How to treat gallbladder inflammation pain in women?

Written by Huang Gang
Gastroenterology
Updated on December 10, 2024
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Women with cholecystitis causing pain, when the condition is more severe, can appropriately consume some antispasmodic and analgesic medications, and simultaneously use antibiotics for treatment, to alleviate these symptoms of pain. Normally, a light diet should be maintained, avoiding overly greasy foods. Smoking and alcohol should be quit, spicy peppers should not be consumed, and it is best to avoid fried foods or barbecued items. Regular attention to developing good dietary and lifestyle habits is necessary to manage the condition and reduce the likelihood of recurrent cholecystitis.

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Written by Zhang Tao
Hepatobiliary Surgery
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Does acute cholecystitis require hospitalization?

Patients with acute cholecystitis often have a history of gallstones or gallbladder polyps. An acute attack of cholecystitis can be triggered by inattention to diet or other reasons, such as unclean food. If the patient's abdominal pain is not severe, they can be advised to rest in bed and take oral anti-inflammatory and bile-promoting medications. If the patient experiences significant upper abdominal pain, accompanied by fever and other discomforts, and the abdominal pain persists and radiates to the back, it is recommended that the patient be hospitalized. During the hospital stay, it is essential to ensure the patient eats and receives clinical infusions, as well as complete relevant examinations.

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Written by Zhang Jun Jun
Endocrinology
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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.

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Written by Wu Hai Wu
Gastroenterology
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Where to massage for symptoms of gallblitis pain?

Gallbladder inflammation pain requires massaging the upper right abdomen, also known as the Murphy's point. The symptoms of gallbladder inflammation primarily include chills, fever, jaundice, pain, etc. Once a gallbladder inflammation attack occurs, it is necessary to promptly complete the relevant auxiliary examinations to determine the cause of the disease. Treatment should be based on the cause, and surgical treatment may be necessary when needed. The main causes of gallbladder inflammation include biliary infection, bile stasis, and biliary stones, etc. Patients with gallbladder inflammation should have a light diet and avoid greasy food.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Can acute cholecystitis recur?

Acute cholecystitis can recur. This condition often results from a bacterial infection leading to an inflammatory response. At this stage, it can be treated with antibiotics to control the inflammation and alleviate the condition. However, if the gallbladder is not surgically removed, the inflammation can repeatedly flare up, potentially leading to chronic cholecystitis. This results in recurrent discomfort and pain in the upper right abdomen, affecting the quality of life. Therefore, for patients with acute cholecystitis, especially those caused by gallstones, it is advisable to undergo surgery as soon as possible. Only through surgical removal of the gallbladder can a complete cure be achieved, preventing recurrence.

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Hepatobiliary Surgery
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The difference between acute cholecystitis and chronic cholecystitis

Chronic cholecystitis clinically manifests as recurrent dull pain in the upper abdomen and biliary colic, which the patient can quickly relieve on their own; acute cholecystitis involves more severe pain that cannot be relieved without intervention, and is usually accompanied by fever, nausea, and vomiting. In chronic cholecystitis, pressing on the right upper abdomen elicits no special reaction; in acute cholecystitis, pressing on the right upper abdomen causes obvious pain, known as a positive Murphy's sign. Acute cholecystitis is accompanied by a significant increase in white blood cells, and an ultrasound can reveal a marked enlargement and thickening of the gallbladder wall; chronic cholecystitis does not show these specific characteristics.