Etiology, symptoms and treatment of chronic cholecystitis

Chronic cholecystitis - inflammation in the gallbladder, which occurs with remissions and exacerbations, is accompanied by a violation of the excretion of bile and is characterized by specific attacks. Long stagnation of bile leads to the formation of calculi and the development of calculous form of the disease. An exacerbation of cholecystitis is most often observed after taking alcohol or fatty foods.

treatment of chronic cholecystitis

Causes of Chronic Cholecystitis

• congenital anatomical defects of the gallbladder and its insufficient tone;

• pregnancy;

• biliary dyskinesia;

• constant overeating and the development of obesity;

• cholelithiasis;

• the presence of intestinal parasites: giardia, amoeba, roundworm.

In the pathogenesis of the disease, the main role is given to impaired motility of the gallbladder, when the normal outflow of bile changes and the infection joins.

I must say that the treatment of chronic cholecystitis must be carried out in a timely manner, since otherwise adhesions and deformations of the gallbladder, its fusion with the organs of the abdominal cavity may occur.

attack of cholecystitis
Clinic of chronic cholecystitis

Symptoms of this disease include belching, bitterness in the mouth, pain in the hypochondrium, which intensifies after eating spicy, fatty foods, alcohol, as well as after hypothermia and exposure to stress.

An attack of cholecystitis proceeds as a colic, when there is paroxysmal pain, nausea and vomiting, the temperature rises to subfebrile indicators.

It should also be noted that this disease can be characterized by atypical manifestations (for example, dull pains in the region of the heart, flatulence, constipation).

Treatment of chronic cholecystitis

Therapy is carried out only after diagnosis, in which ultrasound, cholegraphy, biochemical and general blood tests, as well as stool analysis for parasites are most often used.

Treatment of chronic cholecystitis should be under the supervision of a gastroenterologist who prescribes antibiotics, antispasmodics and choleretic drugs. It is worth noting that it is important to follow the appropriate treatment regimen and diet.

With an exacerbation of the disease, bed rest, physical and psychological rest, as well as limiting the amount of food, are recommended. In the future, patients should exclude from their diet fatty, fried, too salty and spicy dishes, eggs and fresh muffins, sweets, alcohol, seasonings.

exacerbation of cholecystitis
Treatment of chronic cholecystitis is aimed at eliminating pathological symptoms and restoring the normal functioning of the digestive system. So, to reduce pain, “No-shpa”, “Diphenhydramine” or “Baralgin” preparations can be prescribed, and to eliminate nausea and vomiting - “Motilium” or “Tserukal” medicines.

If chronic cholecystitis is caused by the influence of infectious agents, antibiotics must be included in the treatment regimen. For a good outflow of bile, choleretic drugs are prescribed.

In addition, with this pathology, folk remedies are successfully used: alcohol tincture from barberry leaves, decoction of tansy, parsley, mint or rose hips.


All Articles