What are the symptoms and treatments for cholecystitis
Everyone should be familiar with cholecystitis, and the incidence in our lives is particularly high, second only to appendicitis. Generally speaking, there are more female cholecystitis patients than male patients, and the symptoms are mainly abdominal pain, nausea, vomiting, etc., so let's learn about the symptoms and treatment of cholecystitis.
1. Symptoms and signs
1. Acute cholecystitis
Many patients develop the disease 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.
2. Chronic cholecystitis
Symptoms and signs 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.
2. Medication treatment
1. General treatment
Bed rest, give an easily digestible liquid diet, avoid greasy food, fasting, gastrointestinal decompression, intravenous nutrition, water and electrolytes in severe cases.
2. Antispasmodic, analgesic drug treatment
ATROPINE 0.5 MG OR 654-25 MG INTRAMUSCULARLY; NITROGLYCERIN 0.3-0.6 MG, SUBLINGUAL; VITAMIN K38-16MG, INTRAMUSCULARLY; For analgesia such as durandine or isometrical pain, morphine should not be used.
3. Antimicrobial therapy
ampicillin, ciprofloxacin, metronidazole; Aminoglycosides or cephalosporins may also be used, preferably based on culture and susceptibility testing.
4. Choleretic
Shu choletong, anti-inflammatory choleretic tablets or Qinggan choleretic oral liquid are taken orally, and can only be used after the attack is relieved.
5. Surgical treatment
Patients with necrosis, suppuration, perforation, and incarcerated stones should be treated with prompt surgical treatment and cholecystectomy or cholecystostomy.
6. Traditional Chinese medicine treatment
(1) Bupleurum is the most suitable for the evidence of liver qi stagnation, chest and flank bitterness and long-term depression of qi and blood. The intestines and qi are smooth, and the general is not painful;
(2) For patients with constipation, rhubarb is the first choice to attack and guide stagnation, if it can be smoothed, the pain will be greatly reduced, and rhubarb can be used to relieve fire and cool blood, invigorate blood and remove stasis, and reduce yellowing, which is actually an important medicine for the treatment of cholecystitis;
(3) Gentian grass, soybean grass, and white-flowered snake tongue grass, its functions are to soothe the liver and relieve, clear away heat and separate poison, and diarrhea and laxative.
In fact, there are many ways to prevent cholecystitis in our lives, and we can do more sports to speed up the body's metabolism. I would also like to remind my friends who are fatter that in order to stay away from cholecystitis, everyone must actively lose weight.