Can you drink alcohol with acute cholecystitis?

Written by Zhang Tao
Hepatobiliary Surgery
Updated on September 16, 2024
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Acute cholecystitis, clinically divided into calculous cholecystitis and acalculous cholecystitis, is closely related to diet regardless of the type. Therefore, patients with acute cholecystitis should not consume alcohol, as drinking can lead to another attack of acute cholecystitis. Most episodes of acute cholecystitis are directly related to diet and excessive drinking, so not only during an acute attack but also in everyday life, it is important to avoid greasy, fried foods, spicy and irritating foods, and excessive alcohol consumption, in order to prevent stimulating the swelling of the gallbladder mucosa and triggering an attack of acute cholecystitis.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What are the serious consequences of cholecystitis?

The severe consequences of cholecystitis include gangrene and perforation of the gallbladder, leading to obvious signs of peritonitis throughout the abdomen, with noticeable tenderness and rebound pain. For patients with recurrent cholecystitis, it is advisable to use antibiotics for anti-infection treatment as soon as possible, as the condition can only be alleviated after the inflammation is under control. During recurrent episodes, surgical treatment should also be considered promptly. Removal of the gallbladder through surgery is the only way to achieve a radical cure. In most cases, laparoscopic cholecystectomy is chosen because it has the advantages of smaller incisions, less damage, and faster recovery, and is therefore often the preferred option in clinical settings. Patients who have undergone surgery should also avoid spicy and irritating foods to reduce inflammation and better facilitate recovery.

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Written by Si Li Li
Gastroenterology
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Is hot compress effective for cholecystitis?

The main symptoms of cholecystitis include pain in the upper right abdomen and fever. If this occurs, applying heat to the painful area may temporarily relieve the pain, but it is merely a symptomatic treatment and not a cure, as cholecystitis is caused by an infection and requires antibiotic treatment. Therefore, the fundamental treatment is to reduce inflammation. Merely using heat for relief does not address the root of the disease. Thus, it is essential to receive treatment in a hospital, where a doctor can prescribe medication, which is the most effective and fundamental method.

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Written by Wu Hai Wu
Gastroenterology
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What are the symptoms when there are problems with the gallbladder?

Gallbladder issues, specifically symptoms of cholecystitis, mainly include chills, fever, persistent dull pain in the upper right quadrant of the abdomen, episodic colic pain that radiates to the right shoulder and back, and may also be accompanied by jaundice, dark urine, nausea, vomiting, and constipation. Patients with cholecystitis often experience sudden pain at night, typically due to overeating or consuming greasy foods. Once cholecystitis occurs, it is advised to seek medical attention at a regular hospital as soon as possible, complete the relevant diagnostic tests, such as imaging studies of the abdomen, consider surgical treatment, and engage in active anti-infection treatment.

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Written by Li Ying
Gastroenterology
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How is cholelithiasis cholecystitis treated?

The treatment of cholecystitis with gallstones is divided into two main categories. The first category refers to the treatment of asymptomatic gallstone cholecystitis, as well as symptomatic treatment. For asymptomatic cases, treatment can include dietary management for chronic, symptom-free cholecystitis, including those with gallstones. In symptomatic cases, the treatment focuses on improving gallbladder function and symptomatic relief. Dietary treatment mainly suggests regular meals without overeating, promoting a regular eating pattern. The second method is to use medication to improve gallbladder function, and preventive gallbladder removal can also be considered. For symptomatic cases, the primary goal is to control symptoms and reduce inflammation, mainly through medication. If medical treatment is not effective, surgical options may be considered.

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Written by Zhang Jun Jun
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Which department should I go to for cholecystitis?

Firstly, it is necessary to determine the cause of the cholecystitis. The most common type of cholecystitis is caused by gallstones. If the cholecystitis is an acute episode caused by gallstones, leading to pain, nausea, vomiting, or even high fever, surgical intervention is usually indicated. It is generally recommended to consult with departments such as general surgery or hepatobiliary surgery, as emergency surgery may be needed. The second scenario involves cases where cholecystitis is detected during routine physical examinations without symptoms. Ultrasound may show gallstones or gallbladder polyps. In symptom-free situations, it is possible to consult general departments like gastroenterology, and regular follow-ups and checks of inflammation indicators, as well as abdominal ultrasonography, can be performed to monitor the dynamic changes of the cholecystitis. The third scenario pertains to cholecystitis where new techniques such as MRCP are available. With this technology, gallstones can be removed under endoscopic guidance. Generally, these procedures are performed in the gastroenterology department. Thus, for acute cholecystitis with choledocholithiasis and concurrent biliary pancreatitis, it may be treated with endoscopic techniques under gastroenterology, avoiding the need for traditional or minimally invasive surgery. Therefore, patients with cholecystitis may visit either the hepatobiliary surgery or gastroenterology departments.