What is the best medicine for cholecystitis? What is the best medicine to take for cholecystitis

Acute cholecystitis.

Antispasmodic, analgesic**: Atropine intramuscular injection, meperidine (durandine), etc., can be used to relieve spasms and reduce pain.

Anti-infective**: antibiotics may be used to prevent bacteremia and purulent complications, such as a combination of aminbenicillin, clincomycin, and aminoglycosides, or cefurazole or cefuroxime**. Antibiotic change should be based on clinical blood cultures, bile cultures, bacterial cultures of the gallbladder wall, and drug susceptibility testing.

Choleretic drugs: oral 50% magnesium sulfate, note that it is not available for those with diarrhea, oral deoxycholic acid tablets, etc.

Chronic cholecystitis.

Choleretic drugs: 50% magnesium sulfate oral, dehydrocholic acid tablets oral, etc.

Calolithic**: Cholecystitis caused by cholesterol stones can be dissolved with ursodeoxycholic acid or chenodeoxycholic acid**. After the course of treatment, it can be prevented by continuing **for a period of time**.

Proprietary chinese medicines. Liver and gallbladder Chinese patent medicines can clear the liver and gallbladder dampness and heat, help to reduce inflammation and gallbladder reticence, mainly ** sluggishness, hypochondriac pain, yellow urine, greasy, pulse, fatigue and fatigue, liver stagnation and qi stagnation, liver and gallbladder dampness and heat are not cleared and other symptoms. Both acute and chronic cholecystitis can be used.

The medication of cholecystitis is mainly based on lifting the ban, labor pain, antibacterial **, choleretic drugs**, among them, antispasmodic and analgesic, you can choose intramuscular injection of atropine, or sublingual nitroglycerin to relieve pain, antibacterial ** choose sensitive antibiotics, usually ampicillin, or clindamycin, you can also choose cefuroxime ester, according to the selection of drug susceptibility experiments, choleretic drugs, mainly magnesium sulfate oral administration, when there is diarrhea, magnesium sulfate should not be taken, Others include oral dehydrocholic acid tablets and anti-inflammatory and choleretic tablets.

Common drugs: cefazolin, cefoperazone, imipenem, etc.

Oral cephalosporins or carbapenem antibiotics such as cefazolin, imipenem, etc. can be taken orally. In patients with acalculous acute cholecystitis, susceptible antibiotics are recommended after blood cultures and susceptibility testing**.

There is no such thing as good or bad medication for cholecystitis, and it is best to use targeted medications. Cholecystitis emphasizes correct diagnosis, accurate evaluation, and then appropriate medication for each case. When the patient is in the acute stage of cholecystitis, the basic principle of ** is to resist infection, and the use of choleretic drugs**; Chronic cholecystitis infection is not very serious, and it has chronic inflammation and digestive dysfunction, which is mainly anti-inflammatory, choleretic, and digestive aid.

1) Compound citric acid capsules, 2-4 lily each time, 3 times a day. It can help with choleretic, digestion and symptom relief.

2) Choleretic: 50% magnesium sulfate 10 ml, 3 times a day, or dehydrocholic acid grams, or sodium cholate grams, 3 times a day, or choleretic grams, 3 times a day orally.

3) Chinese patent medicine for choleretic and anti-inflammatory, anti-inflammatory and choleretic tablets, 4-6 tablets, oral 3 times a day.

4) In the case of acute attack of chronic cholecystitis, the medication is the same as that of Western medicine for acute cholecystitis**.

**Cholecystitis drugs, mainly anti-inflammatory, choleretic, antispasmodic, analgesic, litholytic, etc., mainly symptomatic**. Anti-inflammatory drugs are often cephalosporin-2 and 3-generation, levofloxacin. Antispasmodic drugs, which can have magnesium sulfate. The main litholytic drugs are, ursodeoxycholic acid tablets.

1. Acute cholecystitis.

1. Antispasmodic and analgesic: intramuscular injection of atropine, sublingual nitroglycerin, meperidine (durandine), etc., can be used to relieve spasm and pain of ODDI sphincter.

2. Antibacterial**: Antibiotics are used to prevent bacteremia and purulent complications, usually with ampicillin (aminbenzylpenicillin), clindamycin (clincomycin) and aminoglycosides, or second-generation cephalosporins such as cefmondolin (cefhydroxazole) or cefuroxime treatment. Antibiotic changes should be based on blood cultures, bile cultures at surgery, and bacterial cultures of the gallbladder wall, as well as the results of drug susceptibility testing.

3. Choleretic drugs: 50% magnesium sulfate oral (not used for those with diarrhea), oral dehydrocholic acid tablets, and oral cholic acid tablets.

2. Chronic cholecystitis.

1. Choleretic drugs: 50% magnesium Cubanate, dehydrocholic acid tablets, etc. can be taken orally.

2. Deworming: Deworming is carried out for **.

3. Dissolved stones**: If it is caused by cholesterol stones, chenodeoxycholic acid can be used to dissolve stones**. According to the literature, the effective rate of dissolving stone can reach about 60%. After the end of the treatment, it is still necessary to take the maintenance dosage in case of **.

3. Rational selection of Chinese patent medicines.

1. Golden gallbladder tablets Function: anti-inflammatory and choleretic. It is used for acute and chronic cholecystitis.

2. Liver and gallbladder relieving oral liquid: Qingli liver and gallbladder dampness and heat. It is mainly used for the treatment of sluggishness, flank pain, fatigue and fatigue, yellow urine, greasy, pulse, liver stagnation and qi stagnation, liver and gallbladder dampness and heat.

Patients with cholecystitis and gallstone disease often have a sudden onset, especially when the resistance is very poor, or the heart is depressed, the spirit is not high, or after overeating or full meals, there are often mild symptoms of cholecystitis such as chest tightness, indigestion, nausea, loss of appetite, etc., and it is very inconvenient to seek medical treatment in the hospital for a while. You can prepare some common medicines at home, and as soon as you have symptoms, you can self-administer them to relieve symptoms. Such as:

Oral anti-inflammatory drugs:

1. Haloperic acid: 3 times a day, 1 2 capsules each time (i.e., oral administration on an empty stomach.)

2. Erythromycin: 4 times a day, after meals.

3. Chloramphenicol: 4 times a day, after meals.

4. Jemycin: 4 times a day, 1 2 capsules each time (.

5. Metronidazole tablets 3 times a day, one tablet each time (i.e., taken after meals, pregnant women are prohibited.)

6. Pioneer capsules: 4 times a day, each time.

7. Depu's Litanshu Tea (Substitute Tea): Take 1-2 bags each time, tear them open and put them in a cup, add an appropriate amount of boiling water to brew, and you can drink it after 3-5 minutes, and you can brew it repeatedly until the color is light.

At the onset of the disease, you can choose one of the above types of drugs to take. Read the instructions before taking to avoid mistaking. If your symptoms get worse, you should go to the hospital.

It can only be improved slowly, it is difficult to cure, pay attention to diet, greasy, high-fat avoid food.

Anti-inflammatory choleretic tablets or golden gallbladder tablets.

1) Non-surgical** can also be used as preoperative preparation, including: a bed rest, fasting, abdominal distension of gastric tube decompression; b Rehydration to correct the imbalance of water, electrolytes and acid-base balance; c. Antispasmodic and analgesic; Intravenous combination of effective antibiotics, such as gentamicin, ampicillin, chloramphenicol, pioneermycin, etc.; Effective in 80% to 85% of early cases.

b) Surgery**.

1 Acute cholecystitis: It is generally recommended to go through 12 24 hours of active internal medicine**, and then elective surgery after symptom relief.

2 Chronic cholecystitis: Regardless of whether there are stones or not, because the gallbladder has lost its function and is infected with the lesion, it should be surgically removed.

Due to individual differences, there is no absolute best, fastest and most effective medication, except for commonly used over-the-counter drugs, the most appropriate drug should be selected under the guidance of a doctor in full combination with individual circumstances.

1. Cholecystitis is a relatively common disease in clinical practice, mostly coexisting with gallstones, and its clinical symptoms are severe pain in the right abdomen, paroxysmal colic after eating high-fat food, and mostly accompanied by nausea and vomiting.

Second, the medication of cholecystitis is generally anti-inflammatory, in the clinic, oral ursodeoxycholic acid tablets will be taken to reduce bile discharge, coupled with metronidazole, ciprofloxacin symptomatic antibacterial**, you can also take bile dredging choleretic anti-inflammatory, which can effectively relieve symptoms and reduce the pain during the attack of cholecystitis.

Cholecystitis is divided into two types: surgical and non-surgical, and the non-surgical method is generally used first for the following medical treatment: antispasmodic analgesics. Use traditional Chinese medicine to clear heat and detoxify, soothe the liver and relieves gallbladder medicine.

Antibiotics are used**. Control your diet, avoid greasy, eat easily digestible foods, and low-fat liquid or semi-liquid. Chronic patients can eat vegetarian oil appropriately, and after the above methods, it will generally improve.

Surgery is not recommended**. You can do some exercise to enhance your physique and resistance.

The main thing is the usual conditioning, and it is not necessarily useful to take medicine. The main reason is that I usually eat lightly, don't stay up late at night, rest early, and drink some bitter vegetable tea. Also add brown sugar. Stay in a good mood.

Examples of a one-day diet for cholecystitis and cholelithiasis.

Breakfast: rice porridge (50 grams of rice), flower rolls (50 grams of flour), 10 grams of soy tofu, 10 grams of soy melon.

Snacks: tomato juice (100 grams of tomatoes, 5 grams of sugar), 25 grams of cake.

Lunch: Rice soft rice (100 grams of rice), fried fish fillets (100 grams of herring fish, 20 grams of bamboo shoot slices), stir-fried bitter gourd (100 grams of bitter gourd).

Meal: 50 grams of lotus root flour, 5 grams of sugar.

Dinner: millet porridge (50 grams of millet), dough cake (50 grams of flour), meat tofu (20 grams of lean pork, 100 grams of tofu), mixed with yellow.

Shredded melon (100 grams of cucumber, 20 grams of vermicelli).

25 grams of oil for all-day cooking.

The daily thermal energy is about 8337 kJ (1985 kcal).

It is far from enough to rely on diet to relieve the liver and regulate qi, repair the gallbladder, and reduce inflammation and cholecystitis.