What are the symptoms when there are problems with the gallbladder?

Written by Wu Hai Wu
Gastroenterology
Updated on September 17, 2024
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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
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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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Gallblitis Symptoms

The symptoms of cholecystitis are divided into chronic cholecystitis and acute cholecystitis, and they present differently clinically. During acute cholecystitis, there is pain in the right upper abdomen in the gallbladder area, accompanied by fever, fatigue, decreased appetite, and even jaundice. Physical examination can reveal obvious tenderness and rebound pain in the right upper abdomen at the gallbladder. In contrast, chronic cholecystitis may not have obvious symptoms. Occasional pain may occur in the gallbladder area, but it is bearable. Typically, there is no obvious tenderness in the area, and the condition usually requires diagnosis through examinations such as an ultrasound.

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Written by Zhang Jun Jun
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How to Diagnose Cholecystitis

The definitive diagnosis of cholecystitis mainly involves the following aspects: First, clinical manifestations are crucial. The most common symptoms include nausea, vomiting, abdominal distension, and loss of appetite. Regarding physical examination, there is typically pain in the lower right abdomen and mid-lower right abdomen, with tenderness upon palpation. Furthermore, the onset of cholecystitis is characterized by postprandial pain, particularly after consuming fatty foods or feeling overly full. If these symptoms are present, further examination such as gallbladder ultrasound can be conducted to check for thickening of the gallbladder wall. Additionally, blood tests for inflammatory markers like complete blood count and CRP (C-reactive protein) can be performed. The diagnosis of cholecystitis can be confirmed by combining these symptoms and test results.

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Written by Wu Hai Wu
Gastroenterology
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Do you need to fast and hold your urine for a gallbladder inflammation B-ultrasound?

When undergoing an ultrasound for cholecystitis, fasting is required, but there is no need to hold urine. However, if the examination involves the adnexa of the uterus, bladder, prostate, and other areas, it requires holding urine to perform the test, allowing the prostate, adnexa, etc., to sufficiently distend. This helps in more clearly observing pathological changes. Patients with cholecystitis need to fast before an ultrasound. If food is consumed before the scan, the gallbladder contracts more quickly, making it difficult to accurately identify lesions. Patients with cholecystitis may experience chills, fever, right upper abdominal pain, jaundice, yellowing skin, dark urine, etc. In severe cases, patients may develop septic shock and require active treatment measures.

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Does acute cholecystitis fear cold?

Patients with acute cholecystitis may exhibit chills. Due to the acute inflammation of the gallbladder in patients with acute cholecystitis, symptoms such as chills, high fever, fatigue, and loss of appetite which are characteristic of systemic infections may occur. Additionally, patients may experience significant pain in the upper right abdomen, which tends to worsen after eating. In cases of acute cholecystitis, it is crucial to use antibiotics for anti-infection treatment as soon as possible. Only when the inflammation is controlled can the condition be alleviated. In cases where gallstones cause cholecystitis, surgical treatment should be employed promptly. A complete cure can only be achieved by surgically removing the gallbladder. Therefore, it is essential to take acute cholecystitis seriously and seek medical attention promptly to actively manage the condition and significantly improve the patient's prognosis.