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The main causes of cholecystitis and gallstones are related to bacterial infection, cholestasis, changes in bile composition, and imbalance of cholesterol metabolism in the body.
Description] paroxysmal cramping in the right upper quadrant, often after a greasy diet or a full meal, pain may radiate to the right shoulder, accompanied by nausea, vomiting, and fever, usually without chills or jaundice. If cholecystitis is perforated, the clinical manifestations of diffuse peritonitis appear: pulse rate, high fever, markedly elevated white blood cell count, tenderness, muscle tension, and rebound tenderness throughout the abdomen, especially in the right upper quadrant.
Introduction**] 1.Cholecystectomy usually occurs within three days, and the diseased gallbladder adhesion and edema are not severe, and the gallbladder should be removed.
2.Cholecystostomy If the onset time is long, the symptoms of cholecystitis are severe, the adhesion with the surrounding tissues is tight, there is a lot of bleeding during the operation, the tissue is obviously edema, the anatomical relationship is unclear or the general condition of the person is poor, then the cholecystostomy is temporarily performed, the stone is removed, the catheter is placed for external drainage, and the inflammation is controlled, and the general condition is improved before elective surgery to remove the gallbladder.
3.Common bile duct exploration During cholecystectomy, the following conditions should be performed for choledochiotomy and drainage of the T tube to avoid reoperation due to residual biliary stones after surgery
Has a history of obstructive jaundice.
Stones, tumors, or roundworms are palpable in the common bile duct during surgery.
Intraoperative angiography of the cystic duct confirmed the presence of stones.
The common bile duct is found to be dilated and the diameter is inflammatoryly thickened above the wall of the duct. Strictures or signs of inflammation. Have a history of pancreatitis or have acute or chronic inflammatory lesions of the pancreas found intraoperatively.
Intraoperative bile duct aspiration is performed to remove purulent bile, bloody bile, or sediment-like bile pigment particles in the bile.
In your case, only the polyp should be removed, and the entire gallbladder should not be removed.
It is recommended that you go to a regular, larger hospital for a check-up and compare the ** plan before making a plan.
Wishing you a speedy recovery!
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The gallbladder mainly secretes bile to help stomach acid further digest the things in the stomach, mainly some greasy food! After removing the gallbladder, the doctor will do an amputation at the end of the bile duct! It's been a long time.
A new bile duct is formed, but it doesn't look the same as the removed gallbladder, but the function is the same. There will be no sequelae! The younger you are, the better you will recover from surgery.
Just after the surgery, for one to two years, don't eat anything too greasy or drink alcohol and smoke!
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I'm a clinician myself who saw your request for help and gave you some advice:
From the perspective of Western medicine, the main problem in your case is the liver, which may be caused by poor function. As long as the substances that break down and digest fats are present in bile, bile is secreted by the liver, and then exists in the sac, which is contracted by the gallbladder and discharged into the duodenum, thus playing a digestive role. These problems can also be caused if the gallbladder does not contract well or if the bile ducts are narrow.
From the perspective of traditional Chinese medicine: the liver and gallbladder are the two gallbladders of the liver, that is, the gallbladder is the son of the liver. The disease of the liver will cause the gall, and the disease of the gall will also affect the liver. Disgust with greasy is poor intake in traditional Chinese medicine, and poor intake is hepatobiliary disease.
To sum up, I suggest you go for a liver function check. According to your complaint, there are no obvious clinical symptoms, so there is no need to worry too much, there will be no big problems.
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Oral metronidazole can be treated for one week.
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This is already a problem involving the liver, it is recommended that you immediately go to the hospital for diagnosis, sharp means to cure the disease, and then consider general point repair cell health care.
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Definitely not. The pain of cholecystitis is more common than colic. It's not something that the average person can tolerate.
There is also the need to explain the location of the pain and how to do it. How long it lasts.
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Common symptoms: right upper quadrant pain, abdominal muscle tension, fever with abdominal pain, diarrhea, nausea, vomiting right upper quadrant tenderness, fever.
Acute cholecystitis.
Many patients with acute cholecystitis develop in the middle of the night after eating a greasy dinner, because a high-fat diet can strengthen the contraction of the gallbladder, and lying flat is easy for small gallstones to slip into and incarcerate the cystic duct. 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.
Chronic cholecystitis.
Symptoms and signs of chronic cholecystitis 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.
With the increase of age, the immunity in the human body decreases, the external evil invades the body, the cold can be retained, it is difficult to discharge, resulting in the loss of balance of yin and yang, the contractile function of the gallbladder decreases, the bile excretion in the gallbladder is reduced, there will be some stagnation, and other phenomena appear, generally the gallbladder is not good, the edge of the right abdominal rib cage will also be felt, faintly uncomfortable, the root is in the gall bladder, cholecystitis eats less raw, cold and greasy things, can not eat egg yolk animal offal and other foods with high cholesterol, should eat less and more meals as well, do not eat too much, so as not to increase the burden on the gallbladder, go to the field to dig some Shurong bitter vegetables to boil juice and add brown sugar to drink, be sure to stay up while it is hot, and remember not to stay up late at night. The use of Chinese medicine Defu's Yu Lu Shu tea can effectively help the absorption of the gallbladder, resolve the symptoms of the gallbladder, and play a protective role.
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Do you have any approach now**.
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
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.
The most obvious feature of cholecystitis is that you don't get greasy, and you don't mention that, but you've had cholecystitis, when you eat a little greasy and you vomit and you have diarrhea. >>>More
The inhibition of cholecystitis is divided into conservative ** and surgical **, conservative** can use acupuncture, traditional Chinese medicine, etc.**, one surgery ** is cholecystectomy, the other is cholecystostomy, and the patient also needs to take some anti-inflammatory and choleretic drugs to help recovery.
It belongs to the category of "hypochondria" in traditional Chinese medicine. >>>More