Symptoms and diagnosis of cholecystitis

Update Date: 2025-01-06 Source: Network

summary

Cholecystitis is a common disease, and the incidence rate is very high. This disease is usually acute or chronic. At the beginning, patients will feel some pain in their right abdomen, and feel colic slowly. And the pain will increase slowly with time. The symptoms and diagnosis of cholecystitis will be increased. Let's talk about it

Symptoms and diagnosis of cholecystitis

Persistent right upper abdominal pain or discomfort, or accompanied by right scapular area pain. ② There are nausea, belching, acid reflux, abdominal distension and heartburn and other symptoms of indigestion, aggravated after eating greasy food. ③ The course of the disease is long, and the course of the disease is characterized by alternation of acute attack and remission.

④ There may be percussion pain with mild tenderness in gallbladder area. ⑤ In bile, mucus increased, white blood cells piled up, and bacterial culture was positive. ⑥ B ultrasound showed gallbladder stones, gallbladder wall thickening, gallbladder shrinkage or deformation. ⑦ Cholecystography showed cholelithiasis, gallbladder shrinkage or deformation, poor contraction function of gallbladder, or weak development of gallbladder.

① More to eat greasy food as an inducement. ② Sudden persistent severe pain in the right upper abdomen with paroxysmal aggravation can radiate to the right scapula, often with nausea, vomiting and fever. ③ Tenderness and muscle tension were found in the right upper abdomen, Murphy sign was positive, and jaundice was seen in a few cases. ④ The increase of WBC and neutrophil count, serum jaundice index and bilirubin may increase.

matters needing attention

Non surgical treatment of cholecystitis mainly emphasizes the conditioning of the disease. For example, after the attack of acute cholecystitis, the patient should first rest in bed. Secondly, if the pain is severe, it needs spasmolysis and analgesia treatment. Finally, it also needs active antibacterial treatment, mainly to avoid the infection of some bacteria.