Why do you get chronic cholecystitis?

Under the action of infection and mechanical factors, the gallbladder mucosa and muscle layer are significantly thickened and accompanied by fibrous connective tissue proliferation and inflammatory cell infiltration, the gallbladder wall often suffers serious damage after multiple acute attacks, the gallbladder mucosa is destroyed, and the subsequent fibrous scar can lead to gallbladder atrophy, which is called chronic atrophic cholecystitis, in some patients due to stone or scar adhesion, resulting in complete blockage of the cystic duct, bile pigment is absorbed, mucosal epithelium secretes mucus, and the gallbladder is filled with transparent watery fluid, which is called gallbladder effusion.

Stones are the most common stimulants, more than 95% of chronic cholecystitis is secondary to gallstones, stones can completely or partially block the gallbladder outflow tract, resulting in cholestasis, and can also cause chronic mucosal ulcers due to long-term compression of the gallbladder wall.

In a small number of patients, large stones compress the Hartman loan and hepatic duct, causing necrosis and perforation of the gallbladder and gallbladder wall under the compression of long-term infection, causing gallbladder bile duct fistula, and the stone can enter the common bile duct through the fistula or ride across the fistula. In addition, a small number of acalculous chronic cholecystitis can be secondary to the tumor, causing cystic duct obstruction, or involvement of perigallbladder infection.

What to pay attention to in the diet for chronic cholecystitis

Chronic cholecystitis is mainly manifested as recurrent pain in the right upper quadrant, mostly due to inattention to diet or stones, tumors, etc., resulting in poor bile duct excretion and cholestasis, retrograde infection to form cholecystitis. At the same time, patients with chronic cholecystitis who usually have recurrent pain, and the pain is severe, and surgical resection is required. If chronic cholecystitis usually recurs, surgery to remove the gallbladder is usually recommended.Patients with chronic cholecystitis should pay attention to eating more fresh vegetables and fruits in their usual diet, and eat less spicy, irritating and greasy food, especially less greasy, fried and boiled food.

Symptomatic manifestations of chronic cholecystitis

In an acute episode of chronic cholecystitis, the clinical manifestations are persistent right upper quadrant pain, which may radiate to the right shoulder or back, often accompanied by fever, and the body temperature is generally below 38.5°C. Patients with chronic cholecystitis often have gastrointestinal symptoms such as dyspepsia, and most of them have vague pain, fullness, and belching in the upper abdomen or right upper abdomen after eating, especially after eating greasy food. If the complicated acute cholecystitis infection is severe and not treated in time, gallbladder gangrene, gallbladder perforation, etc. can occur and endanger the patient's life.