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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.
Acute cholecystitis is prone to complications such as gangrene, perforation, etc.
Typical symptoms. Acute cholecystitis.
Pain in the upper abdomen.
It begins with epigastric pain and discomfort, and gradually progresses to paroxysmal colic, which is common at night, and is often triggered by a full meal or fatty food. The pain radiates to the right shoulder, shoulder blade and back. As the disease progresses, pain may be persistent and paroxysmal.
Nausea, vomiting.
Pain episodes are often accompanied by nausea and vomiting, but are generally not severe and are mainly due to strong contraction of the smooth muscle of the gallbladder wall, which is relieved short-term with anti-infective and antispasmodic drugs**. If it does not resolve or becomes more severe, the possibility of gallstones entering the common bile duct or secondary pancreatitis should be considered.
Fever. Febrile patients generally do not have a high fever, a body temperature of about 38, usually no chills, and may have chills. If the disease progresses, secondary bacterial infection may occur, and high fever and chills may occur during the purulent cholecystitis phase.
Jaundice. Mild jaundice occurs in 10% to 25% of patients, either due to spasm of the sphincter of the Oddi due to the passage of bile pigment into the circulation through the damaged gallbladder mucosa or adjacent inflammation, or by obstruction of the common bile duct by gallstones in the gallbladder.
Chronic cholecystitis.
The clinical symptoms of chronic cholecystitis are often atypical, and many patients have no obvious symptoms, and the diagnosis of chronic cholecystitis is found to be atrophied and thick-walled on ultrasonography. Most patients with chronic cholecystitis have no history of acute attack, only irregular vague pain in the upper abdomen, patients often have intermittent abdominal distension and abdominal pain after eating a full meal and eating greasy food, the pain degree varies, mostly in the right upper abdomen, which can involve the right shoulder and back, and rarely has chills, high fever or jaundice, which can be accompanied by nausea and vomiting.
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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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1.Symptoms of acute cholecystitis: Pain:
Severe pain or cramping in the right upper quadrant, usually after eating a high-fat food, usually at night. Nausea and vomiting: are the most common symptoms Mild cases often have chills and low-grade fever; Severe cases may have chills and high fever, with a fever of more than 39,2
Symptoms of chronic cholecystitis: persistent dull pain or discomfort in the right upper quadrant; There are indigestion symptoms such as nausea, belching, acid reflux, bloating, and heartburn; pain in the right lower scapular region; Symptoms worsen after eating fatty or greasy foods.
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After suffering from cholecystitis, the clinical symptoms of patients are mainly manifested as pain in the right upper quadrant, and some patients will be accompanied by pain involving the back and shoulders, and the nature of the pain is mostly swelling pain. Some patients with gallstones will present with biliary colic. If the patient usually has poor digestion and absorption of the gastrointestinal tract, gastrointestinal symptoms such as nausea and vomiting may occur.
Ancillary examinations are performed, including complete blood count, ultrasonography of the upper abdomen, and CT of the upper abdomen
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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.
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1. Acute cholecystitis.
Severe cramping in the upper abdomen or right upper quadrant that can radiate to the back of the right shoulder and can even induce angina.
There may be varying degrees of fever.
Nausea, vomiting, bloating, and decreased appetite are common.
Jaundice may occur in varying degrees.
2. Acute purulent cholangitis: abdominal pain, chills, fever and jaundice are typical manifestations of common bile duct stones and acute cholangitis.
3. The clinical manifestations of chronic acalculous cholecystitis are mostly atypical, mostly vague pain or tingling in the right upper quadrant or upper abdomen, and aggravated symptoms after eating greasy food or exertion.
4. Chronic calculous cholecystitis often has a history of reversal or colic, and the attacks are more frequent at the turn of winter and autumn. Larger stones are sometimes asymptomatic for a long time.
5. The clinical manifestations of chronic cholangitis and bile duct stones are also atypical, and they may be asymptomatic or similar to the signs of chronic cholecystitis.
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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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Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis, the clinical symptoms and signs of different individuals are different, acute cholecystitis usually has a more acute onset, pain and discomfort in the liver area, accompanied by decreased appetite, nausea, vomiting and other symptoms. The symptoms of chronic cholecystitis are usually mild, mainly with liver discomfort as the main clinical manifestation, some will be accompanied by symptoms such as indigestion, abdominal distention, yellow urine, etc., and even some patients with cholecystitis have no obvious clinical signs and symptoms.
Cholecystitis includes the application of anti-infection, anti-inflammatory and choleretic drugs, and at the same time should eliminate the cause of cholecystitis, if there are stones, you should undergo surgery**, you should pay attention to good living and eating habits, live on time, and avoid bad habits such as a lot of alcoholism.
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Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis. The ** of cholecystitis is mainly for acute cholecystitis and chronic cholecystitis**.
1. Acute cholecystitis. The common symptom of acute cholecystitis is abdominal pain, which is often vague in nature, persistent or indirect, and the abdominal pain is high in the right upper quadrant, and sometimes there are symptoms of nausea, bloating, and indigestion. Penicillin or cephalosporins can be given to control infection, fasting, symptomatic support such as rehydration**, observation of the condition, and gallbladder puncture and drainage can be given at the same time to reduce gallbladder tension.
If conservatively** is ineffective and can tolerate surgery, surgery is required**.
2. Chronic cholecystitis. Chronic cholecystitis is mainly a recurrent vague pain and discomfort in the right upper abdomen, the pain is generally not severe, and there will be no jaundice symptoms, **mainly to relieve spasms**. If the pain is severe, 654-2 is used to relieve spasticity.
Significant elevation in body temperature is the choice of susceptible antibiotics, as well as other supports**.
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According to your description, cholecystitis is generally an inflammation of the gallbladder caused by bacteria or stones, which is generally triggered by eating greasy and spicy food, and has symptoms such as pain, fever, nausea and vomiting in the upper right abdomen.
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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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It is generally believed that small gallstones in the gallbladder are easy to block the cystic duct and cause acute cholecystitis; Larger stones, on the other hand, often do not have significant abdominal cramps and cause only manifestations of chronic cholecystitis. Chronic cholecystitis refers to chronic inflammation of the gallbladder, and the most common cause of chronic inflammation is the presence of stones in the gallbladder. Suffice it to say that almost all patients with stones in the gallbladder have chronic cholecystitis.
Chronic cholecystitis can be a sequelae of an acute cholecystitis attack. After an episode of acute cholecystitis, patients almost inevitably develop chronic cholecystitis. However, in fact, most acute cholecystitis is an acute attack of chronic cholecystitis, and a significant proportion of chronic cholecystitis occurs unknowingly.
There has never been a previous history of acute cholecystitis.
The clinical manifestations of chronic cholecystitis are often atypical and inconspicuous. Dyspeptic symptoms such as vague pain in the right upper abdomen, bloating, belching, nausea and anorexia of greasy food may be common, while some patients may feel vague pain in the right subscapula, right hypochondrium or right waist. It is more pronounced after standing, exercising, and cold baths.
The patient has mild tenderness under the costal margin of the right upper quadrant, or discomfort from the pressure. B-ultrasonography may show that the gallbladder is striking or enlarged, and emptying dysfunction. The diagnosis is confirmed when stones are found with oral cholecystic contrast.
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Bloating patients enlarge the abdominal skin 10
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Cholecystitis is first described by ultrasound and rough gallbladder wall.
There is pain in the abdomen and back. Symptoms worsen by eating fatty foods.
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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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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 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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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis. For acute cholecystitis, it can be manifested as abdominal pain, mainly pain and discomfort in the right upper quadrant, which can radiate to the back of the right shoulder, accompanied by nausea, vomiting, fever, chills, abdominal distension, diarrhea, etc. When gangrene perforates the gallbladder, manifestations of acute peritonitis may occur, with pain and discomfort in the abdomen, muscle tension, and even septic shock.
For chronic cholecystitis, the main manifestations are distension and discomfort in the upper right abdomen, which is intermittent, easy to induce after eating greasy food, and can cause soreness and discomfort in the right shoulder and back, occasionally accompanied by nausea, vomiting, abdominal distension and other manifestations.
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The main manifestations are persistent pain and paroxysmal exacerbation in the right upper quadrant, which can radiate to the back of the right shoulder; It is often accompanied by fever, nausea and vomiting, but chills are rare and jaundice is mild. Abdominal examination revealed that the right upper quadrant was full, and the abdominal muscles in the gallbladder region were tense, markedly tender, and rebound tender. Symptoms and signs of chronic cholecystitis are atypical.
Most of the manifestations are biliary dyspepsia, aversion to greasy food, bloating in the upper abdomen, belching, heartburn, etc., similar to ulcer disease or chronic appendicitis.
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Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
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Symptoms of cholecystitis:
Reverse epigastric pain, mostly in the right upper quadrant or mid-upper quadrant, radiating to the right subscapular region. Abdominal pain usually occurs after a meal, but it can be unrelated to diet and is often constant. It may be accompanied by reflex nausea, and rarely vomiting, fever, jaundice and other symptoms.
It may be accompanied by indigestion symptoms such as acid reflux and belching, and may be aggravated after eating greasy food. Typical symptoms of acute cholecystitis or biliary colic may occur during an acute attack or when the stone is incarcerated in the bile duct. You can drink Depu's Lidanshu tea for a long time** to soothe the liver and gallbladder and regulate qi and dehumidify.
Hello, cholecystitis patients are not recommended to eat foods with high cholesterol content, mainly not to eat greasy foods, such as fatty meat, pig's feet, animal offal, fried, barbecue, nuts should also eat less, including melon seeds, nuts, walnuts, peanuts, etc., and can not drink alcohol. The diet is recommended to be light.
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
Question 1: Can people with cholecystitis eat seafood Seafood can be eaten less, occasionally can, but due to the cold nature of seafood, it contains a little more cholesterol, and it is advisable to control the gallbladder, gallbladder is especially important, and in his spare time, he went to the nearby countryside to pick some Shurong bitter vegetables and came back to boil water to drink, accompanied by brown sugar, usually eat a light diet, eat less raw and cold fried and spicy seafood, do not stay up late at night, and rest more. >>>More
Cholecystitis is caused by long-term dampness and heat in the liver and gallbladder, chronic diseases need to be carefully recuperated, they are the best doctors, the diet must be well controlled, high cholesterol and high fat, you have to try not to eat or eat less including (wine, chili, fatty meat, animal offal, fish roe, egg yolk, milk, etc.); Another is personal emotion, gallbladder is the positive organ, the most can not be angry, some patients are angry inevitably, so this is also very important, and the other is not to stay up late, from 23 to 3 o'clock in the morning, respectively, the active period of liver and gallbladder (this is why cholecystitis patients have severe pain at night)) So try to fall asleep before 23 o'clock! >>>More
Regulate well and try to eat as little greasy food as possible.