What are the clinical manifestations of cholecystitis?

Cholecystitis is manifested mainly by pain in the right upper quadrant, sometimes radiating to the back, and if severe, accompanied by gallstones, it may cause jaundice and yellow urine. In other patients, a fever is present, and a blood draw indicates that the blood white blood cells are elevated.

The clinical manifestations of cholecystitis include loss of appetite, distension and pain in the right lower abdomen in the early stage, and jaundice symptoms such as pain, vomiting, yellow face, yellow body, and yellow urine in the acute stage. It is often caused by overeating, spicy, greasy, fatty and overeating. Commonly used medicines, there are gentian laxative liver pills, gentian laxative liver mast Qinchai, and raw plantain zexingkai.

Mutong licorice angelica is combined, and the liver can be discharged by damp heat and energy. [Yin Chen Artemisia Soup], Yin Chen Artemisia Tang treats Yang Huang, Gardenia Rhubarb is composed of formula, mast cypress bark is added to licorice, and Yin Chen Si reverses treat Yin Huang. FYI.

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.

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.

1. Acute cholecystitis:

1) Epigastric pain: At the beginning, there is only epigastric distension and discomfort, and gradually develops to paroxysmal colic, which is common at night, and is often triggered by full meals and fatty food. The pain radiates to the right shoulder, shoulder blade and back.

As the disease progresses, pain may be persistent and paroxysmal.

2) Nausea and vomiting: The pain is often accompanied by nausea and vomiting, but it is generally not serious, mainly due to the strong contraction of the smooth muscle of the gallbladder wall, which can be relieved in a short period of time after anti-infection 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.

3) Fever: Fever patients generally do not have high fever, body temperature is about 38, usually no chills, but chills. If the disease progresses, secondary bacterial infection may occur, and high fever and chills may occur during the purulent cholecystitis phase.

4) Jaundice: 10% of 25% of patients have mild jaundice, which may be caused by bile pigment entering the human circulation through the damaged gallbladder mucosa or adjacent inflammation causing spasm of the ODDI sphincter, or it may be caused by the obstruction of the common bile duct caused by gallstones in the gallbladder.

2. Chronic cholecystitis: The clinical symptoms of chronic cholecystitis are often atypical, many patients have no obvious symptoms, and the gallbladder is found to be atrophied and thick-walled during B-ultrasound examination, and they are diagnosed with chronic cholecystitis. 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.

The symptoms and manifestations of cholecystitis are divided into two aspects, because cholecystitis is divided into acute cholecystitis and chronic cholecystitis. Acute cholecystitis is often characterized by acute, sudden-onset abdominal pain. The location of abdominal pain is generally the right hypochondrium area, and a small number of patients will have radiating pain in the lower back, and a small number of patients will have very severe abdominal pain, which is called biliary colic.

Because the gallbladder has a cystic duct connected to the biliary system, when there is inflammation, it will trigger the muscles of the cystic duct wall to spasm, which will induce biliary colic.

There are also some patients with chronic cholecystitis, patients with chronic cholecystitis often have every attack, which may not be so severe, and may manifest as non-specific clinical manifestations in the long term, including gastrointestinal symptoms. There are about 2 or 3 patients who have stomach pain caused by gallstones and cholecystitis, but the patients do not know that in general, there is a specific pain in a specific area.

There are also some patients with cholecystitis, gallstones and biliary obstruction, which will present with high fever, as well as manifestations of liver damage, increased aminotransferases, and increased jaundice index.

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.

Cholecystitis can be further divided into acute cholecystitis and chronic cholecystitis. Acute cholecystitis typically presents with an acute onset of persistent or paroxysmal cramping in the right upper quadrant, which may radiate to the right horn, tenderness or rebound tenderness in the gallbladder area, muscle tension, fever, nausea and vomiting, or jaundice and elevated white blood cells; Chronic cholecystitis is manifested as abdominal distension of varying severity, discomfort or pain in the right upper abdomen and upper abdomen, often radiating to the back of the right shoulder, accompanied by indigestion symptoms such as belching pantothenic acid, and aggravated symptoms of eating greasy food. In case of the above symptoms, you can use the traditional Chinese medicine Defu Lilu Shu tea to regulate, which has the effect of protecting the gallbladder, reducing the occurrence of these symptoms, and paying more attention to diet.

Suspicion of gallbladder inflammation is first symptomatic, generally speaking, there is this kind of nausea and vomiting, the body temperature rises, and then the right lower abdomen pain compression pain is more intense, this is a typical clinical manifestation, there will also be jaundice, can be through hepatobiliary B ultrasound examination, it is considered to be gallbladder inflammation caused by gallstones, that is, anaerobic bacteria complicated by infection.

Abdominal pain is the main symptom of acute cholecystitis, usually after eating greasy food, which can begin with strenuous communication, located in the middle of the upper abdomen, and may be accompanied by nausea and vomiting; After the onset of colic, the pain in the right upper abdomen becomes persistent, radiating to the right shoulder or lower back. Acute calculous cholecystitis is more commonly present with biliary colic.

Cholecystitis is a combination of symptoms such as abdominal distention, poor appetite, bitter mouth, and poor digestive tract, which is called cholecystitis. Generally, if cholecystitis is an acute attack, or the pain in the right breath is more severe, and even some symptoms of poisoning such as chills and fever will occur.

According to your medical history, the main manifestations of cholecystitis are pain in the right upper quadrant, sometimes radiating to the back, and if severe, accompanied by gallstones, which may cause jaundice and yellow urine. In other patients, a fever is present, and a blood draw indicates that the blood white blood cells are elevated.

For the clinical manifestations of cholecystitis, it manifests itself as follows.

First, there will be nausea, vomiting and other discomforts.

Second, the main symptom is the typical right upper quadrant pain, which is especially worse after eating fatty foods.

Third, if the bile ducts continue to be compressed, it can cause jaundice all over the body. Therefore, it is necessary to pay attention and ** as soon as possible, otherwise it will cause piercing after a long time, which will be more troublesome.

Right upper quadrant pain, bloating, vomiting, nausea are the most common symptoms of chronic cholecystitis, once the above situation occurs, it is recommended to seize the time to carry out**, under the guidance of the doctor with drugs to control, pay attention to drink more water in daily life, eat more fruits and vegetables, pay attention to rest, ensure adequate sleep.

There are many symptoms of cholecystitis, the main manifestation is stomach pain, the gallbladder grows under the liver in the right upper part of the stomach, so it is manifested as right upper quadrant pain, or a feeling of fullness and bloating. Acute cholecystitis, in particular, can cause nausea and vomiting, and even be accompanied by fever. Jaundice may also occur.

Sadness and abdominal pain is one of the most important clinical symptoms of chronic cholecystitis, in addition to patients often feel a series of symptoms such as vomiting, nausea, abdominal distension, etc., in this case, it is recommended to go to a regular hospital for examination, and only after a clear diagnosis can the symptoms be carried out, in addition, we must pay attention to adjust our mentality in daily life to avoid excessive tension or worry.

Cholecystitis is divided into acute cholecystitis and chronic cholecystitis, chronic cholecystitis is mostly due to the transformation of acute cholecystitis, mostly accompanied by gallstones, the gallbladder wall gradually becomes hypertrophied or atrophied and the contractile function is reduced, resulting in cholestasis. The symptoms of chronic cholecystitis are persistent dull pain in the right upper quadrant, accompanied by nausea, acid reflux, abdominal distension and other indigestion manifestations, and the symptoms are aggravated after eating high-fat greasy food, and there may be no clinical manifestations during the remission period.

The clinical manifestations of acute cholecystitis are mainly acute pain in the right lower abdomen, accompanied by radiating pain in the back, which will be more obvious if you eat hot and sour food.

The combination of pain in the gallbladder area and some symptoms of dyspepsia such as abdominal distention, poor appetite, and bitter mouth caused by chronic inflammation of the gallbladder is called cholecystitis.

If the general cholecystitis is an acute attack, the pain in the right shoulder and back is more intense, and even some severe symptoms such as chills and fever will appear, the common symptoms of cholecystitis are pain in the upper right abdomen, dry mouth, bitter mouth, and severe cases of cold and fever, it is generally the increase in blood white blood cells, bacterial infection is more obvious, oral or intravenous infusion of antibiotics, and the addition of anti-inflammatory choleretic tablets, or Chinese patent medicines such as choleretic tablets, can dredge the liver and gallbladder relieve, which can quickly relieve the symptoms. In terms of diet, it should also be noted that it is necessary to avoid smoking, limit alcohol, and avoid greasy food.

The symptoms of cholecystitis are generally gallbladder pain caused by eating greasy food, if you don't eat greasy food, then there will be no painful symptoms, and you can also see whether it is acute cholecystitis or chronic cholecystitis.

There are many symptoms of cholecystitis, including abdominal pain, especially in the upper right quadrant, either suddenly or after eating greasy, unclean food. It can radiate to the right side of the back, accompanied by fever, and the body temperature can reach 38 to 40 degrees. If bacteria migrate into the bloodstream, they can cause sepsis, leading to septic shock.

Some patients may also develop scleral xanthochromia, which is one of the prominent manifestations of gallbladder inflammation. Therefore, when there are symptoms such as abdominal pain, fever, and yellow staining of the sclera, you must go to the hospital for an abdominal color ultrasound.

Symptoms of cholecystitis: Reversive epigastric pain, mostly occurring in the right upper quadrant or mid-upper quadrant and 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. In the acute attack or stone incarceration in the bile duct can have the typical symptoms of acute cholecystitis or biliary colic, after knowing the symptoms of cholecystitis, the adjustment method of cholecystitis can drink Defu Lidanshu tea.