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Abstract: Young women who are breastfeeding suffer from poor sleep and hormonal disorders due to the strain of caring for their second child, and eat a high-fat, high-cholesterol diet due to the demands of milk production, which can lead to episodes of chronic cholecystitis. Once chronic cholecystitis is diagnosed, patients need to be actively treated with medication and urged to regulate their diet and adjust their mindset so that their condition can be well controlled.
Basic information】Female, 35 years old
Disease Type】Chronic non-lithotripsy cholecystitis combined with cholestasis
Hospital】Associated Hospital of Fujian Medical University
Date of consultation】November 2021
Treatment plan】Medication (ursodeoxycholic acid tablets) + psychological counseling
Treatment Period】Long-term treatment for more than 1 year
Effectiveness】The patient’s condition was effectively controlled and there was no reoccurrence.
I. Initial consultation
More than a year ago, the patient came to our hospital with a feeling of stuffiness and distension in the right upper abdomen, which was more obvious after meals, and an aversion to various kinds of fatty foods and reduced appetite. The results indicated that the patient’s gallbladder wall was thickened by more than 3 mm, and the gallbladder wall was rough, and there was bile stasis in the gallbladder, but no obvious stone was found.
II. Treatment process
After detailed questioning of the patient, we gradually understood the patient’s situation. This patient is in a period of hormonal disorder due to the recent birth of her second child, and she cannot sleep and rest well because of her baby, and she has a stressful life, and in order to produce milk, she often consumes high-fat and high-cholesterol food and eats irregularly. Since the patient’s symptoms were recurrent and her condition was more serious, she was unable to take care of her newborn baby, so psychological counseling was the first priority. After careful persuasion and counseling, the patient gradually relaxed and was instructed to take ursodeoxycholic acid capsules to achieve the effect of cholestasis and control cholecystitis. At the same time, the patient was instructed to control his diet, eat less fatty food, eat low-fat, high-protein food, eat more vegetables and fruits, and combine with active exercise to improve his digestive function. At the same time, the family was urged to share the patient’s life stress, not to rely on the young mother to do everything, and also to help ease the patient’s emotions.
III. Treatment effect
Under the multiple interventions of psychological counselling, medication and dietary control, the patient’s non-lithic chronic cholecystitis was effectively controlled, and after more than one year, she came for a review. However, patients are still advised to pay attention to regular follow-up checkups and not to return to their original bad eating and living habits because their symptoms are controlled and relieved, otherwise they may still have a recurrence of chronic cholecystitis.
IV. Precautions
We are glad that the patient in this article has been effectively controlled after active treatment of cholecystitis and there is no recurrence, but patients and family members still cannot take it lightly and need to continue to be alert to emotional changes in daily life and pay attention to dietary regulation, specifically including the following.
1, daily diet should not be too greasy, and three meals should not be too full, and eat less animal offal, fatty meat and other high-fat, high-cholesterol food. If you are obese, you should lose weight in time. If you have high blood lipids and high blood sugar, you should also pay attention to controlling blood lipids and blood sugar, and avoid eating high-calorie and too-sweet food.
2, daily diet live should eat more fresh vegetables, fruits, more exercise, active exercise, drink more water.
3, daily life pay attention to ensure emotional calm, avoid great sadness and happiness, avoid excessive stress, timely emotional regulation, avoid excessive tension.
4. Patients still need regular follow-up checkups and hepatobiliary ultrasound examinations to dynamically observe the changes of their conditions and to detect abnormalities in time to prevent recurrence of the disease.
V. Personal insight
Most chronic cholecystitis is associated with stones, but there are also some non-stones chronic cholecystitis, mainly associated with overeating, irregular diet, estrogen abnormalities, stress and other factors. The patient in this case happens to belong to non-stone chronic cholecystitis and is due to a combination of multiple factors such as hormonal abnormalities, irregular diet, and stressful life, so a combination of circumstances needs to be considered when formulating a treatment plan. Based on this patient’s experience, combined with clinical experience, we hereby advise the general public to
1.Stress in life is inevitable, one must learn to relieve it appropriately, as long-term high pressure may lead to the occurrence of many diseases and even increase the probability of cancer.
2, never not deal with the disease because it is tiny, often certain diseases are not serious, but the onset of symptoms distressing, and long-term lack of attention, the progress of the disease will also appear other related risks.
3, must abstain from overeating, especially for those who have their own digestive system diseases, if long-term overeating or irregular diet, etc., it is easy to aggravate the burden related to the digestive tract and cause unnecessary diseases.