What are the four major symptoms of acute cholecystitis

The symptoms of cholecystitis in the acute stage are more obvious, and the more typical symptoms are severe pain in the right upper abdomen, or in the form of colic, characterized by acute attacks, which generally occur at night, but this pain also needs to be differentiated according to the specific condition of the patient, and the symptoms of acute cholecystitis are introduced below:

A detailed explanation of the four major symptoms of acute cholecystitis

1. Some patients can still have jaanthochromia of the sclera in both eyes. As the inflammation spreads around the gallbladder, the condition becomes more severe, and the abdominal pain worsens and becomes more extensive.

2. About 85% of patients with acute cholecystitis will have paroxysmal cramps in the middle and upper quadrant and right upper quadrant in the early stage of the disease, and radiating pain in the right subscapular region. Nausea and vomiting are common. The fever is generally 38~39 °C, and there is no chills. 10~15 patients may have mild jaundice. Physical examination reveals tenderness and muscle tension in the right upper quadrant. Murphy's (MURpHY) sign is positive.

3. Right upper quadrant cramping (pain is very similar to biliary colic), paroxysmal exacerbation, and radiating to the right shoulder or chest and back, all of which will be accompanied by nausea and vomiting. In the early stages of the disease, there may be no chills and fever, but when the gallbladder is purulent and infected, chills and fever may occur.

4. IF THE LESION DEVELOPS INTO GALLBLADDER GANGRENE AND PERFORATION, AND LEADS TO BILIARY PERITONITIS, THE SYMPTOMS OF SYSTEMIC INFECTION CAN BE SIGNIFICANTLY AGGRAVATED, AND CHILLS AND HIGH FEVER MAY OCCUR, AND THE PULSE RATE AND WHITE BLOOD CELL COUNT WILL INCREASE SIGNIFICANTLY (GENERALLY MORE THAN 20,000/MM3). At this point, local signs include right upper quadrant tenderness and muscle tension that are widening and severe.

Generally speaking, patients with acute cholecystitis will have low blood pressure, and in severe cases, it can even cause shock, which is mainly caused by infection.