Symptoms and treatment of cholecystitis

  Cholecystitis is mainly associated with abdominal pain and other gastrointestinal reactions such as nausea and vomiting. Treatment is usually conservative with medication or surgery, depending on the case.  Cholecystitis is an inflammation of the gallbladder that occurs with varying degrees of pain in the upper right abdomen, sometimes accompanied by fever, chills, nausea and vomiting. During its occurrence, it may not feel like eating. On physical examination, there can be significant pressure pain in the area of the gallbladder, and in some more severe cases of cholecystitis, an enlarged, eggplant-like gallbladder can be palpated in the abdominal wall.  Treatment includes conservative medication and surgery. In general, infrequent attacks of cholecystitis can be treated with antibiotics and analgesics. Antibiotics that fight gram-negative and anaerobic bacteria, such as ceftriaxone and metronidazole, are usually chosen. Analgesic medications can be chosen with varying pain intensity such as diclofenac sodium or dulcolax depending on the severity of the pain. Some people with cholecystitis due to obstruction of gallbladder stones and more frequent attacks may choose to undergo laparoscopic or open cholecystectomy. It usually takes at least a month and a half for the acute gallbladder inflammation to subside before surgery is performed. In some patients with acute purulent inflammation of the gallbladder, a cholecystostomy or percutaneous percutaneous cholecyst drainage may be performed in an emergency to drain the bile first to reduce the inflammation of the gallbladder and then perform cholecystectomy after the inflammation has subsided.  The degree and frequency of the onset of cholecystitis is the basis for choosing a treatment plan for cholecystitis. The onset process requires the selection of an appropriate and effective treatment according to the specific situation.