Cholecystitis: “Tummy ache” during pregnancy

After pregnancy, the cholesterol in the blood and bile of pregnant women gradually increases, and as the fetus grows and the uterus lifts up, the emptying of the gallbladder slows down, and the ratio of cholesterol to bile salts in the bile changes, making cholesterol deposits and the formation of crystals or stones, which can trigger cholecystitis. Symptoms: severe pain in the right upper abdomen Acute cholecystitis in pregnancy can occur in all stages of pregnancy, especially in late pregnancy and puerperium, the incidence of about 0.8 per thousand. Acute attack of cholecystitis, most of the manifestations of the right upper abdominal pain, persistent and often paroxysmal exacerbation. A considerable number of patients have radiating pain in the right shoulder or right upper lumbar region, accompanied by fever, nausea, vomiting and so on. Once the bile duct is obstructed, jaundice may occur. Treatment principle: non-surgical treatment The treatment principle of acute cholecystitis in pregnancy is based on non-surgical treatment, which includes diet control, symptomatic treatment, anti-infection, prevention of complications, and strengthening observation and follow-up. Doctor’s tip: For those who are ineffective in non-surgical treatment, with worsening pain, elevated body temperature and abdominal signs, doctors will recommend choosing surgical treatment if necessary.