Acute cholecystitis - in
90-95% of cases develops when blockage of the bile duct stone
(In patients with cholelithiasis), rarely - other
The age of patients is 30-80 years (mainly). Women get sick more often. Most patients previously had chronic cholecystitis.
- The onset of pain in the right hypochondrium.
- Then, nausea, vomiting.
- Weakness, fever.
Over time, the patient's condition worsens.
If these symptoms appear, you should immediately consult a doctor.
If time does not provide medical help, then after 3 - 4 days with
since the beginning of the disease may develop a life-threatening
complications as peritonitis - an inflammation of the peritoneum, which often leads to
- Less life-threatening than acute, but chronic cholecystitis can
give acute (occur as acute cholecystitis), with all
The age of patients is the same; women get sick 2 to 3 times more often than men.
Manifestation of the disease: mild recurrent pain in the right
hypochondrium, nausea, rarely - vomiting, belching bitterness. Often
symptoms appear after consuming fatty, fried or
To diagnose the disease today most
cheap, informative and safe method is ultrasound
(Ultrasound) of the abdominal cavity.
Treatment of acute cholecystitis
It depends on many factors: the presence of concomitant diseases, by
how major runs (cholecystitis) disease.
The basic scheme:
- patient can be hungry for 3-4 days
- cold (ice pack) on the anterior abdominal wall
administered saline, 5% glucose solution, these solutions are added
antispasmodics, pain medications (Baralgin, and Renalgan
etc.), which is also administered and intramuscularly, but the appointment of strong
pain medication is contraindicated, as they hide
a true picture of the disease
- other medications administered if necessary.
If cholecystitis is a consequence of gallstone disease, and (or)
drug treatment does not work - you must do
Treatment of chronic cholecystitis
When choosing a method
treatment of chronic cholecystitis is crucial presence of stones
in the gallbladder (the presence of gallstones). If the stones are -
operation is necessary, if not - the usual (conservative) treatment.
Today I will talk about the treatment of stoneless chronic cholecystitis. A strict diet is prescribed (table No. 5): smoked products are excluded from food,
spicy and fried foods, canned goods, sausages, sharp cheese, cocoa,
chocolate, alcohol. You can use products with choleretic
properties, but if they do not cause pain - soft-boiled eggs in moderation
amount, fresh unsalted butter, olive oil, milk,
dairy products, lean meat (beef) and fresh fish.
Patients are advised to take choleretic drugs:
- Holagol etc.
- decoctions of choleretic herbs: corn stigmas, immortelle flowers, etc.