There is a kind of fake stomachache, which is almost the same as the symptoms of stomach trouble
but it is several times worse than stomach trouble!
The pain is caused by the attack of the back and abdomen, which makes you uneasy to stand
There are bouts of vomiting
The body can't help shrinking into a prawn shape, which is really painful
But in fact, these symptoms have nothing to do with stomach trouble
but a true portrayal of cholecystitis
The symptoms of cholecystitis
Cholecystitis is very common. Sometimes, after eating two scrambled eggs, it won't be long before you have a dull pain in your upper abdomen, and some will wake up in the middle of the night from time to time ... As well as the following symptoms, you should pay attention to cholecystitis.
1. Abdominal pain and bloating
If there is persistent pain in the right upper abdomen, or the pain is getting worse, then there is pain in the right back and shoulders. Be careful, this may be acute cholecystitis!
Both acute and chronic cholecystitis may have dyspepsia, aversion to greasy food, bloating in the upper abdomen, belching and burning sensation in the stomach, etc., which are mostly found in chronic patients.
2. Fever
Acute cholecystitis usually has a fever of 38.39, and most of them have no chills.
3. Nausea and vomiting
Acute cholecystitis is more common.
4. Jaundice
About 1% patients with acute cholecystitis may have mild jaundice, which may be caused by sphincter spasm at the lower end of the common bile duct or infection spreading to the biliary system.
Many patients with acute cholecystitis get sick in the middle of the night after eating greasy dinner. This is because a high-fat diet can strengthen the contraction of the gallbladder, and lying down can easily make small gallstones slide into and embed in the cystic duct.
Patients with chronic cholecystitis accompanied by gallstones sometimes have an acute attack because of stones obstructing the cystic duct, but if the stones move and the obstruction is relieved, they will get better immediately.
How is cholecystitis caused?
Cholecystitis is a common disease of gallbladder, which is caused by bacterial infection or chemical stimulation that changes bile composition. The main causes of cholecystitis are as follows.
1. Metabolic disorder
Due to various reasons, the metabolism of cholesterol is disordered, which makes cholesterol deposit in the gallbladder, causing chronic cholecystitis and gallstones. This kind of cholecystitis is a chronic disease, which is a long-term process and will be treated slowly.
2. Obstruction of gallbladder
When the gallbladder is blocked due to stones or various reasons, the bile in the gallbladder cannot be discharged, so that excess bile accumulates in the gallbladder. Long-term retention and over-concentration, while the gallbladder mucosa continues to secrete mucus, resulting in increasing pressure in the gallbladder, which makes the gallbladder swell and accumulate water, and the blood vessels in the gallbladder wall are therefore compressed and ischemic and necrotic. When the gallbladder is ischemic, the gallbladder resistance decreases, and bacteria are easy to grow and reproduce, resulting in cholecystitis.
3. Bacterial infection
This is the most common type of cholecystitis. Because gallbladder has the function of storing bile and concentrating bile, the contact time between gallbladder and bile is longer than that of other biliary ducts, and the bile concentration is also high. When human immunity is low and bacteria breed in biliary ducts, it is easy to cause gallbladder infection and form cholecystitis.
4. Overeating
People who like to overeat tend to thicken their bile and easily form gallstones, thus inducing cholecystitis. Many people eat too much fat, fried food and animal offal, which leads to acute attacks.
How to treat cholecystitis?
The treatment of acute cholecystitis is generally divided into drug therapy and surgical therapy. In the early stage of the disease, such as acute edematous cholecystitis, it is advisable to treat it with drugs of integrated traditional Chinese and western medicine first, and the symptoms of most patients can be alleviated.
That is, while using traditional Chinese medicine, western medicine for spasmolysis and pain relief is given, and antibiotics are used appropriately. If the disease can't be controlled and develops into acute suppurative cholecystitis, we should be prepared for surgery. Once the drug treatment can't control the disease, we need to take cholecystectomy in time.
Although non-gallstone chronic cholecystitis can be prevented by diet regulation and routine treatment, the curative effect is not reliable. People with stones have a greater chance of acute onset and may cause a series of serious complications.
Therefore, the best treatment for patients with chronic cholecystitis, whether accompanied by stones or not, is to remove the gallbladder. Only by removing the gallbladder can we fundamentally remove the infected focus and prevent all complications.
However, patients with mild symptoms or long-term relapse, especially the elderly with other serious organic diseases, are not necessarily suitable for cholecystectomy, which may bring more serious complications and consequences.
Pay attention to weight control at ordinary times, which plays a very key role in preventing gallstones. Don't pursue fast weight loss, too fast weight loss will increase the risk of gallstones. Eat less greasy food, have a balanced diet and don't overeat, so as to effectively prevent cholecystitis.