What does cholecystitis symptom have?

summary

The early clinical symptoms of cholecystitis are pain in the right rib or both ribs, mild symptoms to nothing, stuffy discomfort, with shoulder and back pain, unrestricted movement, dry mouth, bitter mouth, nausea and vomiting, panic, shortness of breath, yellow urine, dry stool, or loose discharge, occasionally fever. Today, let me share with you the early symptoms of cholecystitis

What does cholecystitis symptom have?

First, many patients with acute cholecystitis get sick in the middle of the night after a greasy dinner, because the high-fat diet can strengthen the contraction of the gallbladder, and lying down is easy for gallstones to slide into and incarcerate the cystic duct. The main manifestations were persistent pain and paroxysmal aggravation in the right upper abdomen, which could radiate to the right shoulder and back; It is often accompanied by fever, nausea and vomiting, but chills are rare and jaundice is mild. Abdominal examination showed that the right upper abdomen was full, abdominal muscle tension in gallbladder area, obvious tenderness and rebound pain.

Second, the symptoms and signs of chronic cholecystitis are not typical. Most of the symptoms were biliary dyspepsia, aversion to greasy food, upper abdominal distension, belching, heartburn, etc., similar to ulcer or chronic appendicitis; Sometimes because of gallstone obstruction cystic duct, can be acute attack, but when the stone movement, obstruction relief, that is quickly improved. Physical examination, gallbladder area can have mild tenderness or percussion pain, if the gallbladder water, often can touch round, smooth cystic mass.

Third: chemical stimulation, high concentration bile salts stimulate gallbladder mucosa to cause acute inflammation. Incidence rate incidence rate incidence rate of gallbladder stones has increased significantly in recent years. With the change of Chinese dietary habits and aging, the incidence of gallstones in city people is increasing. So the incidence of acute cholecystitis is higher in city residents, the incidence of adult is higher, the incidence rate of elderly is higher, and the incidence of obesity is higher. According to statistics female: male is 2:1. The acute symptoms of this disease can turn into chronic cholecystitis.

matters needing attention

1. Calculus incarcerated in the cystic duct causes obstruction, cholestasis in the gallbladder, and concentrated bile salt damages the gallbladder mucosa and causes inflammation. 2. Bacterial infection, common pathogenic bacteria for E. coli, aerogenic bacteria, Pseudomonas aeruginosa, etc., mostly retrograde from the biliary tract