1, the way to prevent and control cholecystitis
(1) to often do some physical activity, so that the whole body metabolism active, especially brain work and work is always sitting still middle-aged people, more conscious to do more physical work, to prevent excessive obesity, because obesity is an important cause of cholecystitis or gallstones.
(2) to pay attention to dietary hygiene, avoid overeating, appropriate moderation of fatty foods. Because after eating food with fat, will reflexively make the gallbladder contraction, once the contraction is too strong will lead to an acute attack of biliary colic.
(3) After the autumn cold, we should pay attention to keep warm, especially when sleeping to cover well, to prevent the abdomen from being cold, because after the stomach is cold will stimulate the vagus nerve, so that the gallbladder contracted strongly.
(4) People who have been proven to have gallstones or intestinal parasitic disease should be treated promptly to avoid causing inflammation of the gallbladder.
(5) If the attacks are more frequent, the symptoms are heavier, obviously affecting life and work, and conservative therapies such as choleretic drugs are not effective, surgical treatment should be considered.
2. Can I take medicine to remove stones? Is there any Chinese medicine that can “melt” the stones away?
There is no reliable medical research to prove the effectiveness of medication for stone removal. The principle of current lithotriptic drugs is to promote strong contraction of the gallbladder in order to “squeeze” the gallbladder stones into the common bile duct and then into the intestine. However, in this process, it is very easy to induce the embedding of gallbladder stones, causing acute cholecystitis; if the gallbladder stones are embedded in the opening of the bile duct and cannot enter the intestine, it will cause cholangitis and pancreatitis, the latter two diseases can even be life-threatening.
The composition of gallbladder stones is cholesterol or bile pigment crystals, which cannot be dissolved directly by Chinese medicine.
3. What if I have both gallbladder stones and appendicitis?
If you have both cholecystitis, gallbladder stones and appendicitis, it is difficult to perform traditional open surgery. This approach is too traumatic for the patient and is not conducive to recovery. The current minimally invasive laparoscopic approach allows appendectomy to be performed at the same time as the cholecystectomy. The procedure requires only four tiny incisions of less than 1 cm in the abdomen. The operation time is short, the trauma is small and the recovery is fast.
4.What should I do if I have gallbladder polyps?
Gallbladder polyps have a certain possibility of malignant transformation, so after getting gallbladder polyps, you should raise the vigilance of the disease and review the abdominal ultrasound regularly to determine the size and number of gallbladder polyps. At the same time, pay attention to a healthy diet and good lifestyle habits. If the polyp grows rapidly in a short period of time or causes symptoms of discomfort in the right upper abdomen, then surgery should be actively performed. In order to prevent the polyp from turning into malignant tumor and delaying the best treatment time.
5.How often should I review the abdominal ultrasound?
The time for regular review of abdominal ultrasound varies according to different diseases, but once every three months to six months is ideal for monitoring the condition of the disease.
6.What do I need to pay attention to when having abdominal ultrasound?
It can examine the liver, gallbladder, bile duct, pancreas, spleen, kidney, abdominal cavity, pelvis and other organs and tissues. If a surgical abdominal ultrasound is required, the examination should be performed on an empty stomach on the day of the examination, without food or water. This is because the accumulation of gas in the stomach and intestines and the emptying of bile from the biliary tract after eating will affect the accuracy of the examination results.
7.What should I pay attention to in my daily diet?
You can eat low-fat and high-carbohydrate liquid food, such as lotus root powder, rice soup, fruit water, vegetable water, honey water, etc.; eat less and more meals; avoid eating animal brain, liver, kidney and egg yolk, fish roe, etc., do not use fried food, fatty meat, etc. Avoid drinking alcohol, strong tea, coffee and vegetables and fruits that contain a lot of coarse fiber.
8.Is there a way to lithotripsy without surgery?
Extracorporeal shock wave lithotripsy used to be a method of treatment for gallbladder stones. However, because of the unsatisfactory effect of this treatment method, and because it is easy to cause complications such as bile duct stones, acute cholangitis and acute pancreatitis, this method is basically not used for the treatment of gallstone disease.
9.Can I still do strenuous activities if I have gallbladder disease?
Gallbladder diseases such as cholecystitis and gallbladder polyps do not affect daily activities. In some cases, gallbladder stones may become lodged in the opening of the gallbladder due to strenuous activity, causing biliary colic. Therefore, it is better for patients with gallbladder stones to avoid strenuous activities and to sleep on the right side to reduce the attacks of biliary colic.
10.Dietary treatment of cholecystitis and gallstone?
(1) In acute attacks of biliary colic, fasting should be given, and nutrition can be supplemented by intravenous.
(2) After chronic or acute attacks are relieved, a light liquid diet or low-fat, low-cholesterol, high-carbohydrate diet can be eaten. The daily fat intake should be limited to 45 grams, mainly animal fat, and can be supplemented with moderate amount of vegetable oil (with choleretic effect). Cholesterol should be limited to less than 300 mg per day. Carbohydrates should be ensured from 300 to 30 grams per day. Protein should be moderate, too much can stimulate bile secretion, too little is not conducive to tissue repair.
(3) Provide abundant vitamins, especially vitamin A, vitamin C and B vitamins, as well as vitamin E.
(4) The right amount of dietary fiber can stimulate intestinal peristalsis and prevent the onset of cholecystitis.
(5) A large number of drinks is beneficial to bile dilution.
(6) A small number of meals can repeatedly stimulate the contraction of the gallbladder to promote the discharge of bile and achieve drainage.
(7) Avoid stimulating food and alcohol.
(8) Reasonable cooking, it is advisable to use cooking methods such as boiling, soft-boiling, brining, steaming, Yu, braising, stewing, stewing, etc., and avoid stir-frying, deep-frying, frying, etc. High temperature fats, containing acrolein and other cleavage products, can stimulate the biliary tract, causing acute attacks of biliary spasm.
(9) appropriate food temperature, too cold and too hot food, are not conducive to bile excretion.
11, chronic cholecystitis, cholelithiasis patients with examples of dietary therapy?
(1) cholecystitis in the acute phase, avoid eating fried, fried food, eggs, broth and alcohol; food should be limited to low-fat, low protein, a small amount of easily digestible liquid or semi-liquid food, as the disease subsides can gradually add a small amount of fat and protein food, such as lean meat, fish, eggs, milk and fruit and fresh vegetables.
(2) Patients with chronic cholecystitis should eat light, easily digestible food on weekdays, and should drink a lot (1500-2000ml) to dilute the bile. Eat once every 2 to 3 hours to stimulate bile secretion. Eat easily digestible protein, 50g per day. do not eat animal brain, kidney, egg yolk, fried food, spicy products.
(3) Patients with cholecystitis and cholelithiasis, in terms of dietary rules, it is advisable to eat regularly and quantitatively, eat less and more meals, and should not be too full. In the diet structure, strictly control fat and cholesterol-containing foods, such as fatty meat, fried food, animal offal, etc., because the formation of gallstones is related to high cholesterol and metabolic disorders in the body. Do not drink alcohol and eat spicy food, it is advisable to eat more radish, green vegetables, beans, soy milk and other side dishes. Radish has a biliary effect and can help digestion and absorption of fat; green vegetables contain a lot of vitamins and fiber; beans are rich in vegetable protein. In addition, some fruits and juices should be supplemented to make up for the loss of fluids and vitamins caused by inflammation.
(4) Patients with cholecystitis and cholelithiasis are generally advised to enter a low-fat, low-cholesterol diet. Fatty meats, fried foods, dried fruits, nuts and egg yolks that contain a lot of fat, animal brains, liver, kidneys and roe, etc. should be strictly controlled. The usual diet should also include easily digestible, less dregs food to avoid gas production. All alcohol, stimulating foods, strong condiments can promote gallbladder contraction, so that the biliary sphincter can not be relaxed in time, resulting in bile outflow, thus causing an acute attack of cholecystitis, so they should be avoided. In acute attacks, it is advisable to give low-fat, easily digestible semi-liquid or liquid food; in severe cases, fasting, gastrointestinal decompression and intravenous rehydration should be given.
Example of a day’s recipe for cholecystitis and cholelithiasis
Breakfast: rice porridge (50g of rice), rolls (50g of flour), 10g of tofu in sauce, 10g of melon in sauce.
Extra meal: tomato juice (100g tomato, 5g sugar), 25g cake.
Lunch: soft rice (rice 100g), popped fish fillet (mackerel 100g, bamboo shoots 20g), fried bitter gourd (bitter gourd 100g).
Additional meal: lotus root powder 50g with 5g of sugar.
Dinner: millet porridge (millet 50g), flour pancake (flour 50g), meat without tofu (lean pork 20g, tofu 100g), mixed cucumber
Shredded cucumber (100g cucumber, 20g vermicelli).
25g of oil for cooking.
The daily caloric energy is about 8337 kJ (1985 kcal).
12.What are the home remedies for patients with cholecystitis?
Oral anti-inflammatory drugs.
(1) Haloperidol: 1~2 capsules (i.e. 0.1~0.2g) 3 times a day, taken orally on an empty stomach.
(2) Erythromycin: 0.3g, 4 times a day, taken after meals.
(3) Chloramphenicol: 0.5g, 4 times a day, taken after meals.
(4) Jiezomycin: 1～2 capsules (0.25～0.5g) 4 times a day.
(5) Methotrexate (metronidazole tablets): 3 times a day, one tablet (i.e. 0.2g) each time, after meals, prohibited for pregnant women.
(6) Pioneer IV capsule: 4 times a day, 0.25~0.5g each time.
Choleretic Chinese medicines: there are Qinghelian and choleretic tablets, dredging liver pain relief tablets, bile pass, bile nin, bile yi nin, bile music, sodium cholate, cholic acid, etc., which must also be spare.
At the onset of the disease, you can choose one of the above types of drugs to take. You should read the instructions before taking it to avoid taking it by mistake. If the symptoms are getting heavier, you should go to the hospital for consultation.
13.What Chinese medicines can relieve cholecystitis?
Drawing on Zhongjing’s “Treatise on Typhoid”, Da Chai Hu Tang uses Chai Hu to relieve the heat in the bile meridian of Shaoyang and is assisted by Scutellaria baicalensis, Citrus aurantium and Paeonia lactiflora to remove the feeling of depression under the heart, Rhubarb to induce the downward movement of stagnant heat, Radix Panax notoginseng and Ziziphi jujubae to harmonize the stomach, and reuse ginger to stop vomiting; plus Money Grass to clear heat in the gallbladder, Slippery Rock to relieve heat in the diuretic, and Chicken Neijin to resolve accumulated heat. This formula is also effective in treating jaundice and gallstones.
14.How to use massage therapy to treat cholecystitis and cholelithiasis?
Four methods of massage for cholelithiasis.
The first method: pressure points on the back of the seventh to ninth thoracic vertebrae and gallbladder points on both sides, using the point method or press method of heavy stimulation for 2 to 3 minutes.
Second method: left back pressure pain points plane of the spinal spine for rotation reset.
Third method: treat the bladder meridian along both sides of the back with pushing method for about 6 minutes, then press the gallbladder, liver and diaphragm meridians for 1 minute each, and finally treat the back bladder meridian with rubbing method to penetrate heat.
Fourth method: treat both sides of the hypochondrium with rubbing method, to the extent of slightly penetrating heat, and then apply pressure and kneading method on both sides of Zhangmen and Shimen for 1 minute each, to the extent of soreness and swelling.
(Please complete each operation under the guidance of a doctor)
15.How to maintain good living habits to prevent gallstones?
Key points of self-care for gallstones.
1, do not eat or eat less high sugar, high cholesterol, high fat diet. Eat more foods rich in protein, vegetables and fresh fruits, women during pregnancy should pay enough attention.
2, pay attention to dietary hygiene, to prevent the intestinal tract into the parasites such as roundworms.
3, more physical exercise, especially after the age of 40 years old women, in reducing fat intake at the same time should promote the decomposition of fat.
4, patients with cholecystitis, diabetes, nephritis, hypothyroidism should be actively treated to prevent the induction of gallstones.
5.Eat meals on time to avoid bile retention in the gallbladder for too long.
6.Annual regular physical examination, including liver and gallbladder ultrasound examination.
7.The patient’s diet should be “five to” and “five not to” during the recovery period.
Five to
1, pay attention to dietary hygiene, to prevent bacteria, insect eggs from the mouth.
2, eat more vegetables and fruits, such as: spinach, leeks, celery, apples, bananas, etc..
3, try to use vegetable oil cooking, avoid using animal oil, mainly steamed, braised, to avoid frying, frying.
4, moderate intake of lean meat, fish, chicken and bean products.
5, eat more to promote bile secretion and relax the bile duct sphincter and bile food such as hawthorn, plum, corn husk (soak water).
Five taboos.
1, avoid eating high cholesterol food such as animal heart, liver, brain, intestines, egg yolk, puffed eggs, caviar, chocolate, etc.
2, avoid eating high-fat food such as fatty meat, fried food, cakes, snacks, doughnuts, etc.
3, avoid overeating.
4, avoid spicy stimulating condiments, such as chili pepper, pepper powder, curry powder, etc.
5, avoid smoking, alcohol, coffee, to avoid its stimulation of the biliary sphincter muscle, so that the biliary sphincter muscle spasm, and thus bile discharge difficulties.