How to distinguish between acute and chronic cholecystitis

Cholecystitis is divided into chronic cholecystitis and acute cholecystitis. Therefore, the symptoms of cholecystitis should also be diagnosed separately.

1 Acute cholecystitis phase:

1) Acute cholecystitis Severe cramping pain in the upper abdomen or right upper abdomen, which can radiate to the back of the right shoulder, and can even induce angina, with varying degrees of fever, often nausea, vomiting, abdominal distension and decreased appetite. 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.

2 Chronic acalculous cholecystitis phase (interflactic phase):

1) The clinical manifestations of chronic acalculous cholecystitis are mostly atypical, mostly vague or stabbing pain of varying degrees in the right upper abdomen or upper abdomen, and aggravated symptoms after eating greasy food or exertion.

2) 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.

3) 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.

Remind everyone to pay attention to the above manifestations, but patients who are already cholecystitis should not worry, drink two cups of Zhuanshu tea every day to regulate the gallbladder, which has the ability to protect the gallbladder and repair the damage, and there is no ***, for purulent or gangrenocal cholecystitis, surgery should be performed in time to avoid complications. And it's convenient and simple, so you can take it with you.

Cholecystitis is a cholecystitis lesion caused by bacterial-infection or chemical irritation (alteration of bile composition), which is divided into acute cholecystitis and chronic cholecystitis according to the severity and symptoms of the disease. You can drink De Yu Stone Poke Tea to improve. 2. Chronic cholecystitis 1

There may be a series of indigestion symptoms such as vague pain in the right upper abdomen, bloating, heartburn-heat, belching, nausea, acid swallowing, etc., which are often aggravated by eating fried or fatty foods. 2.Some patients may experience vague pain in the right subscapula, right hypochondrium or right waist, which is more pronounced after standing, exercising and taking cold baths.

3.The patient has mild tenderness under the costal margin of the right upper quadrant, or discomfort from the pressure. 4.

The stone moves in the gallbladder and temporarily blocks the cystic duct, causing an acute cholecystitis attack.

Cholecystitis is divided into acute and chronic cholecystitis according to the onset of the disease; It is acute within 3 weeks and chronic after 8 weeks.

According to the presence or absence of gallstones, it is divided into calculous cholecystitis and non-calculous cholecystitis.

It is recommended to apply Western medicine in the acute stage, and traditional Chinese medicine still has a certain effect on chronic acalculous cholecystitis.

There is no difference between acute cholecystitis and acute attack of chronic cholecystitis, and traditional Chinese medicine has a good effect on all kinds of cholecystitis and can be completely **.

Acute cholecystitis presents with right upper quadrant pain, fever, marked tenderness in the gallbladder area, and elevated white blood cells. Chronic cholecystitis may present with discomfort in the right upper quadrant, decreased appetite, insignificant tenderness in the gallbladder area, and no fever. The above is for reference.

persistent, paroxysmal exacerbation of pain in the right upper quadrant that may 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. Belly. Partial inspection. The right upper quadrant was found to be full, and the abdominal muscles in the gallbladder area were tense, obviously tender, and rebound tender.

Usually do some exercise regularly to make the whole body generation. Xie is active, especially middle-aged people who are always sitting still at work and mental work, and they must consciously exercise to avoid excessive obesity. It can be conditioned with traditional Chinese medicine, such as Lizhishu tea, which protects the gallbladder and eliminates inflammation on the one hand, and balances yin and yang on the other hand, and nourishes the qi and blood of the whole body.

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.

Chronic cholecystitis is caused by abnormal gallbladder function caused by the symptoms of acute cholecystitis or subacute cholecystitis, as well as the long-term presence of gallstones. The pathological basis for its occurrence is obstruction of the gallbladder outlet, such as the presence of stones in the cystic duct or common bile duct. Depending on whether the gallbladder has stones or not, it can be divided into calculous cholecystitis and noncalculous cholecystitis.

Chronic cholecystitis usually has no specific signs, or may present with a vague pain in the right upper quadrant or an acute cholecystitis flare-up. **Chronic cholecystitis with mild symptoms can be closely followed up and observed, and surgery is required if the symptoms are more severe or reversed** and calculous cholecystitis**.

Chronic cholecystitis is mostly manifested as vague pain in the right upper abdomen or heart socket, fullness and discomfort after eating, belching, nausea after eating greasy food or fatty food, and occasional vomiting. In traditional Chinese medicine, when the clinical manifestations of hypochondria in acute and chronic cholecystitis appear, it will be treated as hypochondria in traditional Chinese medicine**. There are many types of hypochondriac pain, such as emotional failure, uncontrolled diet, long-term illness and physical weakness, etc., which may cause liver qi stagnation and loss of liver qi; or cause dampness and heat accumulation, liver loss and excretion; It may lead to deficiency of liver yin and dystrophy of the veins, which will eventually lead to the occurrence of hypochondriac pain.

For chronic cholecystitis, it is mostly due to improper diet, damage to the spleen and stomach, dampness and heat endogenous, depression in the liver and gallbladder, loss of liver and gallbladder discharge, and hypochondriac pain. In this case, cupping in the corresponding part can clear the liver and gallbladder bladder, soothe the liver and regulate qi, regulate the qi, and then relieve chronic pain. The following acupuncture points should be selected for cupping:

Bile Yu is in the spinal area, under the spinous process of the 10th thoracic vertebra, next to the posterior midline.

Liver Yu is in the spinal area, under the spinous process of the 9th thoracic vertebra, next to the posterior midline.

The spleen is located in the spinal area, under the spinous process of the 11th thoracic vertebra, next to the posterior midline.

Each back Yu acupoint can regulate the corresponding viscera qi, the effect is obvious, and it also has a good tonic effect, and daily health care can also be selected.

Chronic cholecystitis will become thinner and thinner due to loss of appetite, so reasonable adjustment should be given from the diet, light, less greasy and low fat, and more ways to promote the patient's appetite. Chronic diseases are mostly a long-term process, so it is necessary to be mentally prepared to take medicine for a long time, take the medicine on time and in the right amount, and do not take more or miss it. At the same time, the changes in the condition should be closely observed during the ** process to prevent acute attacks.

Private message to specific**Chronic cholecystitis symptoms and prevention.

Symptoms of chronic cholecystitis.

The signs are atypical, most of which are biliary dyspepsia, aversion to greasy food, epigastric distention, belching, heartburn, etc., similar to ulcer disease or chronic appendicitis; Sometimes the cystic duct is obstructed by a stone, which can be acute, but when the stone moves.

Obstruction is relieved, i.e., it gets better quickly. 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.

You can drink the traditional Chinese medicine Depu Lishu tea to discharge toxins from the body, clear the choleretic and clear the choleretic and choleretic, and gently nourish the gallbladder.

Observation of the analgesic effect of back acupoints on cholecystitis:

All of them are mainly based on the massage of Xinyu, Duyu and Diaphragm Yu. The patient is placed in the prone position, and the surgeon uses the fingertips of the thumb or the large and small thenar, or the root of the palm to press and knead on the acupuncture points, 10 20 minutes each time, twice a day, 5 days for 1 course of treatment. Some patients combine cupping with areas of back tenderness.

Because the clinical symptoms of chronic cholecystitis are atypical, the clinical diagnosis is often easy to misdiagnose, and the following diseases are often misdiagnosed as chronic cholecystitis, so attention should be paid to the identification. 1.Peptic ulcer symptoms atypical peptic ulcer can be confused with chronic cholecystitis, and this condition often coexists with chronic cholecystitis.

In addition to a careful history, upper barium swallow and ultrasonography can be helpful. 2.Chronic gastritis is all kinds of chronic.