Cholecystitis ( gallbladder inflammation ) symptoms
Cholecystitis is the inflammation of the gallbladder.Like most inflammatory diseases can be acute or chronic.
also classified into beskalkulezny and calculous (that is accompanied by the formation of stones).
term «cholecystitis» in Greek means inflammation of the gallbladder.
The main purpose of the gallbladder - a deposit (depot - storage drive) bile.The gall bladder is often pear-shaped, located on the lower surface of the right lobe of the liver, is projected onto the anterior abdominal wall at the right upper quadrant.How to cure this disease folk remedies, see here.
inflammation of the gall bladder develops due to getting infections from the intestine, the transfer of its blood and bile stasis in the bladder.In this disease, bile less released in the intestine than in a healthy person, which impedes the absorption and digestion of fats.
• Parasitic infections such as giardiasis.
• Stagnation of bile due to gallstones or bile duct bends.
• Bacterial infection.
• Physical inactivity, that is a sedentary lifestyle.
• Overeating, especially the abuse of fatty, spicy and fried food.
• Excessive consumption of alcoholic beverages.
most common cause of cholecystitis is the presence of gallstones, which block the flow of bile from the gallbladder.This leads to acute cholecystitis, resulting in irritated and inflamed gall bladder.Other causes of cholecystitis are transferred infection, trauma, for example, after a car accident.Also, acute cholecystitis occurs in people who have severe disease, such as diabetes.In this case, the stones are not the cause of cholecystitis, but rather a complication of other diseases.Inflammation of the gallbladder is largely dependent on food from lack of food diet containing vegetable fiber - fruits, vegetables, bread from wheat flour, when the diet excess animal fats, various sweets, sedentary (sedentary) lifestyle, lack of physical activity are alsobile stagnation and promotes development of the inflammatory process.
aggravation of cholecystitis occurs when the stagnation of bile in the biliary tract.Consequently, the need to increase physical activity, move more, but it should avoid sudden movements, so as not to provoke an attack of biliary colic.
immediate cause of the outbreak of inflammation in the gallbladder often overeating, especially reception, very oily and spicy food, alcohol intake, acute inflammation in other organs (tonsillitis, pneumonia, adnexitis, etc.).
chronic cholecystitis may occur after acute, but more likely to develop on their own, and gradually, against gallstones, gastritis with secretory insufficiency, chronic pancreatitis and other diseases of the digestive organs, obesity.Chronic cholecystitis
occurs when there is inflammation of the gall bladder for a long time, which causes the gallbladder wall that thicken.
disease is a common, more common in women.
pathogenic bacterial flora (E. coli, streptococci, staphylococci, and others.), In rarer cases - anaerobic infections, worms and fungi, hepatitis viruses can cause cholecystitis.
main factor of the disease is a stagnation of bile in the gall bladder, which can cause gallstones, to compression and excesses biliary dyskinesia gallbladder and biliary tract, violation of their tone and motor function under the influence of various emotional stress, endocrine and nervous disorders.
stagnation of bile in the gall bladder and contribute to the omission of internal organs, pregnancy, lack of exercise, sparse meals, and others.
immediate cause of the outbreak of inflammation in the gallbladder often overeating, intake of high-fat and spicy food intake of alcoholic beveragesacute inflammation of the body (angina, pneumonia, adnexitis, etc.).
Cholecystitis chronic type may occur after acute cholecystitis, but more often it develops gradually and independently on the background of gallstones, gastritis, chronic pancreatitis and other diseases of the digestive tract, as well as obesity.
For beskalkuleznogo cholecystitis, ie cholecystitis without stones, characterized by a dull pain in the right upper quadrant, which occurs usually after some time after a meal.As well as bloating, belching air, unpleasant taste in the mouth, the chair and nausea.
for calculous cholecystitis in addition to all the above features are typical of colic, that is attacks of acute pain.
Most often the first signs of cholecystitis is pain in the right upper quadrant (upper right part of the abdomen), which can sometimes give in the back or the right shoulder blade.The person may also experience nausea and vomiting, and sensitivity to the right abdomen.Also, an increase in temperature occurs, the pain that is worse with a deep breath, or lasts more than 6 hours, especially after eating.
inflammation of the gall bladder is recorded in almost 10% of the world population, and is 3-4 times more likely to suffer from cholecystitis women.The possibility of cholecystitis diseases affect the age and weight (mass) of the body: the older the person, and the more he weighs, the higher the risk of occurrence and development of chronic cholecystitis.
for cholecystitis is characterized by a dull, aching pain in the right hypochondrium, either permanently or arising after 1 to 3 hours after administration of abundant, especially oily and fried food.The pain may be given to the right shoulder and neck, right shoulder blade.However, it may occasionally occur, and a sharp pain resembling biliary colic.
In the mouth there is a feeling of bitterness and metallic taste, there is belching air, nausea, joined by flatulence and violation of defecation (often alternating constipation and diarrhea).The person becomes irritable, it hurts insomnia.
for Jaundice cholecystitis is uncommon.
The disease is diagnosed by ultrasound or computed tomography.for the diagnosis of cholecystitis acalculous duodenal intubation and bacteriological examination of bile (which it often helps to identify the pathogen cholecystitis) can be used.
On examination, the doctor observes the patient's enlarged liver.The gallbladder is in most cases not detectable, as it is usually wrinkled due to chronic scar-sclerosing process.
Bacteriological study of bile to determine the causative agent of cholecystitis.
When holetsistografii marked change in the shape of the gallbladder, sometimes it detected the stones: the inflammatory process is the impetus for their formation.
Symptoms of chronic cholecystitis with ultrasound and determined - a thickening of the walls of the bladder, its deformation.
In most cases, it is long and is characterized by alternating periods of remission and relapse.Exacerbations are often caused by disturbances in the diet after drinking alcohol, heavy physical work.Provoke process can acute intestinal infection, general hypothermia.
In the treatment of calculous cholecystitis and beskalkuleznogo there is a significant difference.Aggravation acalculous heal cholecystitis diet, antibacterial and antiparasitic agents.To eliminate the pain appointed antispasmodics.Bile products are prescribed to improve the outflow of bile.According to the testimony, that the doctor sees in each case, they can be assigned and enzymes means normalizing the motility of the gastrointestinal tract.After calming down aggravation pass to spa treatments and physiotherapy.As for calculous cholecystitis, in most cases, it requires surgery - removal of the gallbladder.
cholecystitis Treatment depends on the symptoms and the person's general health.In some cases, people who have found gallstones, treatment may not be necessary.In mild cholecystitis, sometimes gentle enough presence of digestive system mode, a course of antibiotics and painkillers.
In other cases, particularly in chronic cholecystitis, gallbladder removed surgically.Removal of the gallbladder, usually does not impair digestion.
During exacerbation of chronic cholecystitis patients admitted to the surgical or therapeutic hospital.
Here assigned bed rest, diet (diet number 5a), antibiotics and sulfa drugs.
To eliminate biliary dyskinesia, pain, improving the outflow of bile prescribed antispasmodic and cholagogue.
held thermal physiotherapy on the right hypochondrium During inflammation subsided.
From medicinal herbs to restore the work of the gallbladder effectively used decoctions flowers Helichrysum arenarium (0.5 cups 2-3 times daily before meals), corn stigmas (1-3 st. Spoon 3 times a day) or a liquid extractthese herbs (30-40 drops 3 times a day).
After returning home from the hospital the patient is useful to drink cholagogue tea (available at pharmacies): 1 tbsp.brew tea spoon 2 cups boiling water, strained infusion take 0.5 cup 3 times a day 30 minutes before meals.
useful is the treatment of mineral water ( "Essentuki" number 4 and number 17, "Slavyanovskaya", "Smirnoff", "Mirgorod", "NAFTA" and others.) And magnesium sulfate (1% strength st.lozhke25solution 2 times a day) or Carlsbad salt (for 1 h. spoon in a glass of warm water 3 times a day).
If conservative treatment is not successful, it is often in the presence of gallbladder stones larger, as well as frequent exacerbations cholecystitis performed surgery - usually cholecystectomy (surgery to remove the gall bladder).
Cholecystitis - an inflammation of the gallbladder.If at the same time in the bladder are also stones that speak of calculous, cholecystitis stone.
inflammation is most often caused by a bacterial infection, and the stagnation of bile.
Pathogens infection in the gallbladder can get in three ways: from the duodenum, through the blood and lymph through.
also cholecystitis may occur in acute pancreatitis, when the gallbladder lumen get pancreatic enzymes.
Occurrence cholecystitis due to parasitic infestations, such as opistorhoze, ascariasis, amoebiasis.
Matter genetic predisposition, poor diet, allergy, metabolic disorders in the body and the blood supply disruptions in the gallbladder.
calculous cholecystitis If the patient has a feeling of heaviness in the right upper quadrant, and paroxysmal or persistent dull pain.Often there is a bitter taste in the mouth, nausea.
Necessary medication appoint a physician.The patient must strictly comply with the regulations in order to prevent relapse of disease.
Treatment also includes permanent dieting.
When calculous cholecystitis useful fruit, milk, cereals soups, boiled meat, fish, low-fat varieties of milk, fresh buttermilk, yogurt, acidophilus milk, cottage cheese (200 grams a day), cereals, white bread and black stale, ripe fruit, berries(except for sour varieties), vegetables and herbs.
sweet you can eat jam, honey, sugar (up to 70 grams per day), from beverages - vegetables, fruit juices, weak tea with milk.
But foods rich in fats should be limited: cream, butter - 10 grams per day, oil - up to 20-30 grams per day.Every day, you can eat one egg.
exception here are chronic lesions of the gallbladder, bile flowing from congestion.
In this case, the amount of fat should be increased to 120 to 150 g, of which 60% should be vegetable fats.
Sodium Chloride should eat no more than 10 grams per day.
Eating should be a five-time.
More exclude from the diet must be fat, fatty meats, fish, fried, spicy, smoked food, canned food, spices, beans, mushrooms, spinach, sorrel, onions, baking, vinegar, cream, cocoa, soda, alcoholic beverages,chocolate creams.
Of folk remedies at a cholecystitis can recommend to use infusions and decoctions, which have antimicrobial and astringent action.They can be prepared from Polygonum snake, St. John's wort, nettle, tansy, chamomile, chicory, wild rose.Spasms of the smooth muscles of the biliary tract is removed (and thus reduce the pain) everlasting, corn silk, peppermint.
Because of drugs made from plants, Showing allohol and Holagol.
large gallstones can not be repaired with the help of herbal medicine.
also in chronic cholecystitis is desirable to 2-3 times a week for a month to conduct tubeless tyubazh.To carry out this procedure is best in the morning.
To do this on an empty stomach to drink a glass of broth choleretic herbs or at least warm water.After half an hour or take allohol Holagol and drink warm sweet tea (or glass half-glass) or again herbal decoction.Then lie on your left side and the right - on the liver area - putting a warm heating pad.Take cover with a blanket and lie so 1.5-2 hours.
After that, take a few deep breaths and sit-ups and then you can have breakfast.
When cholecystitis within 3-4 weeks several times a year can be treated with mineral waters.
When gastric hyperacidity drinking water for 1.5 hours before a meal, with a normal acidity - for half an hour.Norma - 0.5-0.75 cup 2-3 times a day.
therapy procedures are indicated for chronic cholecystitis in remission.The most effective are diathermy and inductothermy (heating body high-frequency currents), UHF (magnetic field therapy), ultrasonic treatment, mud, ozocerite or paraffin applications on area of the gall bladder, radon and hydrogen sulfide baths.
to prevent exacerbations need to follow a diet, sparing regimen of work, carried out in a timely manner sanitation foci of infection, as well as 2-3 times a year to carry out preventive treatment.
Prevention of cholecystitis is proper nutrition and time, the fight against sedentary lifestyle, obesity, diseases of the abdominal cavity.
Acute cholecystitis: clinical manifestations
disease begins rapidly.The main symptom is biliary colic.Pain is caused by dilation of the gallbladder, a significant increase in its pressure, violation of bile flow on the cystic duct, gallbladder inflammatory edema adjacent peritoneum.
Pains arise in the right upper quadrant, radiating to the right shoulder, right shoulder, right side of the chest, sometimes in the left half of the thoracic, lumbar or iliac region.
Within a few hours the pain worse, but rarely reach severe intensity.Often, the patient takes a forced situation on the right side or on the back.
Patients with increased body temperature, chills appears.Fever and chills are more common in the purulent abscess or cholecystitis.Patients often disturbed thirst, nausea, vomiting, constipation, flatulence.Tongue dry, coated.Bloating, abdominal muscles are tense.Percussion and light effleurage in the liver causes a sharp pain.
palpate enlarged, tense, sharply painful gall bladder is not always possible.Older people are often there is a mismatch between the clinical manifestations of acute cholecystitis and severity of inflammatory changes in the gallbladder.Moreover, the development of gangrenous changes in the gallbladder wall can clinically manifest so-called period of imaginary well-being - a decrease in pain due to necrosis receptor sensitive apparatus.
catarrhal form of acute cholecystitis with timely antibiotic treatment ends recovery.
When abscess form of acute cholecystitis process more difficult.Characterized by fever with shivering.