomiting and jaundice, and chronic cholecystitis is milder than acute cholecystitis, generally manifested as anti-** of different degrees of abdominal distension, or abdominal discomfort, in addition to the symptoms of acid reflux, belching and nausea, the symptoms are aggravated after eating spicy, greasy and cold food.
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Most of the symptoms of cholecystitis are poor biliary digestion, aversion to greasy food, bloating in the upper abdomen, belching, heartburn, etc., similar to ulcer disease or chronic appendicitis. If you have mild cholecystitis, you can use medications**. It is also good to eat plenty of fruits and vegetables, drink plenty of fruit juices, and don't eat anything spicy.
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Symptoms of mild cholecystitis include pain and discomfort in the upper abdomen, which can be accompanied by gastrointestinal symptoms such as nausea and anorexia. After mild cholecystitis progresses gradually or without **, the condition can progress to pain in the upper abdomen or in the upper right abdomen. Paroxysmal cramps may develop into paroxysmal cramps, which tend to occur more often at night, and may worsen after eating a full meal or fatty food, radiating to the right shoulder, shoulder blade and back, vomiting and constipation and other gastrointestinal symptoms.
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Mild cholecystitis usually causes pain and intermittent attacks in the right upper quadrant, and if you do not control your diet and rest in time, cholecystitis may worsen, such as persistent pain in the right upper quadrant, and the pain may be prolonged. If the symptoms are severe, it may even cause pain in the back of the right shoulder, and in the later stages, there may be vomiting and high fever and chills. Cholecystitis is mostly caused by gallstones, so there is pain in the right upper abdomen, first of all, the occurrence of cholecystitis and the history of gallstones in the past, which needs to be further in time.
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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.
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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 high 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 and drink Defu's Lizhishu tea in time. Do not avoid raw, cold, sour and spicy foods in your diet.
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In chronic cholecystitis, the symptoms and signs are atypical. Most of the manifestations are biliary dyspepsia, aversion to greasy food, epigastric distention, belching, heartburn, etc., which are similar to ulcer disease or chronic appendicitis; Sometimes the cystic duct is obstructed by a stone, which can be acute, but it improves rapidly when the stone moves and the obstruction is relieved. On physical examination, there may be mild tenderness or percussion pain in the gallbladder area; If there is fluid in the gallbladder, a round, smooth cystic mass is often palpable.
In fact, cholecystitis is not terrible, the psychological effect still plays a certain role, first of all, it is important to maintain an optimistic attitude, not to be depressed, to be optimistic. You can use the choleretic beam tea of the Chinese medicine Devoeux Tang to **and relieve the **and** of cholecystitis.
If you do have signs of cholecystitis, it is recommended to go to a local hospital as soon as possible to find a hepatobiliary surgeon or gastroenterologist to help you take a look.
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Yes**, but easy**. Mainly anti-inflammatory**, inflammation is controlled in the later stage, and dietary attention is required.
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: Mild cholecystitis may cause anorexia, especially aversion to greasy food, and may also cause pain or discomfort in the upper right abdomen (positive Murphy sign), and general ultrasound can reveal thickening of the gallbladder wall or rough gallbladder wall. If there is mild fatty liver, it is necessary to control the diet, reduce the intake of high-fat and high-sugar foods, and at the same time increase the consumption of fat with appropriate exercise, which is conducive to the improvement of fatty liver.
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A dull or uncomfortable pain in the right upper quadrant is persistent, accompanied by nausea, belching, acid reflux, and indigestion such as bloating and heartburn.
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Acute calculous cholecystitis.
It usually occurs at night, starting with epigastric distension and discomfort and gradually progressing to paroxysmal colic;
When the pain is severe, it radiates to the right shoulder, shoulder blade, and back;
Sudden seizures are often triggered by a full meal or a fatty meal;
If the disease progresses, pain will be persistent, paroxysmal and worsening;
It is usually accompanied by mild to moderate fever, and once there is chills and high fever, it indicates that the condition is very serious;
There is pain in pressing the right upper abdomen, and some patients have very obvious pain, the muscles of the whole abdomen are tense and stiff, and it hurts when you press down, and it hurts even more when you lift your hand;
It is often accompanied by gastrointestinal symptoms such as nausea, vomiting, anorexia, and constipation;
A small number of patients may have jaundice of varying severity, i.e., yellow staining of the eyes, and darkening of the yellow urine.
Acute acalculous cholecystitis.
Symptoms are similar to those of acute cholecystitis, but severe conditions such as gallbladder gangrene and perforation are more likely to occur, and the manifestations are chills, high fever, and severe abdominal pain.
Chronic cholecystitis.
The symptoms are generally atypical, mostly after a full meal and eating greasy food, the upper abdominal distension and pain are uncomfortable, the degree of abdominal pain varies from person to person, it may involve the right shoulder and back, and rarely chills, high fever and jaundice, may be accompanied by nausea, vomiting and other symptoms.
Chronic cholecystitis due to gallstones often has biliary dyspepsia, which is manifested by symptoms such as belching, fullness after meals, bloating, and nausea.
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Cholecystitis disease may also be understood, people with this disease, in terms of diet, need to pay attention to greasy food to eat less, including some food that is not easy to digest to eat less, especially some fried food to stay away, want to let the disease get timely **, need to know the symptoms of cholecystitis and **.
1. Symptoms of cholecystitis.
In some people, the gallbladder shrinks violently because of eating high-fat foods, and when lying down, some stones get stuck in the cystic duct, leading to acute cholecystitis, which usually occurs in the middle of the night after eating a greasy dinner.
Moreover, the symptoms of cholecystitis are mostly persistent pain in the right upper abdomen, and there are also bursts of more and more severe, and the pain will radiate to the right shoulder and back. There will also be fever, nausea and vomiting and other symptoms, usually less shivering, and jaundice is mild. When the abdomen is examined, it is found that the right upper quadrant is distended, the abdominal muscles in the gallbladder area are tight, and there will be significant pain when pressed, and rebound tenderness.
In the case of cholecystitis, there are usually no obvious symptoms, such as disliking greasy food, indigestion, bloating in the upper abdomen, burping, and heartburn, etc., and the symptoms are very similar to ulcer disease and chronic appendicitis. The duration of the disease is relatively long, and the condition will alternate between acute onset and remission, the acute attack is the same as acute cholecystitis, but there are no symptoms during the remission period. Pressing on the gallbladder area during a physical examination can be painful.
Second, the best method of cholecystitis.
Acute cholecystitis attacks do not require non-surgery**, which can control inflammation and allow time for preoperative preparation. The main measures are bed rest, fasting and infusion, and the main medication is the auxiliary Lizishu tea. It contains a lot of ingredients that help in the elimination of inflammation.
If there is no effect or even the condition worsens, the patient needs surgery. During the acute attack of cholecystitis, you must not eat fried food, and you must not eat other foods that are difficult to digest, such as eggs and broth, and you should avoid alcohol.
Symptom. Patients with acute cholecystitis may have epigastric pain, nausea, vomiting, fever, jaundice, and other symptoms. Patients with chronic cholecystitis often present atypically, with most patients having no history of acute exacerbations and only irregular epigastric pain, often intermittently after a full meal. >>>More
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. >>>More
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. >>>More
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.
Symptoms of cholecystitis in middle-aged and elderly people and related common sense.