What are the basic symptoms of cholecystitis?

As people's diet is becoming more and more irregular, more and more people are suffering from cholecystitis now, especially in the alternating autumn and winter seasons, if you don't pay attention to it, you will get cholecystitis. Some people obviously have cholecystitis, but they don't know it, this is all caused by not understanding the symptoms of cholecystitis, let's take a look at the basic symptoms of cholecystitis!

Clinical presentation

1. Acute cholecystitis

The clinical manifestations of acute calculous cholecystitis are essentially the same as those of acute acalculous cholecystitis.

(1) Symptoms: pain, severe pain or cramping in the right upper abdomen, mostly acute cholecystitis caused by stones or parasite incarceration obstruction of the gallbladder neck; The pain is often sudden, very intense, or crampy, usually after eating a high-fat food, and usually occurs at night; General pain in the right upper quadrant, seen in non-obstructive acute cholecystitis of the cystic duct, the pain in the right upper quadrant is generally not severe, and is usually persistent.

(2) The main signs: abdominal examination showed tension, tenderness, rebound tenderness, and positive MURpHY sign in the right upper abdomen and the middle of the upper upper abdomen. In patients with pyometra or perigallbladder abscess, a tender mass or markedly enlarged gallbladder may be palpable in the right upper quadrant. Abdominal tenderness and tension in the abdominal muscles that extend to other areas of the abdomen or to the entire abdomen suggest gallbladder perforation. or acute peritonitis.

2. Chronic cholecystitis

(1) Persistent mild pain or discomfort in the right upper quadrant; There are indigestion symptoms such as nausea, belching, acid reflux, bloating, and heartburn; pain in the right lower scapular region; Symptoms worsen after eating high-fat or greasy foods; The course of the disease is long, and the disease has the characteristics of alternating acute attack and remission, and the symptoms of acute attack are the same as that of acute cholecystitis, and sometimes there are no symptoms in the remission period.

(2) Signs: There may be mild tenderness and percussion pain in the gallbladder area, but no rebound tenderness; In cases of cholestasis, an enlarged gallbladder may be palpable; Muscle tension may occur in the right upper quadrant during an acute attack, with normal body temperature or low-grade fever, and occasionally jaundice.The gallbladder tenderness point is at the intersection of the outer edge of the right rectus abdominis muscle and the costal arch, the thoracic vertebra tenderness point is 8~10 parathoracic vertebrae, and the right phrenic nerve tenderness point is between the two lower corners of the right sternocleidomastoid muscle in the neck.

Cholecystitis is not far away from us, I hope everyone can remember the basic symptoms of cholecystitis after reading the above, once you find yourself with these basic symptoms of cholecystitis in your daily life, you must remember to receive treatment as soon as possible. People who have not yet had cholecystitis must develop good living habits, do not stay up late, and eat lightly.