Symptoms and treatment of calculous cholecystitis
Jul 12, 2018
Calculous cholecystitis is a disease of the gallbladder, to which women in the age of 40-50 years are more exposed.
The course of cholecystitis of this species is different and can vary in duration and intensity of pathological lesion.
In this disease in the ducts or lumen of the gallbladder, stones of different sizes are formed. Treatment of cholecystitis can be carried out by folk remedies and medicines.
Types and symptoms of cholecystitis
- Types and symptoms of cholecystitis
- Pathology of the disease
- Diagnosis and treatment
- Traditional medicine
The acute form of cholecystitis has the most pronounced symptoms.
Under the influence of a number of unfavorable factors - getting into the bile ducts of pathogenic bacteria, malnutrition, which led to the thickening of bile, - the gallbladder becomes inflamed.
Sometimes the inflammation is so severe that the walls of the organ are destroyed.
The main symptoms of the disease include acute pain in the right upper quadrant, called biliary colic.
In some cases, the diagnosis is difficult due to the pain radiating to the area of the right scapula.
Acute cholecystitis often occurs if the patient has undergone a very severe stress on the eve, consumed alcoholic beverages or ate extremely unhealthy foods( fatty, spicy, salty, sweet).
In addition to pain, with more severe forms of cholecystitis, the following symptoms are possible: vomiting, and bile is present in the vomit, the patient feels its characteristic taste in the mouth.
If the pain is intolerable, the patient is taken to the surgical department of the hospital, where, having confirmed the presence of the disease by ultrasound and biochemical blood test, doctors stop pain and prescribe the subsequent treatment of calculous cholecystitis.
If the diagnosis was carried out in a timely manner, the attack of acute cholecystitis is completely eliminated within 5 days, without leaving fatal consequences for the internal organs, especially the gallbladder.
But if there is a complication, calculous cholecystitis can take a more dangerous form, so it should be treated immediately.
If infection occurs in the bile duct or bladder, purulent cholecystitis may develop, which is usually due to food poisoning.
This extremely dangerous form of the disease requires immediate surgical operation, which results in complete removal of the gallbladder, its function in the body is performed by the bile ducts.
Without timely surgery, the organ is subjected to gangrene( gangrenous or phlegmonous calculous cholecystitis), which in turn, in almost 100% of cases, leads to death.
If the inflammation of the gallbladder is recurrent, the patient has a chronic form of cholecystitis.
Chronic calculous cholecystitis is often accompanied by a number of concomitant diseases of the gastrointestinal tract, liver and pancreas.
The main symptoms of the disease include pain in the hypochondrium on the right.
Pain though not strong, but almost constant, monotonous, most intensifying in the mornings and evenings. It is often accompanied by vomiting with bile, especially in the morning.
Pathology of the disease
Sometimes the bile in the body becomes so thick that it forms concretions( hardened gallstones).This process has the same symptoms as in the course of chronic cholecystitis.
The number of stones in cholecystitis can vary from one to a hundred, they are extremely differentiated in size, some can reach the diameter of a chicken egg.
Most of the stones are located in the cavity of the gallbladder, in this case they do not cause great inconvenience.
But it's worth the stone to slip into the bile duct, as the patient immediately has a sharp pain with all the signs of the acute course of the disease. Only after that, most patients find out that they have calculous cholecystitis.
This type of bile duct disease is very common. According to the latest statistics, every tenth person suffers from cholecystitis.
Typical portrait of the patient: a woman after 40 years, the owner of excess weight, or, conversely, sharply thin, taking hormonal medications( including contraceptives).Such factors form a risk group.
In the formation of gallstones, cholesterol plays a major role. With increasing its concentration, bile can not perform its protective function.
Cholesterol, which is not excreted from the body, begins to precipitate, which, under the influence of crystallization processes, turns into gallstones.
It should be remembered that prolonged fasting, as well as eating fatty, spicy and sweet food in the menu, also adversely affects the level of cholesterol, which is the consequence of the development of cholecystitis.
The stones are formed over a fairly long period.
Most gastroenterologists distinguish the following stages of cholecystitis:
- is pre-calcareous, when microliths form in a thickened bile fluid;
- formation of concrements, when microliths turn into real stones;
- chronic stage, when without surgery, if it is necessary, the proper treatment of medicines and folk remedies the amount of concrements only increases;
- complications of cholecystitis or so-called. Acute period, which can lead to a number of negative consequences, up to gangrene and removal of the gallbladder, and even to death. At this stage, cholecystitis is mandatory for the operation.
Diagnosis and treatment of
Diagnosis of such a disease as calculous cholecystitis, basically is not difficult for any gastroenterologist or surgeon, based on biochemical analysis of blood because of the high content of bilirubin.
Also calculous cholecystitis is very clearly visible on ultrasound. For a layman, the exact diagnosis is difficult because the symptoms are similar to any other form of cholecystitis: in acute form, severe sharp pain in the right hypochondrium, in chronic form, pain tolerant but longer in time, and also vomiting characteristic of both currents, With a specific bitter taste of bile in the mouth.
To ensure that the diagnosis is timely, it is very important to follow a number of preventive measures, to undergo a regular examination with a gastroenterologist who will necessarily give directions for blood biochemistry and ultrasound of the gallbladder.
Also of great importance is a healthy lifestyle, in particular the restriction of alcohol consumption and balanced nutrition.
For the prevention of cholecystitis, gallbladder treatment with folk remedies is often used.
With the development of a chronic variety of the disease, one should follow a proper diet for life and know an approximate menu.
The diet for calculous cholecystitis excludes from the daily menu all fatty and spicy, and in the period of complication it is also sweet and salty, and the use of alcohol is also strictly forbidden.
Eating a patient with cholecystitis should be frequent, at least 5 times a day. In this case, portions should be made small with the maximum chopped food at room temperature.
Such a menu promotes the uniform and efficient operation of the gallbladder. The food should be regular, at the same time.
The patient can consume salt in an amount of no more than 10 grams per day, with water to drink at least 2 liters. It is recommended to exclude fatty foods from the menu.
It should be limited, and at the time of acute cholecystitis, and at all to exclude foods that contain a lot of cholesterol: red meat, butter, mushrooms, eggs, as well as those products that enhance gas formation: legumes, onions, rye bread, and contain easily digestible carbohydrates: white bread, Confectionery, etc.
To avoid complications of cholecystitis, the patient's menu can include such products:
- cereals, especially oat, buckwheat, millet and pearl barley;
- bran, including bread with bran;
- boiled pasta;
- vegetables: carrots, beets, cauliflower, zucchini, cucumber, pumpkin, bell pepper, and also potatoes;
- vegetarian soups: vegetable, beetroot, dairy;
- lean meat( white chicken, rabbit meat, veal, beef, lamb meat or young lamb) and fish( salmon, pollock, etc.);
- cheese with a fat content of not more than 45%;
- steam omelettes from protein, cholesterol-rich yolk should be removed;
- nuts and pumpkin seeds;
- apples and bananas;
- confectionery for cholecystitis can be consumed, if they are from natural raw materials. For example, marmalade, jelly, pastille. Also very useful are dried fruits and cooked from them compotes;
- biscuits, yesterday's bread, biscuits, dry biscuits;
- weak tea, coffee, medicinal mineral water, mashed potatoes, broth of dried hips, half-diluted with fruit juice;
- is useful for milk and dairy products( kefir, cottage cheese, sour cream, fermented milk, curdled milk, whey), because the vitamin D contained in them makes the bile medium alkaline, thereby preventing the formation of concretions.
The patient must necessarily coordinate his diet with cholecystitis with the attending physician.
Also the patient should prescribe a doctor's treatment of cholecystitis with folk remedies and medicines: drink cholagogue preparations( the most common is Allochol) and antispasmodics( Platifillin, Papaverin, Drotaverin, etc.) during the period of exacerbation.
Symptoms of calculous cholecystitis can be treated not only with the use of a medicamental approach, but also folk remedies. But before resorting to them, you should always consult with your doctor.
The most affordable way to prevent cholecystitis is the regular use of a weak green tea, which has a good choleretic effect, which makes it difficult to form stones.
It is also possible to drink half a glass of cabbage brine before meals for two months, but such treatment should be done with folk remedies after confirmation of the diagnosis.
Still useful for cholecystitis grapefruit and ashberry juice, as well as black radish juice for half a glass a day. Such treatment with folk remedies has a very good cholagogic effect.
If the inflammation of the patient's bile ducts is very severe, then in addition to treating cholecystitis with folk remedies and medications, it is placed in a room with a temperature below normal room temperature, does not give absolutely any food or water until the pain relief is completely eliminated or before surgery.
Patients with cholecystitis require complete rest, as additional stress loads only increase the secretion of bile, which leads to painful sensations.
The often contracting gallbladder can not relax, which greatly increases physical pain.