Acute cholecystitis is an inflammation of the gallbladder, which is located next to the liver and takes an important part in the digestive process. The disease occurs mainly when there are problems with the release of bile into the duodenum. As a result, the person feels a strong pain in the right hypochondrium.
Causes of an attack
The attack of cholecystitis develops for many reasons. Here are the most common:
- infection in the bile ducts,
- diseases of the stomach, leading to disruption of the movement of bile,
- bile stagnation
- vascular occlusion of the biliary tract as a result of atherosclerosis.
The disease most often occurs in women. The reasons for such sexual predisposition to cholecystitis are as follows:
- squeezing the gallbladder during pregnancy,
- peculiarities of the hormonal balance of women: progesterone negatively affects the state of the gallbladder,
- due to frequent diets, violations of the contractile function of the gallbladder are observed in women.
Medical statistics claims that in the vast majority of cases, cholecystitis is caused by a complication of cholelithiasis. The attack arises from the fact that the bile calculi violate the contractile function of the bladder and destroy its mucosa.
In almost all patients, the starting factor for the development of an attack is unhealthy diet. Intensive bile formation causes fatty and spicy foods. It leads to an increase in pressure of the ductal system of the gallbladder and spasm of the sphincter of the bladder.
Patients with hypoacid gastritis need to know that the constantly reduced acidity of gastric juice leads to activation of the pathogenic microflora of the stomach and its penetration into the gallbladder.
Clinical symptoms of an acute cholecystitis attack
At the beginning of the attack, patients feel a sharp pain in the right hypochondrium. Pain always arises unexpectedly, against the background of well-being. It can go by itself, but more often it can be reassured by taking a strong pain medication. However, the pain soon becomes worse. The pain may develop as a biliary colic.
Symptoms of biliary colic are:
- pain in the right hypochondrium. It can be the sharpest, the same as during an attack of acute pancreatitis, or stupid,
- during an attack of severe pain, patients rush about, do not find a place for themselves,
- progressive weakness develops
- blood pressure falls,
- abdominal distension and sharp tension.
In addition, other characteristic symptoms develop, leading to a rapid deterioration of the patient’s condition:
- fever of the patient,
- vomiting and nausea
- the occurrence of skin jaundice and sclera. It develops from the fact that the physiological flow of bile into the intestine stops,
- increased heart rate. If its frequency exceeds 120 beats per minute, this indicates a serious change in the body,
- when pressing in the right hypochondrium, severe pain occurs.
Complications of peritonitis
Progression of cholecystitis leads to peritonitis (inflammation of the peritoneum). There is an increase in pain throughout the abdomen. When pressing neither the stomach and the subsequent sharp abduction of the finger, the pain increases. Vomiting appears, initially with admixture of food residues, and then with greenish contents.
With peritonitis, the general condition is also complicated:
- the skin turns pale, the tongue turns white,
- heartbeat appears,
- body temperature rises
- belly increases.
In addition, the development of destructive and perforated cholecystitis is possible. In the case of destructive cholecystitis in patients, there is pain of a constant nature, complicated by vomiting, high fever. The patient's condition rapidly deteriorates, which is why emergency surgical care becomes necessary.
In perforated cholecystitis, pain is first noted in the right hypochondrium, and then spreads through the abdomen. The patient quickly develops symptoms of peritonitis. The running form of cholecystitis causes necrosis of the gallbladder, gall fistula, sepsis.
A number of reasons can provoke the development of seizures, including:
- the course of infectious processes in the bile ducts,
- intestinal infections and pathologies of the stomach, causing failure in the promotion of bile secretion,
- the accumulation of cholesterol deposits in the vessels of the biliary tract on the background of atherosclerosis,
- congestion in the gallbladder.
According to medical statistics, the main cause of cholecystitis is cholelithiasis or cholelithiasis. In patients with cholelithiasis, the formed calculi irritate the mucous layer and the cavity of the gallbladder, disrupting its contractile abilities. As a result, an acute painful condition develops.
Acute inflammation of the gallbladder often develops in women. This is due to the presence in the female body of a special hormone - progesterone, which can adversely affect the functionality of the gallbladder. Quite often attacks torment pregnant women. A sudden exacerbation of pathology in this case occurs due to compression of the gallbladder by the growing uterus.
The starting point for the development and serves the wrong eating behavior. The use of large amounts of fatty, spicy, fried foods provokes an excessive formation of bile secretion. As a result, the pressure in the ducts of the bladder rises sharply and a spasm of its sphincters develops.
The clinical picture in patients with an attack is bright. The main manifestation is pain, which appears unexpectedly. Taking painkillers can relieve pain, but soon it comes back. Pain syndrome has its own characteristics:
- the pain is severe and sharp, long-lasting, localized in the right side or is diffuse,
- the stomach becomes swollen, tight and hard
- the general condition of the patient is alarming, the person is torn, cannot find a place for himself, at the same time a strong weakness develops,
- blood pressure drops to low.
Other symptoms that occur during the course of the disease:
- fever as a sign of acute inflammation,
- episodes of nausea, ending in vomiting with an admixture of bile,
- feeling a bitter metallic taste in your mouth
- dry mucous membranes in the mouth and a thick white coating on the tongue,
- upset stool (constipation, diarrhea),
- obstructive jaundice with yellowing of the eyes and skin,
- lightening feces.
In patients with an attack, the pulse almost always increases. If in a healthy person the pulse does not exceed 80 beats / min, in patients with exacerbation of cholecystitis, this figure reaches 120 beats / min, which indicates serious dysfunction in the body.
To confirm the diagnosis, it is important to take into account existing and previously transferred pathologies of the digestive system. Painful sensations during the abdominal finger examination indirectly indicate the course of cholecystitis. From instrumental methods, ultrasound and duodenal sounding are used. With their help, assess the state of the smooth muscles of the gallbladder, the condition of the lumen of the bile ducts.
An attack of cholecystitis can be confirmed by positive results from the application of methods of artificial provocation of pain:
- Shchetkin-Mussy's symptom - the appearance of pain when putting pressure on the region of the right hypochondrium with subsequent weakening,
- Ortner's symptom - soreness from light tapping with the tips of the fingers along the extreme edge to the right,
- Myussi-Georgievsky’s symptom is pain and discomfort when exerting weak pressure on the sternocleidomastoid muscles.
Symptoms of an attack
Causes of obstruction of the gallbladder can be stones, intestinal flora infection of congestive bile, deformation of the gallbladder walls, impaired blood supply and various mechanical effects. In order to timely determine the attack of acute cholecystitis, it is important to know the prerequisites that can provoke it. They may be the following factors:
- junk food abuse (sweets, smoked foods, fatty foods),
- alcohol dependence and alcohol abuse,
- fasting or, on the contrary, excessive eating, abrupt change in eating habits,
- frequent use of carbonated drinks,
- eating spicy food on an empty stomach,
- treatment with hormonal drugs.
In addition, an attack of such a disease can be identified by manifesting symptoms. The clinical picture of an attack of cholecystitis can help determine the type of disease:
- Catarral form. With such a mild form, a slight increase in the size of the bladder is noted, as the thickness of its walls increases due to inflammation of the mucous membrane of the organ. Pain will be felt in the right hypochondrium, which also affects the anterior cavity of the peritoneum. In addition, pain may affect the area of the scapula, neck, lower back on the right side of the back.
- Phlegm form. When you take a deep breath, the pain syndrome becomes pronounced, the pain also becomes intense when you change your posture from vertical to horizontal, the body temperature rises to 38-39 degrees, vomiting may occur periodically. In addition to bloating, an increase in the speed of the heart rate to 120 beats per minute is observed.
- Gangrenous form. In this case, experts note the logical continuation of the phlegmy form. The symptoms are the same, but I have a rapid onset of severe signs of intoxication, as infection with toxic microbial flora occurs.
Attacks of cholecystitis can develop in the case of chronic disease. The reasons for this can serve as liver colic, when the stones move along the bile ducts. In addition, the pain syndrome can be triggered by high pressure in the gallbladder or its ducts.
What to do in identifying the acute symptoms of cholecystitis, can consult only a medical specialist. It is important to consult a doctor promptly. If this is not possible, you can simply call an ambulance at. It should be understood that during the inflammatory process there is a massive reproduction of microbes that injure the walls of the gallbladder and ducts.
First aid for a seizure is as follows:
- providing the patient with bed rest and complete rest,
- a cold compress should be put on the gallbladder area,
- then take No-shpu to relieve spasm and pain,
- in case of gagging, it is necessary to take medicinal mineral water without gas, preferably on a hydrocarbonate or sodium chloride basis,
- call emergency medical care at home.
Special preparation based on natural substances.
Price of the drug
The first results are felt after a week of administration.
Read more about the drug
Only 1 time per day, 3 drops
Instructions for use
As a rule, pain in acute cholecystitis is equally acute, in case of chronic illness, the pain will be dull and arching. In this case, the pain will occur after eating food. Chronic cholecystitis is manifested by painful seizures within an hour, acute cholecystitis with a stoneless form - no longer than 3 hours, stone form of cholecystitis - up to 6 hours in a row. More information about first aid can be found in this article.
Before you start treating an attack of cholecystitis, you need to remember that in the event of an attack it is forbidden to heat the affected organ. Enemas are also prohibited, as this increases the internal pressure of the digestive organs and causes even more pain. Before the arrival of the doctor, it is better not to take painkillers to allow the specialist to determine the disease and its form by the symptoms.
Acceptable drugs to relieve an attack are Papaverin, No-spa, Drotaverin. Next, the specialist prescribes a complex of drugs for the treatment of cholecystitis. The main treatment is to take antibiotics, to thereby eliminate the pathogenic flora in the affected organ and prevent infection.
In addition, anti-inflammatory drugs and analgesics will be prescribed, as well as enzymes to aid the functioning of the gallbladder. In addition, a specialist may prescribe a course of drugs to liquefy bile and stimulate the gallbladder to develop it. The final stage of treatment will be taking vitamins and minerals.
The basis of the treatment of cholecystitis is a strict diet., because harmful eating habits and fatty foods most often disrupt the gallbladder, liver and other organs of the gastrointestinal tract. During an attack and the manifestation of its symptoms, it is forbidden to use any kind of food at all. Acceptable is green tea and mineral water without gas, which helps to cope with nausea.
Within 2-3 days after the attack, you need to maximize unload your diet, eating only food of plant origin and in small quantities.. Liquid porridges, and also low-fat chicken broth are allowed. You need to eat with minimum doses of a few sips every 2 hours. Products that increase flatulence remain banned - baking, fresh fruits and vegetables.
Over time, it will be possible to include in the diet food, steamed, soups consistency mashed potatoes, as well as crackers from white bread. Diet contributes to the withdrawal of bile, the restoration of the liver, as well as improving the functions of the entire gastrointestinal tract. Spicy foods, pickles and marinades, pastries, spices, sodas and sauces are banned. Learn more about cholecystitis diet.
Of the useful products are all low-fat dairy products, natural yogurt, sourdough. Also baked apples and pears, as well as fresh carrots or in baked goods, can help the digestive system and gall bladder. It is very important to drink from 2 to 3 liters of pure water during the day.
Causes and symptoms
Quite often, inflammation of the gallbladder is observed after the holidays, since the most common causes of an attack of cholecystitis are:
- heavy alcoholic drinks,
- eating large amounts of fatty foods
- dry food,
- drinking carbonated drinks.
Important: overweight is a significant prerequisite for the development of an attack of cholecystitis.
As a result of the impact of these factors in the body, the metabolism slows down, bile thickens and provokes the onset of inflammatory processes and the formation of stones in the gallbladder, and also contributes to a change in the structure of its walls. Thus, there is an attack of acute cholecystitis.
As a rule, his symptoms do not keep themselves waiting and develop already several hours after the feast. Patients suddenly begin to complain about:
- sharp, long pains in the right side, which can be given to the shoulder or under the scapula, as well as shingles,
- bitter taste
- vomiting, which may contain impurities of bile,
- dry mouth
- temperature rise,
- the appearance of incomprehensible plaque in the language.
Attention! An important diagnostic sign is the appearance of sharp pains in the right hypochondrium when pressed.
In some cases, patients observed staining of the proteins of the eyes and skin in yellow, as well as darkening of the urine. In the future, feces acquire light shades, because due to the lack of bile, the food is not digested to the end.
The first thing to do in a fit of cholecystitis is to call an ambulance. Giving the patient any painkillers or applying a heating pad to the right side is strictly prohibited, as this may temporarily eliminate the symptoms of gallbladder damage and lubricate the clinical picture of the disease. As a result, precious time may be missed, the degree of dystrophic phenomena will increase and there will be an urgent need to remove the gallbladder with stones.
Attention! If you seek medical help immediately after the development of an attack of cholecystitis, you can cope with an acute inflammatory process in 2-3 days, and eliminate all symptoms of the disease within a week.
How to deal with an attack of chronic cholecystitis
In cases where a person has long been diagnosed with celiac-free cholecystitis, he can be given an intramuscular injection of an antispasmodic, put to bed and wait for the pain to subside. As soon as this happens, the patient should immediately go to a gastroenterologist and get recommendations for further treatment, and if the causes of the attack of cholecystitis remain unknown, then try to find them together with the doctor. In the first days after the attack, it is better to refuse food, and then strictly follow a diet, avoid stress and overwork.
Attention! Independently try to stop an attack of cholecystitis is possible only if it is known for certain that there are no stones in the gallbladder, and the attending physician has allowed such amateur activities.
There are also methods of traditional medicine that help in how to relieve pain in cholecystitis, but they can also be used only with full confidence in the absence of gallstones. So, contribute to improving the flow of bile:
- corn silk,
Mono-component infusions are prepared from these medicinal herbs or combined into charges. But still, before you start to engage in herbal medicine, you should consult a doctor and with him to choose the ideal option for such treatment, since in some cases choleretic action may be desirable, while in others it is absolutely contraindicated.
Signs and symptoms
Usually the disease begins to manifest itself within a few hours after the feast. The first characteristic symptom is a sharp pain in the right side, extending under the scapula or shoulder, pain can also be shingles.
Further, the symptoms of the disease are increasing and can be expressed by such phenomena:
- Nausea, vomiting mixed with bile,
- Chills and fever,
- Bitterness and dry mouth,
- The appearance of belching and white bloom on the tongue,
On palpation of the abdomen, pain in the right hypochondrium appears - this is a particularly important diagnostic sign of cholecystitis. For this symptom, inflammation of the gallbladder is often confused with acute appendicitis, so you should not neglect hospitalization.
Sometimes the patient may experience staining of the proteins of the eyeballs and skin in a yellow tinge, darkening of the urine. Due to the fact that the food is not digested to the end due to lack of bile, there is a clarification of feces.
If cholecystitis has a stoneless form, it is characterized by another, more blurred, symptoms that occur for a long time. The pains are aching in nature, aggravated after a meal, frequent belching and a constant bitter taste in the mouth appear, temperature and febrile syndrome are often absent.
What should be done in a fit of cholecystitis?
The most important thing is to call an ambulance as soon as possible. It is forbidden to give painkillers to the patient on their own, as well as to apply the heating pad to the right side, as these measures, of course, will lead to short-term improvement of the condition, but can significantly complicate the subsequent diagnosis and distort the clinical picture of the disease, which later may lead to need to remove the gallbladder.
In general, to prevent the phenomenon of cholecystitis, and to avoid medical treatment and surgical removal of the gallbladder, it is enough to adhere to proper nutrition, follow a diet and lead a healthy lifestyle.
What to do when cholecystitis
An attack of cholecystitis requires emergency care. At home, first aid to the patient should be as follows.
- First of all, an ambulance must be called.
- The patient must be in a horizontal position.
- Put cold on your stomach.
- To relieve pain, it is necessary to give a spasmolytic. Most often it is No-shpa, Papaverin, Baralgin.
- Mint tea, as well as mineral water without gas, is needed to relieve nausea.
- When vomiting is necessary to prevent the language from falling. After vomiting, give mineral water. It should be drunk in small sips.
What is forbidden to do in a fit of cholecystitis
First of all, analgesics and narcotic painkillers are prohibited. Such help lubricates the symptoms of acute cholecystitis, and the doctor may prescribe the wrong treatment. In addition, when an attack of cholecystitis is strictly prohibited:
- drink alcohol,
- take any other medicines not prescribed by the doctor,
- do enemas
- put a heating pad on the abdomen.
Treatment of an attack
In most cases, the treatment of an attack of acute cholecystitis cannot occur at home, so patients require hospitalization in the surgical department of the hospital. Conservative treatment of cholecystitis is the appointment of antispasmodics, antibiotics, and detoxification drugs.
After the acute symptoms subside, the patient is prepared for the planned removal of the gallbladder.
When peritonitis requires emergency surgical treatment. If the disease is neglected, repeated ablutions of the abdominal cavity are performed. Urgent surgery is carried out and when the attack of cholecystitis does not pass.
Preventing an attack of acute cholecystitis is a diet with restriction of spicy, smoked and fatty, alcoholic beverages. An active lifestyle, timely treatment of diseases of the liver and stomach are necessary. In the event of diseases of the digestive system, you should immediately consult a doctor.
Description of the disease
Cholecystitis is an inflammatory process in the gallbladder, most often triggered by the infection of an organ with intestinal microflora against the background of a disturbance in the flow of bile through a blocked cystic duct. Usually, cholecystitis is a complication of cholelithiasis. The gallbladder is located next to the liver and is actively involved in the process of digestion. Bile escapes through the small intestine, but sometimes evacuation causes problems and bile builds up in the gallbladder, resulting in severe pain and an increased risk of developing an infection.
As a rule, the disease occurs in combination with cholangitis - inflammation of the bile ducts. Cholecystitis is a common surgical pathology, especially among middle-aged and older women - they are sick three to eight times more often than male peers.
The main causes of gender predisposition to cholecytes:
Chronic squeezing of the gallbladder during pregnancy provokes long-term effects - an imbalance of cholesterol and bile acids, and, as a result, the stagnation of bile,
Features of hormonal metabolism of women - it is proved that progesterone, produced in large quantities during pregnancy and menopause, and other female sex hormones negatively affect the gallbladder,
Women tend to be fond of diets, and severe restrictions in food violate the motility (contractility) of the gallbladder.
The risk group, regardless of gender and age, includes people who have previously experienced:
Intestinal and / or hepatic infections,
Parasitic diseases (helminthic and protozoal invasions localized permanently or at one of the stages of development in the intestine and / or liver),
Gallstone disease (ICD) with obstruction (blockage) of the neck and / or damage to the mucous membranes of the gallbladder,
Diseases that disrupt the blood supply to the gallbladder walls.
The reflex connection of pathologies of the gallbladder and anatomically unrelated abdominal organs is proved - these are the so-called viscero-visceral reflexes. All the above-mentioned causes of cholecystitis are caused by either a violation of the patency (obstruction) of the gallbladder, or a violation of its motility (dyskinesia).
According to the etiological basis, there are two large nosological groups of cholecystitis:
Calculus (lat. Calculus - stone)
Downstream cholecystitis is divided into:
By the nature of inflammation, they are:
Gangrenous and phlegmonous forms of the disease belong to the group of destructive cholecystitis.
The gallbladder is anatomically and physiologically close to the liver. The functions of the liver are diverse, one of them is the continuous production of bile and its release into the duodenum. Excess bile accumulates in the gallbladder and consumed portions.
The role of bile in the physiology of digestion:
Dilutes food processed by gastric juice, changes gastric digestion for intestinal,
Stimulates peristalsis of the small intestine,
It activates the production of physiological mucus, performing a protective function in the intestine,
Neutralizes bilirubin, cholesterol and a number of other substances
Launches digestive enzymes.
Symptoms of cholecystitis
The initial symptoms of cholecystitis, as a rule, are sharp pains in the right side below the ribs, appearing unexpectedly. The reason for this is the stone that blocks the cystic duct. As a result, irritation and inflammation of the gallbladder develops.
The pain passes after some time on its own or after taking the painkiller, but later it is gradually increasing, and then it becomes regular. There is a development of the disease, which is accompanied by high fever, vomiting and nausea. The condition of the patient continues to deteriorate.
Stops the normal flow of bile into the intestine, a sign of which is the icteric staining of the skin and eye sclera. Prerequisites for jaundice is precisely the presence of stones that block the bile ducts. The severity of the pathogenesis is characterized by the patient's pulse: usually the heart rate is between eighty and one hundred and twenty - one hundred and thirty beats per minute (or even higher), which is a serious sign indicating that there have been dangerous changes in the body.
With regard to the chronic form of cholecystitis, the symptoms may not be particularly manifest, in the future, the disease may make itself known in a more advanced form or take an acute form. In this case, only treatment in a special medical facility will avoid deterioration.
Symptoms of cholecystitis are detected during the history taking, physical examinations (examination and palpation), laboratory and instrumental examinations:
Symptoms detected during the history taking. On the basis of complaints of the patient, previously transferred diseases of the gastrointestinal tract, liver and other organs, the nature of pain in the abdomen and digestive disorders (nausea and vomiting, diarrhea, constipation, bloating) are established,
Symptoms determined by physical methods. Lined tongue - a sign of stagnation in the gallbladder. The leading symptom of cholecystitis is pain, defined by palpation, manifested in different projections of the body,
Differential diagnostics based on laboratory and instrumental methods of research. The basis of the instrumental diagnosis of cholecystitis is sensing of the duodenum and various modifications of x-ray and ultrasound studies. With their help, determine the peristalsis of the bladder, the permeability of bile into the lumen of the duodenum and other important functional and morphological indicators.
Nausea with cholecystitis is a common symptom. Nausea is a condition usually preceding the gag reflex. In some cases, nausea and vomiting is the body's defensive reaction to intoxication. When cholecystitis nausea and vomiting is always part of the pathogenesis of the disease.
Nausea in cholecystitis should be differentiated from similar symptoms in other diseases and pathologies:
Symptoms of the disease
Basically, exacerbations can occur at the time of breakdown in the diet. Often the attack occurs during the use of alcohol, fatty foods. Having consumed one portion of contraindicated products, the patient feels the pain of a whining character in his right side, under the rib, heaviness, vomiting, loss of appetite. Sometimes the temperature rises. Only at the initial stage of the disease manifests itself without pain.
Symptoms of pain are much more serious:
- In an acute attack, pains in the right side, extending into the collarbone, shoulder blade, back.
- Nausea, debilitating vomiting with bile lasts a long time.
- Increase in temperature, fever.
- Upset stool, belching, flatulence.
- The skin is yellow, and the color of feces and urine may change.
The pain increases with palpation in the stomach or right side. Pulse becomes frequent. The more serious the patient's condition, the more often the pulsation.
The most serious is an attack of stones coming out of a bubble. The ducts begin to overlap, the bile has nowhere to enter. Become very frequent pain. Terrible symptoms can be dangerous to humans.
Stones can injure the walls of the bladder, causing foci of inflammation. As a result, infected formations can get into the abdominal cavity and cause peritonitis. It is very unpleasant to look at the patient suffering. His blood pressure drops sharply, his skin turns pale, the pain does not subside for a long time. Urgently need the help of physicians and inpatient monitoring, urgent treatment.
The disease is manifested by a protective reaction to intoxication, poisoning. Occurs due to biliary stagnation. Symptoms of cholecystitis can talk about other diseases: ulcer, appendicitis, pancreatitis, poisoning. If blood clots occur during vomiting, then some other disease has occurred. A secondary sign is considered a change in the chair. These problems may suggest the presence of gastrointestinal pathologies.
Calculous Cholecystitis Forms
The following forms are distinguished:
- Catarral simple form, with a positive outcome. The bubble increases in volumes and its wall thickens with inflammation. Characterized by pain in the right side, and sometimes vomiting. With quick and prompt help, you can help the patient.
- Phlegmonous - purulent discharge is formed, pain is constantly increasing, especially when moving, sneezing, the slightest turns and gives to the shoulder. There is vomiting with bile, the temperature rises, the patient is in a fever.
- Gangrenous - the most life-threatening when peritonitis occurs
An acute attack of calculous cholecystitis is characterized by a sharp appearance of bright symptoms.
Help to the patient at home
With the diagnosis of chronic cholecystitis pain, colic occurs periodically due to a change of diet, namely the inclusion in the diet of harmful and prohibited foods. The pain of dull character lasts one hour. You can numb with antispasmodics.
Treatment of the chronic stage of the disease occurs with the help of drugs. Antibacterial preparations, antispasmodics, and anesthetics are selected to help release bile to relieve inflammation. The patient is prescribed a strict diet to prevent colic. The doctor prescribes medications, prescribes to do certain procedures, dissolving stones.
There are situations when the disease has taken by surprise at home, in the workplace and first aid is needed. The patient must be laid down, ensure calm and put a cold on his right side. To do this, take a hot water bottle with cold water or a cold product, wrap a towel.
If nausea occurs, suggest water or tea to the patient. To relieve pain at home, effective drugs Drotaverine, No-spa or Papaverine. It is forbidden to use analgesics, hot heat, means that remove bile without medical indications, and put an enema. Within the walls of the hospital, a person will undergo ultrasound of the gall for the presence of stones. If there are none, the patient will be allowed to go home with the prescribed recommendations and treatment. Sometimes surgical assistance is required - an extreme step.
At the hospital, an attack of the disease can be removed quickly, and it will take 10 days to relieve inflammation. With outflow of stones, surgery is necessary. There is a problem when the gallbladder is closed and the ducts are blocked. The only way out is to remove the diseased organ. The extreme method helps to save the life of the patient, because experts in any way try to determine the preservation of organ function, even resorting to endoscopic techniques.
A puncture is made in the abdominal area, experienced surgeons introduce an endoscope, the process of removing stones from the ducts is fully visible with the help of ultrasound. Manages to save the body.
During relapse, fasting for a couple of days is required to make life easier for the patient. You can drink mineral water and green tea meringue sugar. As the general well-being improves, lean broths and viscous porridges can be offered to the patient. Should eat often in small portions. Banned coarse fiber contained in raw vegetables.
Food only steamed, boiled. For the future, shows a strict diet, excluding junk food. It is based on dietary types of meat in the pair and mashed in a puree form, low-fat varieties of fish, dairy products, sweet fruits. Recommended non-acidic juices, you can drink mineral non-carbonated water, berry fruit drinks, mint and green tea.
Traditional medicine to help with cholecystitis
Many herbs can reduce pain: choleretic decoctions and infusions. These properties include: yarrow, chamomile, immortelle, birch leaves and buds. Use herbs only after consulting a doctor. Some herbs liquefy bile, while others stimulate its formation and expel.
There are ways to use one spoonful of fasting vegetable oil.
Useful rowan juice. It is necessary to drink 100 g three times during the day.
Grate the horseradish root 200 mg. Pour four glasses of hot water. Put in the fridge for a day. Before use, it is desirable to strain and heat. Drink 50g before meals three times a day.
Plantain decoction: you need one tablespoon of seeds or leaves, poured boiling water. Insist 15 minutes, take for an hour in small sips. Proved the benefits of beets in the fight against the disease. Cook the vegetable without the rind so that the broth consistency resembles syrup. Broth drinking 1⁄4 cup before meals.
Oatmeal jelly good results. A pound of oat grains pour boiling water, insist half an hour. Strain and consume 0.5 cups three times a day. Another way is to cook oatmeal kissel, add milk, bring to a boil. Add honey Drink during the day three times in a warm form in a glass.
When the first symptoms appear, it is advisable to seek professional help in order to prevent complications of a different nature. It is also important to follow a strict diet. Although this requirement, the patient will not neglect. The attacks are so strong that the person does not find a place for himself.
The appearance of the first signs of an attack is a pretext for an immediate appeal for medical help. First aid to the patient before the arrival of the doctor includes a number of activities:
- a person needs to lie down,
- on the abdomen attach ice, wrapped with a towel,
- for relief of acute pain, antispasmodics can be given (Nosh-poo, Drotaverin),
- to suppress the urge to nausea is allowed to drink a glass of mineral water without gas or infusion of mint.
When assisting a patient with cholecystitis at home, it is strictly forbidden to do cleansing enemas, put a heating pad on the stomach, give strong analgesics. Such actions can aggravate the condition and lead to peritonitis.
In the hospital, the patient is prescribed a comprehensive treatment, including:
- antibiotics (Levomitsetin, Erythromycin) - to suppress the bacterial flora, if cholecystitis has worsened against the background of infection of the gallbladder,
- hepatoprotectors (Hofitol, Phosphogliv) - to improve the functioning of the organs of the biliary tract,
- antispasmodics (Baralgin, Spazmolgon) - to relax the smooth muscles of the gallbladder,
- cholagogue (Allahol, Kholagol) - to stabilize gallbladder functionality and improve bile evacuation to the initial part of the jejunum.
Surgical intervention according to the type of cholecystectomy is performed, if it is not possible to remove the attack with medication, or the patient has developed acute peritonitis. Another indication for the removal of the gallbladder is the blockage of the biliary tract calculus.
Nutrition Features and Recommendations
Patients with cholecystitis to prevent the development of seizures and recurrence of the disease should follow a diet. Meals, especially in the period of exacerbation, only gentle - you can eat ground soups on vegetable broth, mucous broths from cereals. It is important to observe the optimal drinking regime and drink more than 1.5 liters of fluid per day.
After removing the exacerbation of the diet expands. The diet includes vegetable puree, steam meat dishes, boiled fish. Food before use is ground into small pieces. Among the products that are banned are raw vegetables and fruits with coarse fiber (cabbage, citrus, legumes), fatty semi-finished meat products, any fried and spicy dishes.
To maintain proper gallbladder function, patients undergoing exacerbation of cholecystitis should follow simple recommendations:
- completely eliminate spirits,
- observe diet, avoid overeating,
- lead a moving life
- modern to treat diseases of the digestive system.