What is the early treatment for cholecystitis?

First of all, patients should follow the principle of eating less and eating more often, usually eat less meat, and eat less foods with high fat content, supplement high protein through the diet, eat more vitamin-rich foods, etc., in addition, for early cholecystitis, the following treatments can also be taken.

Early treatment of cholecystitis:

General treatment

Bed rest, fasting should be given within 48 hours of onset. Patients with nausea, vomiting, and abdominal distension may be given gastrointestinal decompression with intravenous nutrition, fluids, and electrolytes. When the condition improves, a low-fat semi-liquid diet may be considered.

Antispasmodic and analgesic medications

atropine 0.5 mg or 654-25 mg intramuscularly; nitroglycerin 0.3 to 0.6 mg, sublingual; Vitamin K 38-16 mg intramuscularly; For analgesia such as durandine or isometrical pain, morphine should not be used.

Antimicrobial therapy

Antibiotics are particularly important to control the spread of infection and improve symptoms in acute cholecystitis in the presence of fever, leukocytes, and a tendency to perforation of gangrene, or complications. Ampicillin, ciprofloxacin, metronidazole can be used; Aminoglycosides or cephalosporins may also be used, preferably in high concentrations in the blood and bile, based on culture and susceptibility testing.

Traditional Chinese medicine treatment

The principle of traditional Chinese medicine treatment is to regulate qi and invigorate blood, conquer through the inside, and treat syndrome differentiation. Shucholetong, anti-inflammatory choleretic tablets or Qinggan choleretic oral liquid should be taken orally and should be used only after the attack has resolved.

Surgical treatment

Cholecystitis is ineffective after active medical treatment or necrosis, suppuration, perforation, and incarcerated stones should be treated with timely surgical treatment and gallbladder resection or cholecystostomy. For patients with common bile duct obstruction, ERCp papilla incision can be used to remove stones, and stents can be placed to decompress patients with tumor obstruction.

Internal medicine treatment includes low-fat diet, oral choleretic drugs, such as magnesium sulfate, anti-inflammatory choleretic tablets, liver cleansing and choleretic oral liquid, chole-protecting hormone, etc.; The application of ursodeoxycholic acid, chenodeoxycholic acid, chlorthosylin and other dissolved stones; Patients with parasitic infections should be treated with deworming. For frequent episodes of symptomatic chronic cholecystitis, especially in patients with gallstones, cholecystectomy is the only effective treatment to relieve symptoms and prevent cancer. Surgery is usually performed 2 months after the onset of cholecystitis to reduce adhesions around the gallbladder and gallbladder edema.