Cholecystitis - inflammation of the gallbladder. Predicting factors may include: the presence of gallstones( CSF, in this case called calculous cholecystitis ), stagnation of bile of any origin and dyskinetic disorders of biliary function, menopause and endocrine disorders, acute and chronic diseases of the gastrointestinal tract and other factors.
Cholecystitis can be acute and chronic , occurs mainly in adults, and in women it is relatively rare in women three to four times more likely than men. Let's talk about the symptoms and treatment of various forms of cholecystitis at home.
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Code for the ICD-10
Cholecystitis - K81.Excluded: with cholelithiasis( K80.)
- K81.0: Acute cholecystitis: gallbladder abscess;angiocholecystitis;cholecystitis: emphysematous( acute), gangrenous, without stones, purulent. Empyema of the gallbladder. Gangrene of the gallbladder.
- K81.1.Chronic cholecystitis.
- K81.8.Other forms of cholecystitis.
- K81.9.Cholecystitis, unspecified.
Calculous cholecystitis
Calculous cholecystitis is a form of chronic process in the gallbladder caused by the presence of various stones( concrements).Their number and size can be different. Sometimes it is one large stone with a diameter of up to 5-6 cm or more, or many small stones with a diameter of a fraction of a millimeter( sand).According to statistics, 10% of the adult population suffers from CSF.Chronic calculous cholecystitis of women worries five times more often than men. The age category of patients is 40 years and older. Children and young people under the age of 30 this disease worries very rarely.
Acute cholecystitis: symptoms
It begins suddenly with an attack of of acute pains in the right hypochondrium resembling renal colic. Pain can be given to the right shoulder and shoulder blade. Patients are restless, they constantly change the position of the body in bed to reduce pain. At the same time, in the position on the right side, the pain sharply increases. Along with pain syndrome, nausea, vomiting with a small amount of bile, repeated urge to vomit.
Another important symptom is fever; the temperature rises to 39-40 ° C, the face of the patient, especially the forehead, is often covered with droplets of cold sweat, the lips and tongue are dry, the skin is pale and only occasionally somewhat hyperemic. The temperature lasts for several days, then gradually falls.
The third symptom is severe pain when feeling the right hypochondrium.
The pain attack in acute cholecystitis is much more prolonged than with cholelithiasis, not complicated by acute inflammatory process of the gallbladder. In particular, with catarrhal cholecystitis, severe pain persists for several days, then gradually weakens. The pain disappears usually after 1-2 weeks.
Abdomen with acute cholecystitis is usually swollen, nausea, vomiting, constipation, dryness of the tongue are observed.
Acute cholecystitis can be complicated by blockage with a stone or an inflammatory infiltrate of the common bile duct with the development of mechanical jaundice. In acute cholecystitis, the pancreas is often involved in the inflammatory process( which is explained by its close anatomical and physiological connection with the gallbladder).
Patients with acute cholecystitis should be placed in a hospital. Treatment consists in the appointment of the same diet, as in cholelithiasis, the appointment of painkillers, the use of heat in the form of compresses and heaters.
Chronic cholecystitis: symptoms
In chronic cholecystitis, which develops after acute, the main complaints of patients are associated with pain in the liver. Pain is usually dull, long-lasting and only occasionally aggravated. Jaundice is usually not present, if, as it sometimes happens, does not develop a secondary lesion of the hepatic tissue.
Patients with chronic cholecystitis are characterized by various disorders of the digestive tract - dyspepsia, lack of hydrochloric acid in the stomach, a tendency to constipation, alternating diarrhea, and changes in the enzymatic function of the pancreas. The temperature is usually normal or slightly elevated.
As a result of the formation of scars and adhesions with neighboring organs in chronic cholecystitis, there may be phenomena reminiscent of peptic ulcer or chronic appendicitis.
Chronic cholecystitis often changes the nervous system;patients become irritable, suffer from insomnia, they constantly have a bad mood( "bilious person").
Prognosis for chronic cholecystitis is quite favorable. The disease proceeds slowly in the form of periodic outbreaks and often ends in recovery.
Prevention of
In chronic cholecystitis usually seek to prevent repeated exacerbations, as well as reduce the existing changes.
Fight bile stagnation( regular eating, morning gymnastics, sports, timely bowel movement, diet), gastrointestinal diseases, strengthen the nervous system, which is especially important in cases of dyskinesia of the biliary tract. Of great importance is the organization of rational nutrition, as well as the explanation of the harm of smoking and alcohol intake.
Giardiasis cholecystitis: symptoms and treatment
Giardiasis cholecystitis is caused by microscopic parasites living in the human small intestine.
Parasites enter the gallbladder through the bile ducts, cause prolonged pain in the right hypochondrium, loss of appetite;patients become irritable.
Lambliasis cholecystitis is treated mainly by Akrihin. The course of treatment is 10-12 days. For successful treatment the patient should take 2-3 courses of akrikhinotherapy with an interval between courses of 10-15 days. This has not only a curative, but also a fixing-therapeutic effect.
Folk treatment of cholecystitis: how to treat at home
Traditional medicine for chronic cholecystitis advises such remedies:
Prepare collection 1 :
- valerian officinalis( roots) - 20 g,
- St. John's wort( grass) - 30 g,
- Artemisia vulgaris(grass) - 20 g,
- common hops( cones) - 10 g.
Mix everything.1 tablespoon of the collection pour a glass of boiling water, insist 1 hour, strain. Take 1 glass of infusion 2-3 times a day for half an hour before meals.
Collection 2 :
- barberry common( fruits) - 20 g,
- birch leaves( leaves) - 20 g,
- juniper ordinary( fruits) - 20 g,
- wormwood grass - 20 g,
- yarrow( grass)) - 20 g.
All the mix.1 tablespoon of the collection pour a glass of boiling water, insist 1 hour, strain. Take 1-2 glasses three times a day for half an hour before meals.
Collection 3 :
- birch leaves,
- barberry fruit,
- juniper fruit,
- herb wormwood grass,
- yarrow herb.
Total take three tablespoons, mix, chop.1 teaspoon of the mixture pour a glass of boiling water, insist 6 hours, strain. Take 1 glass in the morning and evening before eating.
Collection 4 :
- chicory root,
- walnut leaves,
- celand grass.
Total take 20 grams, mix, chop.1 teaspoon of the mixture pour a glass of boiling water, insist 2-3 hours, strain. Take 150-200 ml after meals 2 times a day. Very useful collection, strengthens immunity.
Black radish juice with honey ( 1: 1) should be taken 3 tablespoons a day. Drink start with 1/10 liters and reach up to half a liter per day. This not only prevents the appearance of stones, but also contributes to their rapid removal.
Decoction of rose hips .2 tablespoons of ground roots pour 0.5 liters of water, boil 3-5 minutes, strain. Drink one third of the glass three times a day for two weeks to dissolve the gall bladder stones.
1 tablespoon flowers immortelle sand pour 300 ml of boiling water, insist 2 hours, strain. Drink 100 ml per hour before meals for a month.
Juice of sauerkraut .With cholecystitis and cholecystopathy, drink 50 ml of juice 3-4 times a day.
Smoke ordinary .Three teaspoons of herbs pour 2 cups of cold boiled water. Insist 4-5 hours, strain. Drink 1 tablespoon 4-5 times a day.
Herbs and dents used in the treatment of cholangitis are good for cholecystitis.
With giardiasis cholecystitis:
Prepare the mixture:
- 25 grams of garlic clot,
- 25 grams horseradish,
- 500 ml vodka.
Mix everything, insist 14 days in a dark place, periodically shaking the contents, strain, wring out the residue. Take 1 tablespoon, with a sip of water 2-3 times a day for 30 minutes before eating.
Mix in equal parts with red beet juice, carrot juice, honey and cognac juice. Stir. Store in a cool, dark place. Mix before use. Take half a glass three times a day for 30 minutes before eating. A sharp tincture, but very effective.
The treatment of both acute and chronic cholecystitis consists primarily of dieting, the appointment of thermal procedures: poultices, compresses, warmers, mud cakes, etc.
Diet, drugs, medicines
A vegetarian diet rich in vitamin C has a good effect;It should be excluded from the food egg yolks, brains, butter, avoid fatty.
Concurrent diseases such as achillia, pancreatitis should be treated concomitantly.
During the exacerbation of bed rest, table number 5 is rich in carbohydrates, normal protein content and fat restriction to 10-20 g. More details about the diet, products and menus for gallbladder inflammation can be found on the page of Gallstone disease: symptoms and treatment of the CSF.
Antibiotics of a broad spectrum of action intramuscularly( see antibiotic therapy for cholangitis);at the end of the course of treatment, it is advisable to administer antibiotics through the probe to the duodenum.
Intravenous glucose infusions every day or every other day.
Lipocaine is recommended for 0.1 g three times a day, Pancreatin 0.5 to 3-4 times a day.
Effective tjubazh on Demyanov with magnesium sulfate( 30-40 ml of 25% solution) for 10-14 days daily or every other day, cholagogue. With pain in the abdomen - Belladonna, Papaverin. Vitaminotherapy.
Spa treatment in Zheleznovodsk, Essentuki, Truskavets is shown.
When bile colic attacks, read the special page of the site "Rainbow", dedicated to the first emergency care for acute cholecystitis.
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The leading factor in the development of acute cholecystitis is a violation of the outflow of bile from the gallbladder, which occurs when the stone is occluded by the gallbladder's neck or bladder duct. Of secondary importance in the development of acute inflammation is a violation of the blood supply to the gallbladder wall in atherosclerosis of the visceral branches of the abdominal aorta and the damaging effect of pancreatic juice on the mucosa of the gallbladder with reflux of the secretion of the pancreas into the bile ducts.
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Source: NGNogov. Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.
