After a meal, bile is squeezed out of the gallbladder by strong muscular contractions, and passes through a duct into the duodenum. Some patients have no symptoms.
Cholecycstitis is a painful inflammation of the gallbladder, the small, pear-shaped sac under the liver that stores bile. It is commonly due to impaction (sticking) of a gallstone within the neck of the gall bladder, leading to inspissation of bile , bile stasis , and infection by gut organisms. Patients with mild and infrequent symptoms may consider oral medication to dissolve gallstones. Surgery (standard or laparoscopic) is considered for patients with severe symptoms and for patient with cholecystitis.
Causes of Cholecystitis
The common Causes of Cholecystitis :
Ischemia (blood supply decrease to gallbladder) .
Gallstones .
Infections in persons with AIDS .
Symptoms of Cholecystitis
Some Symptoms of Cholecystitis :
Nausea.
Vomiting .
Vague abdominal pain.
Fever.
Chronic indigestion.
Belching.
chills.
Jaundice .
Loss of appetite .
Treatment of Cholecystitis
Bowel rest (no food or drink).
Surgical removal of the gallbladder 2-3 days after cholecystitis for most patients.
Intravenous broad-spectrum antibiotics .
Immediate surgical gallbladder removal if gangrene has occurred .
Pain medications (Demerol usually best).
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