Can acute cholecystitis recur?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on October 21, 2024
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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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Written by Zhang Tao
Hepatobiliary Surgery
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Can you drink alcohol with acute cholecystitis?

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 Zhao Xin Lan
Endocrinology
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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 Huang Gang
Gastroenterology
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How to treat gallbladder inflammation pain in women?

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 Zhao Xin Lan
Endocrinology
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How to diagnose cholecystitis?

Firstly, we can use physical examination to check. Acute cholecystitis will show tenderness in the upper right abdomen. If pressing below the right ribs causes significant pain, it is likely to be acute cholecystitis. Secondly, instrument examination can be utilized, with the most common and cost-effective being an ultrasound examination. When examining cholecystitis, fasting is required; no food should be consumed for at least eight hours. Additionally, modern CT scans or MRI can be used to help determine whether there is inflammation in the gallbladder. Blood tests can also be conducted; an increase in white blood cells in a routine blood test can indicate the presence of inflammation.

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Written by Zhang Tao
Hepatobiliary Surgery
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What to do if you have cholecystitis?

Cholecystitis usually occurs in people with gallstones or gallbladder polyps. Patients with cholecystitis generally experience discomfort and bloating pain in the upper right abdomen. Cholecystitis is an inflammation of the inner wall of the gallbladder, which can cause abdominal pain in mild cases and lead to bile stasis and suppurative cholecystitis in severe cases. The first step in treating cholecystitis is to actively use antibiotics. Those with cholecystitis should actively use antimicrobial and anti-inflammatory drugs. It is also important to maintain a light diet and avoid consuming too many greasy foods. To prevent recurrence, it is generally recommended that patients take oral anti-inflammatory and bile-promoting tablets after cholecystitis symptoms are controlled. These medications can play a preventive role in patients with acute and chronic cholecystitis.