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Chronic cholecystitis: key information

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 Chronic cholecystitis: key information

What is chronic cholecystitis? How is it diagnosed and what is the best way to treat it? Find out the most important information about that after reading this article.

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The gallbladder is located under the liver and stores the bile coming from the liver and excretes it into the small intestine when needed to aid in the digestion of fats. Learn about chronic cholecystitis in the following article:

Chronic cholecystitis: a definition

Chronic cholecystitis is the recurrence of acute and sudden episodes of cholecystitis, often caused by gallstones.

This infection must be treated immediately after its diagnosis, as failure to treat it poses a risk, because, with the increase in the frequency of inflammation, the walls of the gallbladder harden, then they atrophy and become unable to perform their work as required.

Chronic cholecystitis: causes


Usually, the main cause of this inflammation is the recurrence of acute cholecystitis that occurs due to several reasons, including:

  1. Gallstones
  2. Stomach wound due to burns or sepsis.
  3. HIV.
  4. Fasting for a long time.
  5. Vasculitis.
  6. Cholecystitis.
  7. A tumor that causes the bile to not exit from the gallbladder, which leads to its clumping and inflammation of the gallbladder.

Chronic cholecystitis: risk factors


There are some groups that are more likely to develop recurring cholecystitis, including:

  • Women in general are more susceptible to infection compared to men.
  • Those who exceed the age of forty.
  • The most obese people.
  • People who have suddenly gained or lost weight.
  • People with certain diseases, such as diabetes.

Chronic cholecystitis: symptoms


Symptoms are similar to those of acute cholecystitis, which include:

  • Sharp pain in the upper right side of the abdomen.
  • Pain in the lower back or in the area under the shoulder.
  • Vomiting and nausea.
  • heat.
  • Abdominal distension.
  • Yellowing of the skin.
  • Yellow diarrhea.
  • Abdominal pain after eating any meal that contains fat.

Chronic cholecystitis: diagnosis


Usually, the doctor will ask about whether the person has been exposed to cholecystitis before, after that he orders some tests such as:

  1. Ultrasound: These waves work to detect the condition of the gallbladder in addition to detecting the presence of gallstones.
  2. Blood tests: The doctor orders blood tests to see the level of amylase and lipase enzymes, and to check blood counts to detect whether the white blood cells are elevated, indicating the presence of inflammation.
  3. Computerized tomography (CT) scan: through these images, it determines the presence of inflammation in the gallbladder.
  4. Hepatobiliary imaging: such an analysis is based on imaging the gallbladder, liver, bile ducts, and small intestine.
The doctor, through previous examinations, determines whether there is a blockage in the bile ducts, which affects the gallbladder and its inflammation.

Chronic cholecystitis: treatment


Often, a cholecystectomy in such cases is the solution either through making simple incisions in the abdomen or an open resection process, whereby the doctor makes a large incision in the upper area of ​​the right side of the abdomen, but in some cases, the operation may not be performed due to illness and fatigue of the person concerned.

In such cases, medications are given, especially if there are gallstones, in order to break them up, but the patient must know that these stones are easily returnable, so surgery is the solution.

Chronic cholecystitis: prevention methods


Chronic cholecystitis can be prevented by preventing gallstones through some methods, which include:

  • Stay away from eating greasy food.
  • Stick to the three main meals and never ignore any of them.
  • Exercising at least 5 times a week for at least half an hour at a time.
  • Weight loss, because obesity increases the chance of getting these stones.
  • Avoid methods that will cause you to lose weight quickly.
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