What to do about dyspepsia in chronic cholecystitis?

Chronic cholecystitis will affect bile secretion, it is recommended to take some drugs that promote bile secretion, such as secretion (compound azinamide enteric-coated tablets) and the like, which can also supplement digestive enzymes, which is very helpful for improving digestion.

Eat less greasy or fatty foods. Because bile emulsifies fat, chronic cholecystitis can affect bile secretion. In addition, it can be combined with eating some secretion, which can promote bile secretion and supplement digestive enzymes to improve digestion.

For chronic cholecystitis, surgery should be advocated, as it can only be achieved by surgical removal of the gallbladder. Patients with chronic cholecystitis will have recurrent vague pain and discomfort in the right upper quadrant, and most of them occur after overeating or drinking, which often affects the quality of life, so for patients with chronic cholecystitis, surgical resection should be performed as soon as possible**.

Although antibiotics can be used to fight infection** during the attack, the inflammation is controlled and the condition can be relieved, but it is easy to recur, so for patients with chronic cholecystitis, surgery is advocated**, and most of the surgical methods are laparoscopic cholecystectomy, because it has the advantages of small incision, small damage and faster recovery, so it is often used as the first choice in clinical practice.

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. When it is found that you have cholecystitis, two cups of Lisan Shu Lin a day have the ability to protect the gallbladder and repair the damage, and there is no ***, for purulent or gangrenous cholecystitis, you should be operated on in time to avoid complications.

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.

It is recommended to go to the hospital to see the symptoms**.

A common symptom of chronic cholecystitis.

There are no typical symptoms of this disease, and some patients with chronic cholecystitis have similar symptoms to those of stomach problems, mainly abdominal pain, nausea at the sight of greasy food, poor appetite, etc.; There are also some patients with symptoms that are somewhat similar to chronic hepatitis, mainly in the liver area, often involving the shoulders or lower back.

**Commonly used proprietary Chinese medicine for chronic cholecystitis.

1. Biliary and stomach disharmony type: This type of cholecystitis patients will feel full of ribs in the chest, frequent belching, nausea and vomiting, bitter mouth, constipation, and the condition will be aggravated whenever they encounter a bad mood. Acceptable: Xiaoyao Pill, Four Reverse San, Baohe.

9. Muxiang Shunqi pills, etc.

2. Hepatobiliary Qi knot type: the symptoms are intermittent dull pain or dull pain in the upper abdomen, and slowly radiate to the lower back, and there are often symptoms of bitter mouth, nausea, loss of appetite or phlegm after eating, and these symptoms will be aggravated after eating greasy food every day. Servable:

Anti-inflammatory choleretic tablets, hepatobiliitis tablets, choleretic tablets, etc. In addition, patients with concurrent stones can take gallstones, choleretic stone tablets, etc.

It is beneficial to know the common symptoms of chronic cholecystitis and the medications that are used regularly, which can help you detect the disease in the shortest possible time, and let your body recover as soon as possible. If a patient with chronic cholecystitis does not see the effect after taking the medication as prescribed by the doctor, it is time to consider undergoing surgery**, the sooner the better.

What kind of method do patients with chronic gallbladder inflammation need to take**, according to the specific situation of chronic gallbladder inflammation to decide, if the condition is not serious, you can use anti-inflammatory and choleretic drugs**, usually pay attention to develop good living habits and eating habits, do not eat too greasy food, do not eat oxalate, too high food, do not eat high cholesterol food, if the condition is more serious, there is obvious gallbladder enlargement, gallbladder wall thickening, it is best to take cholecystoscopic minimally invasive surgery**. Chronic cholecystitis is mainly to pay attention to eating less sour and spicy things, eat less greasy things, and at the same time, it is best to pay attention to try not to get angry, so that it is easy to cause the reverse of the condition. If you have chronic cholecystitis, if you don't want to have surgery, you can do it conservatively**, if you have an attack of chronic cholecystitis, you can use antispasmodic and analgesic drugs to relieve symptoms, in addition to using choleretic drugs**, if you don't want to use Western medicine, you can also use some anti-inflammatory and choleretic Chinese patent medicines.

If you have chronic cholecystitis, if you don't want to have surgery, you can do it conservatively**, if you have an attack of chronic cholecystitis, you can use antispasmodic and analgesic drugs to relieve symptoms, in addition to using choleretic drugs**, if you don't want to use Western medicine, you can also use some anti-inflammatory and choleretic Chinese patent medicines.

Patients with pre-existing stones are more likely to have an acute attack and can cause a series of serious complications, occasionally leading to gallbladder cancer. Therefore, whether the disease is accompanied by stones or not, the best surgery is surgery, and the best surgical method is gallbladder removal, only the removal of the gallbladder can fundamentally remove the infection lesion, to prevent all complications but the symptoms are mild or have not occurred for a long time, patients should not be casually undergoing laparotomy to prevent more serious complications and consequences caused by surgery.

Chronic cholecystitis refers to the chronic inflammatory lesions of the gallbladder, which are caused by cholecystitis or long-standing gallstones, and the basis of its pathogenesis is the obstruction of the cystic duct or common bile duct. The clinical manifestations are non-specific, and the common ones are vague pain in the right upper abdomen or fossa, fullness and discomfort after eating, nausea after eating greasy food, and occasional vomiting.

The best approach to chronic cholecystitis.

1. Drug**: It can also be used as a preoperative preparation, which is a process of using drugs to help reduce inflammation.

2. Surgery**: Minimally invasive gallbladder-sparing surgery is preferred, and the gallbladder has atrophied and cancerous in a very small number of patients, in which case the gallbladder should be removed.

3. Special antimicrobial drugs**: can only be used if you have a good understanding of the condition, if there is a mistake, you will not be able to achieve the purpose.

4. Other physical methods plus drugs**: such as laser or acupuncture and other methods to reduce inflammation, and then add anti-inflammatory drugs. This method has a relatively long period.

5. Comprehensive **low-fat diet, oral choleretic drugs, and parasitic infections should be dewormed**.

Precautions for chronic cholecystitis.

1. Pay attention to your diet and don't overeat during meals. The food should be light, and less fried, barbecued and other foods should be consumed.

2. Keep the stool smooth. When constipation is knotted, symptoms worsen, and it's important to keep your stool flowing.

3. Change the lifestyle of meditation and exercise moderately.

4. Self-cultivation. People who have been in a bad mood for a long time can cause or aggravate this disease, so they should be broad-minded and happy.

First of all, we need to know what chronic cholecystitis is: chronic cholecystitis refers to the continuous inflammatory process of reversing **, more than 90% of patients have gallstones, the clinical manifestations are atypical, most patients have a history of biliary colic, often after a full meal, eating greasy food, abdominal pain, abdominal distension, abdominal pain of different degrees, mostly in the upper abdomen, often can involve the right shoulder and back, chills, fever, may be accompanied by nausea and vomiting.

There may be no obvious signs on abdominal examination. Acalculous cholecystitis with stones or with a confirmed diagnosis of the disease should be cholecystectomy, with laparoscopic cholecystectomy preferred. For asymptomatic patients, or for those whose abdominal pain may be caused by other diseases, such as peptic ulcer, gastritis, etc., surgery should be cautious.

Those who cannot operate can choose non-surgical**, including oral litholysis drugs, organic lysable reagents, direct puncture of gallbladder litholysis, extracorporeal shock wave lithotripsy, etc., or you can limit greasy food and take anti-inflammatory choleretic tablets, traditional Chinese medicine**.

Chronic cholecystitis is a chronic lesion of the gallbladder, most of which can be associated with gallstones, and a few are non-gallstone chronic cholecystitis. Most of the disease has a chronic onset, but it can also be caused by acute cholecystitis.

The common clinical symptoms of chronic cholecystitis can be as follows: First, the course of chronic cholecystitis is long, which can reach months or even years or decades. Second, most patients have a distended or dull pain in the upper right abdomen, which can radiate to the right lower scapular region, and patients often experience pain after eating a greasy, fatty food.

Third, some patients may have nausea, vomiting, acid reflux, belching and other indigestion symptoms. Fourth, there may be alternating acute pain and chronic remission, and the remission period can be similar to that of normal people without any clinical manifestations.

If there is no acute attack of chronic cholecystitis, oral anti-inflammatory and choleretic Chinese patent drugs can be used for medication, such as oral cholelid capsules, anti-inflammatory choleretic tablets, etc. It can play a choleretic and anti-inflammatory role and improve symptoms. In case of an acute attack, severe pain, vomiting, fever occur.

Some develop jaundice. It is due to the appearance of a bacterial infection. Antispasmodic drugs can be used to relieve spasms in the bile ducts and facilitate the excretion of bile.

At the same time, antibiotics are used to remove bacteria from the surface of the gallbladder.

You can go to see Chinese medicine to slowly recuperate.

Corn silk porridge Composition: 30g of corn silk (15g of dry product), 30g of japonica rice. Method:

Wash and cut off the corn stalks, brew them with freshly boiled water, cover and simmer for 10 minutes, then filter them to extract the juice, and then brew them with boiling water for 1 time, and combine the juices twice. Add an appropriate amount of water to the japonica rice, cook until the rice blooms, mix the corn silk juice into the porridge, and cook for a while. Dosage:

Take it twice a day, eat it while it is hot Efficacy: Regulate qi and relieve pain, clear away heat and dampness Treatment: acute cholecystitis, vague pain and belching under the right hypochondrium of the shoulder.

Gardenia porridge Composition: 5g of gardenia kernels, 100g of japonica rice. Method:

Finely grind the gardenia kernels. At the same time, japonica rice is gruel. When the porridge is about to be ready, add the gardenia and cook it slightly.

Dosage: 2 times daily. 2-3 days for a course of treatment.

Efficacy: Clears away heat and relieves fire. Conditioning:

It is suitable for acute cholecystitis, with fever, flank swelling and stuffiness, red eyes, swelling and pain, yellow urine, and dry stool. Mushroom white fungus tofu Composition: 250g fresh mushrooms, 20g white fungus, 2 pieces of tofu, appropriate amount of condiments.

Method: Wash the mushrooms, soak the white fungus in water, and cut the tofu into small pieces. When the oil is hot, add the tofu cubes and fry them until they are slightly yellow, add a little water, then add mushrooms and white fungus, and simmer them until cooked.

Add salt and monosodium glutamate to taste. Directions: Serve with food.

Efficacy: Clears away heat and relieves gallbladder and invigorates qi. Conditioning:

Chronic cholecystitis, patients with weak liver and spleen function.

Chronic cholecystitis is generally caused by chronic inflammation of the gallbladder caused by gallstones or acute cholecystitis. The clinical manifestations vary greatly, and can manifest as asymptomatic or recurrent right upper quadrant discomfort or abdominal pain, or it can manifest as an acute attack.

Patients with chronic cholecystitis should pay attention to maintaining a balanced diet in daily life, avoid overeating and eating too greasy food, and control their weight appropriately. When chronic cholecystitis is complicated with abdominal pain symptoms, oral antibiotics can be used to control the infection, and oral antispasmodic and analgesic drugs can also be used to relieve abdominal pain symptoms. For patients with chronic cholecystitis who have severe or reversible abdominal pain, early surgery** should be recommended, and laparoscopic cholecystectomy is generally preferred.

The main method of chronic cholecystitis is surgical resection, and surgery is the most thorough method. The course of chronic cholecystitis is generally relatively long, and there are often acute attacks, and the symptoms that are relieved after ** are repeated. In the case of acute attack, the main manifestations are pain in the right upper abdomen and right shoulder and back, nausea, vomiting, abdominal distention, dyspepsia, fever, etc., and patients who refuse surgery can choose to be conservative in internal medicine**.

For example, antispasmodic analgesics, water fasting, laxatives**, antibiotics and anti-inflammatory**.

Chronic cholecystitis** can be treated in the following ways:1It can be carried out with the doctor taking choleretic tablets**.

2.If gallstones are formed, they need to be surgically performed** because of the recurrence of biliary colic that occurs with gallstones. In daily life, we must pay attention to our diet and reduce the intake of cholesterol diet.

So so**.

Chronic cholecystitis is caused by obesity and dietary habits. Patients are advised to eat a regular, low-fat, low-calorie diet and to eat regularly and quantitatively.

Drugs**. Oral drug lysolytic litholic**: ursodeoxycholic acid.

Antispasmodic and analgesic: atropine, hyoscyamine, meperidine, nonsteroidal anti-inflammatory drugs (eg, diclofenac sodium, indomethacin).

Surgery**. Follow-up of asymptomatic patients with adequate evaluation of the gallbladder wall is recommended, and prophylactic cholecystectomy is not recommended.

Indications for surgery. Patients with chronic cholecystitis have pain that cannot be relieved or reversed on the basis of internal medicine, which affects their lives;

The gallbladder wall is gradually thickened by 4mm or locally thickened or suspected of malignant transformation;

Gallstones increase and increase year by year or incarcerated gallstones in the neck of the gallbladder with hypofunction or disorder of gallbladder function;

ceramic-like changes in the gallbladder wall;

Surgery should be considered when gallbladder polyps are 1 cm in diameter**.