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What are the symptoms of acute cholecystitis?
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1. Abdominal pain. About 85% of patients with cholecystitis have right upper quadrant pain as the main symptom, and the abdominal pain is mostly persistent, can be exacerbated by paroxysmal, and radiates to the back of the right shoulder: the abdominal pain of chronic cholecystitis is often reversed, mostly dull pain and swelling pain.
2. Fever. Fever in acute cholecystitis is generally 38 to 39, and there are no chills.
3. Nausea and vomiting.
Acute cholecystitis is more common.
4. Abdominal distention, belching and greasy and other indigestion symptoms.
5. Jaundice. Mild jaundice occurs in about 10% of patients with acute cholecystitis, possibly due to spasm of the lower common bile duct sphincter or spread of infection to the biliary system.
Many patients with acute cholecystitis develop symptoms 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 slide 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 slip called the upper abdomen full, and the abdominal muscles in the gallbladder area were tense, markedly tender, and rebound tenderness.
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The main symptoms are right upper quadrant pain, nausea, vomiting, and fever. Patients often first present with right upper quadrant pain, which radiates to the back of the right shoulder, and the pain is persistent, paroxysmal and worsening, and may be accompanied by nausea and vomiting. The vomit is stomach and duodenal contents.
Fever in the later stage, mostly low-grade fever, chills and high fever are uncommon, and there is no jaundice in the early stage, and jaundice can occur when the bile duct is complicated by inflammation or inflammation leads to hepatic hilar lymphadenopathy.
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Suggestion: Hello. Symptoms of acute cholecystitis (1) Many patients with acute cholecystitis develop their illness 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 slide 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 (2) The 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.
Drink Defu elm stone poke tea in time.
What should be paid attention to in cholecystitis:
1.A low-fat diet or fasting to correct imbalances in water, electrolytes, and acid-base balances.
2.Anti-infective.
3.Antispasmodic and analgesic.
4.Choleretic. 5.Critically ill patients may be given corticosteroids as appropriate.
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Analysis: Symptoms of acute cholecystitis:1
There is a possibility of high body fever. 2.There is a possibility that you may experience shivers in your body.
3.Pain in the upper abdomen may occur. Acute cholecystitis can be carried out by surgery**, when performing surgery, you must choose a regular tertiary hospital, if you need surgery, you need to fast, to avoid vomiting.
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What are the symptoms of acute cholecystitis?
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Hello, if you suffer from cholecystitis, you must eat less sugar. Pay attention to food hygiene to prevent parasitic infections. The diet should be light, eat more fresh vegetables and fruits, avoid fried food, animal fats and offal, and be cautious of egg yolks, fish and crustaceans. Avoid smoking, alcohol and spicy food.
Analysis: Patients with acute cholecystitis have paroxysmal cramps in the middle upper quadrant and right upper quadrant at the beginning of the disease, and radiating pain in the right subscapular region. Nausea and vomiting are common, and Murphy's sign is positive. Fever is generally 38-39% without chills.
Guidance: Hello, the current situation pay attention to rest and nutrition, do not eat spicy, greasy, raw and cold, indigestible food, you can take amoxicillin and anti-inflammatory choleretic tablets or intravenous ampicillin sodium and metronidazole for **, if it is not good or continues to worsen, it is recommended to go to the hospital for surgery**.
Symptoms such as fever, jaundice, right upper quadrant pain, and vomiting can be treated with antibiotics and surgery**.
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Acute cholecystitis includes general**, eating a liquid diet that is easy to digest, avoiding greasy food, fasting in severe cases, aminoglycosides or cephalosporin anti-inflammatory drugs, eating more vegetables and high-protein foods and high-quality protein foods and calcium-rich foods and zinc-rich foods.
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Epigastric cramping, which then worsens. Sometimes it even radiates to the entire abdomen or right shoulder blade.
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Acute cholecystitis is a common condition that causes the following symptoms to occur after eating fatty foods
1. Main symptoms: pain or discomfort in the right upper abdomen;
2. Occasional symptoms: combined with nausea, vomiting, etc., many patients mistakenly think that they have stomach problems;
3. Special symptoms: often abdominal pain, radiating pain in the right upper abdomen, back or right shoulder, large masses can be felt, there is obvious tenderness, and obvious gallbladder enlargement can be seen in B-ultrasound examination. The pain is intermittent and can last for more than ten minutes or hours.
**Approach: Conservative**.
This method is only suitable for acute cholecystitis with a first episode. Patients are required to cooperate with fasting, and then infusions are given to supplement vitamins and correct the acid-base balance in the body. In order to increase the patient's ability to resist infection, it is necessary to combine drugs, and the drugs should have a good effect on gram-negative bacteria and anaerobic bacteria. >>>More
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. >>>More
Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis, acute cholecystitis is often acute onset of right upper quadrant pain or paroxysmal colic, can also appear radiating pain in the right shoulder, severe symptoms can appear nausea, vomiting and jaundice, and chronic cholecystitis is milder than acute cholecystitis, generally manifested as anti-** of different degrees of abdominal distension, or abdominal discomfort, in addition to the symptoms of acid reflux, belching and nausea, the symptoms are aggravated after eating spicy, greasy and cold food.
Symptoms of cholecystitis in middle-aged and elderly people and related common sense.
Cholecystitis is divided into chronic cholecystitis and acute cholecystitis. Therefore, the symptoms of cholecystitis should also be diagnosed separately. >>>More