Distinguish between acute and chronic cholecystitis. Acute cholecystitis is simple and destructive. Knowing the symptoms and treatment of cholecystitis depending on its form is very important in order to prevent complications. In acute cholecystitis, there is a sharp pain in the right hypochondrium, which gives under the scapula, to the back, intensifies with a deep breath, nausea and vomiting of bile appear. With a destructive form, body temperature rises and severe vomiting is worried.
Knowing the symptoms, and treatment of cholecystitis begin with all the signs. So with an acute illness, bed rest and starvation are prescribed for several days, until the situation is fully clarified. With the ineffectiveness of conservative treatment in acute cholecystitis, surgery is performed and the gall bladder is removed. With a complicated destructive process, this is mandatory.
In case of refusal of surgical treatment, the patient often develops complications of cholecystitis, time is wasted. And later, extensive surgical intervention is required, followed by long-term postoperative treatment.
If pain occurs in the right hypochondrium, it is better to call a doctor or ambulance at home. Prior to their arrival, you do not need to do an enema, give a laxative for constipation, do gastric lavage with vomiting, hoping to relieve intoxication. Do not eat at all. In this situation, hunger is the best medicine.
With an acute attack of cholecystitis, hospitalization and bed rest are indicated. Treatment consists in the parenteral administration of detoxification drugs, antispasmodics, antibiotics, pain medications.
In the chronic process, the symptoms and treatment of cholecystitis are somewhat different. As a rule, the disease develops against the background of another, already existing disease of the gastrointestinal tract. The pains are dull, aching in nature, occur after eating plentiful or fatty foods after two to three hours. The pains are constant, they are given to the right shoulder, under the shoulder blade, to the neck, with a deep breath they intensify. The patient is disturbed by bloating, belching of air, nausea, bitterness in the mouth, alternating diarrhea and constipation.
On palpation, the gallbladder is not determined, most likely, it is wrinkled due to the sclerotic process. With duodenal sounding, it is rarely possible to get an average portion of bile from the bladder, and if it is, it will be cloudy and dark. With its study, you can determine the causative agent of the disease and already know more precisely how to treat cholecystitis in the future.
In chronic cholecystitis, antibiotics, antispasmodics, choleretic drugs are prescribed, I make a perinephric novocaine blockade to relieve the pain syndrome, a tubage with magnesia and mineral water to drain the bile from the bladder and rinse it. Without exacerbation, thermal physiotherapeutic procedures are prescribed. A good effect is herbal medicine and acupuncture.
For the prevention of the disease, spa treatment in Yessentuki, Zheleznovodsk, Truskavets, Borjomi and local sanatoriums is useful.
In the absence of contraindications, knowing the symptoms, and treatment of cholecystitis can be carried out correctly, depending on its course and duration of the disease. But without diet, there is no point in the treatment. With an exacerbation of the disease, it is best to sit on a half-starved diet for the first days, give the body a rest.
It is constant violations, errors in food intake, alcohol consumption and smoking that provoke new attacks, exacerbation of the disease, negate any, even the most effective treatment. It is strictly forbidden to eat fatty, spicy foods, smoked meats and spices. You can not cook mushroom and rich broth, fatty meat, flour and, of course, alcohol.