How to treat cholecystitis

The harm of acalculous cholecystitis: more than 90% of cholecystitis is secondary to gallstones, and a small number of cholecystitis without stones exist, which is called acalculous cholecystitis. Simple cholecystitis** is not difficult and has a good prognosis, but there is a risk of death if gangrenous cholecystitis or concurrent common bile duct infection, especially in older patients.

Therefore, severe cholecystitis can lead to death. There is a lot of knowledge about cholecystitis, I just picked a small part for you, it is recommended that you can check out the relevant such as the Royal Medical Source Chol'an Tea or 39 and the like**, or talk to me in detail, I can still help you in this regard, or directly look for the Imperial Physician Source Chol'an Tea on **, I hope you can be soon**! I hope you don't miss the best period because your symptoms are not obvious**!

Cholecystitis is generally available in county-level hospitals, and there don't seem to be many herbalist doctors.

Western medicine can only relieve pain, and I think it will be more ignorant of the condition, cholecystitis is not a cold and fever, can not be cured in a hurry for a day or two, so it is a good choice to use Chinese medicine to go to the root, the imperial doctor source gallbladder tea and I use it, it is really good and it is very convenient to use, and now I find that ** is actually sold on it, it is so convenient! I don't have to ask a friend to buy it for me in the future.

1. How to cholecystitis**.

1.Take antispasmodic, analgesic medications.

For people with cholecystitis, especially those with acute cholecystitis, antispasmodic and analgesic drugs are needed. Pain can be relieved by injecting atropine, nitroglycerin can also be selected under the tongue, and drugs such as meperidine are also more effective in relieving pain.

2.Antibacterial**.

The best effect of antimicrobial drugs is also relatively good, and ampicillin is usually used in general. Clindamycin and aminoglycosides can also be used in combination, and through the use of second-generation cephalosporins, it can also be used to a certain extent.

3.Choleretic drugs.

Choleretic drugs are also a better choice for people suffering from cholecystitis, you can choose to use 50 mg sulfate, or you can choose dehydrocholic acid tablets.

4.Dissolved stones**.

If it is cholecystitis caused by cholesterol stones, you can choose to use stone dissolution to this disease, and under normal circumstances, you will choose to use chenodeoxycholic acid stone dissolution to carry out**.

2. Precautions for cholecystitis.

1.Be mindful of your diet.

People with cholecystitis need to pay special attention to their diet, especially during the attack period, eggs, milk and other foods with high fat content must be eaten less, and foods with high fat content should also be controlled, because it is easy to induce colic in patients.

2.Avoid alcohol. It is best for patients with cholecystitis not to drink alcohol, because alcohol can easily cause pain in the gallbladder, and it can also induce the symptoms of pancreatitis in patients with cholecystitis to a certain extent.

3.Increase your water intake appropriately.

People with cholecystitis should drink more water in their daily lives, which can help dilute bile, thereby promoting the discharge of bile, and reducing the formation of gallstones to a certain extent.

The ** of cholecystitis is as follows:

1. Acute purulent cholecystitis: within 72 hours, the patient should be given anti-inflammatory**, through gastrointestinal decompression, replenishment of water, electrolytes and acid-base balance. At the same time, strong antibiotics are given, and the condition is closely observed.

Through ultrasound and other examinations to see the gallbladder edema, whether it can be conservative**, and at the same time to see the white blood cell situation, whether the localized peritonitis is serious, whether there is diffuse peritonitis and other conditions;

2. Acute simple cholecystitis: the condition is relatively mild, and it can be conservative first**;

3. Acute cholecystitis is seriously suppurated, or gangrene perforation, or perigallbladder abscess, early surgery**, gallbladder resection is generally carried out within 72 hours, laparoscopic gallbladder resection, or open gallbladder resection;

4. For patients who are old and frail or unable to tolerate surgery, puncture and drainage can be carried out under ultrasound guidance to lead purulent bile to the outside of the body, reduce the pressure of the gallbladder, and have a temporary effect on acute cholecystitis. After 3-6 months, the gallbladder inflammation subsides, and then the patient is given further steps**.

1. Generally, it is mainly bed rest, eating easily digestible fat-free food, and patients with severe conditions need to fast or decompress the gastrointestinal tract and supplement nutrition with intravenous nutrition.

2. The application of antispasmodic and analgesic drugs, if the pain is severe, you can use antispasmodic drugs**, if the effect is not good, you can use strong analgesic drugs.

3. If it is accompanied by bacterial infection, it needs to be actively treated with antibiotics**.

4. If there are symptoms such as necrosis, perforation and biliary blockage, it is necessary to formulate a surgical plan according to the imaging data and clinical symptoms, and carry out surgery in time.

Therefore, the ** of cholecystitis is carried out accordingly according to the patient**, the condition, etc. Usually, we should also pay attention to prevent the occurrence of cholecystitis, pay attention to dietary conditioning, eat less, it is best not to eat greasy fried food, eat regularly and quantitatively, and ensure smooth stool.

The best method of cholecystitis.

The treatment of cholecystitis can be started from two aspects: medication and surgery.

1) Medications**.

Patients with acute cholecystitis may be treated with atropine or nitroglycerin sublingually. These drugs can have antispasmodic and analgesic effects. Patients with chronic cholecystitis may be treated with choleretic drugs, or anthelmintic** and chenodeoxycholic acid litholys**.

Patients with cholecystitis can also try to take the Chinese patent medicine Golden Gladder Tablets under the guidance of a doctor, which can play an anti-inflammatory and choleretic role. 2) Surgery**.

Surgery for acute cholecystitis depends on the situation. After internal medicine**, surgery can be performed at an elective date when the symptoms have been relieved. In patients with chronic cholecystitis, elective surgical resection should be performed if the gallbladder has been infected or destroyed and has lost function, regardless of whether there are gallstones in the gallbladder.

1.So so**.

Actively prevent and ** bacterial infections and complications, pay attention to dietary hygiene, prevent the occurrence of biliary parasitic diseases, and actively ** intestinal ascariasis. Have a controlled daily life, pay attention to the combination of work and rest, suitable cold and temperature, maintain an optimistic mood and smooth stool. If there are stones or frequent attacks, surgery may be considered**.

Low-fat meals should be chosen to reduce bile secretion and reduce the burden on the gallbladder.

2.Drugs**.

1) Acute cholecystitis antispasmodic, analgesic can be used intramuscular injection of atropine, nitroglycerin sublingual with traces, meperidine (durandine), etc., to relieve spasm and pain of ODDI sphincter. Antimicrobial** Antibiotics are used to prevent bacteremia and purulent complications, usually with ampicillin (aminbenzylpenicillin), clindamycin (clincomycin), and aminoglycosides, or with a second-generation cephalosporin such as cefmondol (cefhydroxazole) or cefuroxime**. Antibiotic changes should be based on blood cultures, bile cultures at surgery, and bacterial cultures of the gallbladder wall, as well as the results of drug susceptibility testing.

Choleretic drugs: 50% magnesium sulfate orally (not used for those with diarrhea), oral dehydrocholic acid tablets, and oral cholic acid tablets.

Surgery**.

Cholecystectomy is essential for acute cholecystitis. Indications for surgery: gallbladder gangrene and perforation, complicated by diffuse peritonitis; Those with recurrent acute attacks of acute cholecystitis and a clear diagnosis; After active internal medicine**, the condition of the bridge continues to develop and deteriorate; Those who have no contraindications to surgery and can tolerate surgery.

Chronic cholecystitis with gallstones; Once the diagnosis is established, cholecystectomy is a reasonable radical treatment. If the patient has serious diseases such as heart, liver and lungs, or the general condition cannot tolerate surgery, he can be treated with internal medicine**.

The ** of cholecystitis is on a case-by-case basis:

1. If it is early cholecystitis, more traditional Chinese medicine is often effective, here we should emphasize this point, the inflammation is relatively light, especially rough Hu is a patient with good gallbladder contractile function, you can use traditional Chinese medicine such as liver soothing and gallbladder relieving, clearing heat and detoxifying, which can play a very good role;

2. If the inflammation is reversed, gradually aggravated, and the symptoms occur many times, according to the patient's situation, drugs can be used, and if the effect is not good, surgery can be used.

3. If there is an acute attack of cystitis in the gallbladder stool, drugs can be used, such as antispasmodic drugs, of course, if patients with gallstones, they should use chenodeoxycholic acid drugs.

Cholecystitis is a common disease in our country, cholecystitis is often accompanied by gallbladder ulnar wax stones, which is more common in female patients, and 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, belching, acid reflux and so on in the right upper abdomen of Huiwu.

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, Lingbi slippery Murphy sign is positive, most of the acute cholecystitis is caused by gallstones obstruction in the gallbladder neck or cystic duct, at this time acute cholecystitis needs to go**, **The program is generally to reduce inflammation and control infection, Once the infection is under control, laparoscopic cholecystectomy is done.

Generally** cholecystitis is anti-inflammatory, and I personally feel that it is not good to ask about anti-inflammatory drugs on the Internet, or go directly to check what medicine the doctor asks you to take, so that it is safest and responsible for yourself.

Cholecystitis. patients need to undergo anti-inflammatory, choleretic**, and avoid eating greasy and spicy foods in their diet to avoid aggravation of the disease. When the pain is severe, it can be drained by gallbladder puncture**. You can also go to the hospital for surgery**.

For patients with chronic cholecystitis and gallstones, individualization should be done according to the presence or absence of symptoms and complications**. The goal is to control symptoms, prevent, prevent complications, etc. 1. For patients with asymptomatic chronic cholecystitis and gallstones, the first principle is to adjust their diet.

When symptoms are present, choleretic can be symptomatic**, and observation continues. For some high-risk patients, prophylactic gallbladder removal may be used. 2. Symptomatic chronic cholecystitis and gallstones** are mainly used to control symptoms and eliminate inflammatory reactions.

3. Anti-infection**. Antibiotics should be used rationally according to the bile culture results of patients with chronic cholecystitis, the degree of infection, antibiotic resistance and antimicrobial spectrum, and the underlying diseases of patients, especially for liver and kidney damage.

During an acute attack of cholecystitis, medications such as atropine can be taken under the guidance of a doctor to relieve symptoms. During the ** period, absolute bed rest is required, and at the same time, it is necessary to refrain from eating all foods, which can reduce the pressure on the stomach and intestines, and if it is chronic cholecystitis, it is usually necessary to take choleretic drugs to improve the condition. The cause of the disease is related to the obstruction of gallstones in the gallbladder, which will cause patients to have symptoms such as right upper quadrant pain, fever and nausea.