Is cholecystitis diagnosed? Treatment will appoint a doctor

Cholecystitis is nothing but an inflammation of the gallbladder, a small organ near the liver. Through it passes the bile, which is necessary for digestion. If the bile flow is blocked or the duct is narrowed, the gallbladder swells and becomes inflamed, it is also possible to attach the infection.

There are three main forms of cholecystitis: acute, chronic and acalculous cholecystitis. Treatment for different forms is different. Acute cholecystitis occurs most often when bile is found in the biliary tract. Chronic is associated with a constant inflammation of the gallbladder, the walls of which become more dense. And beskamenny cholecystitis - a rarity, with him most often encounter doctors in intensive care, he often develops against the background of diseases such as AIDS and diabetes. What are the symptoms of cholecystitis? The most common symptom is pain in the right upper quadrant, which can move to the upper back, as well as the right shoulder. Other symptoms are nausea and vomiting, a rise in temperature, a greater sensitivity of the zone of the right hypochondria to touch, pain that becomes stronger with deep breathing lasts more than 6 hours. In elderly people, the temperature rarely rises, so we have to rely on other symptoms.

Diagnosis begins when you describe the symptoms to the doctor. Usually ultrasound is used to diagnose, on the screen will be seen stones, sealing of gallbladder walls and the amount of fluid. Also, the doctor will be able to assess the size and shape of the organ.

What happens if you are diagnosed with acute cholecystitis? Treatment is possible in two versions - conservative and surgical. However, most often patients are advised not to eat immediately after the diagnosis is made, because surgery may be forthcoming. If the condition is not acute, the operation can be postponed or it can be abandoned altogether. In this case, recommend a low fat diet (after all, bile is necessary for digesting fatty foods, so do not need fatty foods to provoke the liver to produce bile). In what cases is the patient treated as an outpatient? When he has no temperature, there are no signs in the analyzes that the gallbladder is completely closed, in the common bile duct (coming from the liver) there are no occluding ducts of the stones judging by the results of ultrasound. And also if there are no complicating circumstances, such as old age, pregnancy or diseases of the immune system. In cases of conservative treatment, patients receive antibiotics, antiemetic and analgesic. But they should be very cautious and at the first deterioration of a condition to address to the doctor.

And if the symptoms are more serious and doctors say that surgical methods are needed to cure cholecystitis? Treatment in such cases involves the removal of the gallbladder. As a rule, in modern hospitals, a laparoscopic operation is performed, with a minimum of scars remaining. However, if you and the doctor miss the moment, you will have to do the usual operation, especially if the bile duct, unable to withstand, is torn. This is life-threatening condition, therefore, in case of suspicion of cholecystitis, most patients are operated as soon as possible, if possible. Pregnant women operate successfully, and this does not harm the health of mother and baby.

Acid-free cholecystitis is also treated surgically, if the patient's condition allows him to survive the operation. Usually this is a very serious condition on the background of other very serious diseases, so the doctor has to make difficult decisions in the treatment of such patients. During the operation, surgeons often perform endoscopic retrograde cholangiopancreatography, that is, they examine the state of the bile ducts, pancreatic ducts and the condition of the duodenal wall.

What if they diagnose chronic cholecystitis? Treatment, as a rule, is a planned operation to remove the gallbladder, to which the patient is prepared for some time.

Without a gallbladder it is possible to live, if you follow the recommendations for nutrition and lead a healthier lifestyle. However, it is better to eat and live right before the diagnosis of cholecystitis is made. Treatment is usually too serious to ignore preventive measures such as moderate fat content in food, weight control and timely treatment for intestinal parasites.