Cholecystitis symptoms and treatment?

summary

With the increase of cholecystitis patients, more and more people begin to pay attention to this disease. People often consult doctors about the symptoms of patients with cholecystitis. In fact, patients with any disease have an understanding of the symptoms, which is conducive to the treatment and rehabilitation of patients, because the symptoms can play a very good warning role. The symptoms of cholecystitis are as follows.

Cholecystitis symptoms and treatment?

Many patients with acute cholecystitis get sick in the middle of the night after a greasy dinner, because the high-fat diet can strengthen the contraction of the gallbladder, and lying prone to small gallstones slide into and incarcerate the cystic duct. The main manifestations were persistent pain and paroxysmal aggravation in the right upper abdomen, which could radiate to the right shoulder and back; It is often accompanied by fever, nausea and vomiting, but chills are rare and jaundice is mild. Abdominal examination showed that the right upper abdomen was full, abdominal muscle tension in gallbladder area, obvious tenderness and rebound pain.

The symptoms and signs of chronic cholecystitis were not typical. Most of the symptoms were biliary dyspepsia, aversion to greasy food, upper abdominal distension, belching, heartburn, etc., similar to ulcer or chronic appendicitis; Sometimes because of gallstone obstruction cystic duct, can be acute attack, but when the stone movement, obstruction relief, that is quickly improved. Physical examination, gallbladder area can have mild tenderness or percussion pain, if the gallbladder water, often can touch round, smooth cystic mass.

Chemical stimulation, high concentration bile acid salt stimulation of gallbladder mucosa cause acute inflammation. Incidence rate incidence rate incidence rate of gallbladder stones has increased significantly in recent years. With the change of Chinese dietary habits and aging, the incidence of gallstones in city people is increasing. So the incidence of acute cholecystitis is higher in city residents, the incidence of adult is higher, the incidence rate of elderly is higher, and the incidence of obesity is higher. According to statistics female: male is 2:1. The acute symptoms of this disease can turn into chronic cholecystitis.

matters needing attention

Calculus incarcerated in the cystic duct causes obstruction, cholestasis in the gallbladder, and concentrated bile salt damages the gallbladder mucosa and causes inflammation. Bacterial infection, common pathogenic bacteria for E. coli, aerogenic bacteria, Pseudomonas aeruginosa, etc., mostly retrograde from the biliary tract.