Cholecystitis

Question: cholecystitis? Definition Sign and symptom Manifestation Treatment Management Picture

Answer: What is cholecystitis? Cholecystitis is inflammation of the gallbladder, a small organ near the liver that plays a part in digesting food. Normally, fluid called bile passes out of the gallbladder on its way to the small intestine. If the flow of bile is blocked, it builds up inside the gallbladder, causing swelling, pain, and possible infection. PICTURE http://apps.uwhealth.org/health/adam/graphics/images/en/7097.jpg What causes cholecystitis? A gallstone stuck in the cystic duct, a tube that carries bile from the gallbladder, is most often the cause of sudden (acute) cholecystitis. The gallstone blocks fluid from passing out of the gallbladder. This results in an irritated and swollen gallbladder. Infection or trauma, such as an injury from a car accident, can also cause cholecystitis. Acute acalculous cholecystitis, though rare, is most often seen in critically ill people in hospital intensive care units. In these cases there are no gallstones. Complications from another severe illness, such as HIV or diabetes, cause the swelling. Long-term (chronic) cholecystitis is another form of cholecystitis. It occurs when the gallbladder remains swollen over time, causing the walls of the gallbladder to become thick and hard. What are the symptoms? The most common symptom of cholecystitis is pain in your upper right abdomen that can sometimes move around to your back or right shoulder blade. Other symptoms include: Nausea or vomiting. Tenderness in the right abdomen. Fever. Pain that gets worse during a deep breath. Pain for more than 6 hours, particularly after meals. Older people may not have fever or pain. Their only symptom may be a tender area in the abdomen. How is cholecystitis diagnosed? Diagnosing cholecystitis begins when you describe your symptoms to your doctor. A physical exam follows. Your doctor will carefully feel your right upper abdomen looking for tenderness. You may have blood drawn and an ultrasound, a test that uses sound waves to create a picture of your gallbladder. Ultrasound may reveal gallstones, thickening of the gallbladder wall, extra fluid, and other signs of cholecystitis. This test also allows doctors to check the size and shape of your gallbladder. You could also have a gallbladder scan, a nuclear scanning test that checks how well your gallbladder is working. It can also help find blockage in the tubes (bile ducts) that lead from the liver to the gallbladder and small intestine (duodenum). How is it treated? Treatment for cholecystitis will depend on your symptoms and your general health. People who have gallstones but don't have any symptoms may need no treatment. For mild cases, treatment includes bowel rest, fluids and antibiotics given through a vein, and pain medicine. The main treatment for acute cholecystitis is surgery to remove the gallbladder (cholecystectomy). Often this surgery can be done through small incisions in the abdomen (laparoscopic cholecystectomy), though sometimes it requires a more extensive operation. Your doctor may try to reduce swelling and irritation in the gallbladder before removing it. Occasionally acute cholecystitis is caused by one or more gallstones becoming stuck in the main tube leading to the intestine, called the common bile duct. Treatment may involve an endoscopic procedure (endoscopic retrograde cholangiopancreatography, or ERCP) to remove the stones in the common bile duct before the gallbladder is removed.

Question: Why do some people have jaundice when they have cholecystitis? One sign of cholecystitis (gallbladder disease with gallstones) is jaundice. Why would a person have that?

Answer: The gallbladder produces bile. When the organ is diseased or effected by stones then the bile "spills" into the cells in the entire body instead of going into the stomach and intestines to help digest food. I hope this helps you understand why this happens. God Bless

Question: Can severe stress cause chronic cholecystitis? I had previously undergone cholecystectomy due to gallbladder adenomyomatosis/chronic cholecystitis. I am only 22 yrs old. I do not normally eat fatty foods and yet I got the said illness. there are no established history in our family about gallbladder problems. Could it be that severe stress caused it?

Answer: Stress usually does not cause that kind of problems. But there are a lot of things that stress do such as peptic ulcers. And also ulcers can cause that kind of problems. So consult to a doctor.

Question: Will drinking Liquor make my Cholecystitis/Gallstones flare up? I was recently diagnosed with Cholecystitis caused by my gallstones they put me on a no fat diet until my surgery to get it removed. But today is new years eve and i was wanting to celebrate. Would it be safe to consume some liquor tonight or would it irritate my gallstones?

Answer: Yes, alcohol will irritate your gallstones....aside from fatty foods, it's one of the main causes of gallbladder flare ups/pain. The gall bladder is linked to the pancreas, and alcohol can adversely affect the pancreas, as well. If I were you, I'd abstain. I understand you want to celebrate, but you will likely pay for it if you do!

Question: Why does rapid weight loss sometimes precipitate cholecystitis? I am a nurse, but I am not sure I understand the dynamics of this phenomenon. Buford, that is not what I was asking!!!

Answer: Any change in eating habits (diet) is going to send your digestive tract into a tizzy. and when the digestive tract is not happy, nothing else is either. Also watch that any, medicine given for one ailment will throw your whole stomach out of whack..... Avoiding fatty foods should be good for you. Gallbladder problems can run in families as well.

Question: What is recommended NOT TO EAT with a cholecystitis (acute thickening of the gallbladder)? ? I appreciate any helpful advise. Can I drink Coffee?

Answer: and mayonnaise to the first answer.

Question: My wife if 5 weeks pregnant, and she has a history of gallstones. How likely is she to develop cholecystitis?

Answer: It is not unusual for women to develop cholecystitis during pregnancy. Pregnancy can increase the chances. They try to control the pain with meds, diet, etc.to avoid surgery. Surgery can be done while pregnant if totally necessary, but better to wait until after delivery. I've know of cases where delivery one day and surgery the next. Make the OB aware of the history and treat the symptoms.

Question: Where can I find a place that specializes in Cholecystitis in San Diego?

Answer: It's a very common disease and the associated procedure is routine and low-risk. Focus on finding a good general surgeon.

Question: Does gall bladder pain always have to be cholecystitis? because i went to two doctors and none of them gave me antibiotics. they simply told me to lay off heavy foods..but i am kinda worried still.. as the pain persists right i eat sugary things..will it be like this forever unless i remove my gall bladder ? im dooing my best to cleanse it..

Answer: My husband had his gall bladder removed.Before it was removed he could not eat fatty or greasy rich foods.That would stir it up.He still has problems even though the gall bladder has been removed so seek some more opinions .

Question: Is cholecystitis glandularis benign or malignant?

Answer: honey, try webmd.com

Question: How common is cholecystitis or gallstones in teenagers? I'm 15 and I have cholecystitis. I'm not obese and I don't have a family history of it. I was just wondering how common is this? I admit my diet is sometimes not the best but I do try to eat good foods (I only drink diet pop, for example) and my mom doesn't have a lot of fatty or salty foods inthe house. I might be under a little stress because of school but not that much.

Answer: Rarely, a form of acute cholecystitis without gallstones (acalculous cholecystitis) occurs. Acalculous cholecystitis is more serious than other types of cholecystitis. It tends to occur after the following: * Major surgery * Critical illnesses such as serious injuries, major burns, and bodywide infections (sepsis) * Intravenous feedings for a long time * Fasting for a prolonged time * A deficiency in the immune system It can occur in young children, perhaps developing from a viral or another infection.

Question: what is subacute cholecystitis? i can find acute cholecystitis online but i cant find any explanation in lamens terms of subacute cholecystitis. any help is greatly appreciated!!

Answer: The following links are surgical/doctors pictures of examples of subacute cholecystitis. Its very gross for layman but it will give u a better idea of what's happening inside and different stages of the development in the gall bladder. Symptoms of subacute choleystitis is the diffuse-chronic inflamation resulting in thickening of the wall of the gall bladder. This can be resulted from gall stone, chemical or bacterial factors Look at no. 54 - 61. http://medic.med.uth.tmc.edu/edprog/PATH…

Question: Whet type of diet would a patient with pancreatitis,hepatitis,and cholecystitis be given.?

Answer: If this is an acute condition, probably no diet. The physician would order the patient to be NPO, nothing by mouth. When a patient is NPO, there is an IV in place and fluids are given to prevent dehydration. Once things calm down , then they would start with clear liquids and advance as the patient can tolerate. Usually in this order clear liquids, full liquids, soft diet, full or regular diet providing there are no other problems such as limiting glucose, fat, and or sodium. Most pancreatitis and gallbladder patients need a low fat diet.

Question: Recently diagnosed with chronic cholecystitis. Help? I was recently diagnosed with chronic cholecystitis and my doctor doesn't think it's the cause of my chest pain, gastritis, nausea and vomitting, and back pain. I want to have it removed. If I go to the hospital in again in pain and nausious, will they admit me and schedule surgery? Tests I have had: Blood shows no abnormalities CT scan on my abdomen and chest-negative chest X-ray-negative Stress test on the heart-negative EKG-negative electrocardiogram-negative Upper GI endoscopy-negative Barium swallow-negative H-pylori-negative

Answer: the advice I can give you is that if you really want it out then it the foods that cause the inflammatory process to start back up (fried foods, milk products) then go to the ER. The golden rule is that if you go to the hospital twice for the same reason then the hospital will admit you for cholecystitis. But if you do not want to have surgery then avoid fried foods, real greasy foods, and milk products. They cause the the inflammatory process. But I really think your doctor is wrong. With gallbladder problems is mocks a heart attack. The chest pain, N/V and back pain are signs and symptoms of a gallbladder attack and I think you need to see another doctor for a second opinion and you will find out that you are right.

Question: can you have chronic cholecystitis? I always have a small pain in my RUQ, for like 18 years, under right front rib cage, under right scapula, on right outside ribcage, sometimes it feels like my esophagus is choked off a bit...what does this sound like? my doctor thinks cholecystitis is always severe, nausea, vomiting, etc...

Answer: -- your complains alone is suggestive of many diseases mainly as chronic cholecystitis , amaebic liver abcess , sub-phrenic abcess , biogenic liver abcess , -- I want to know if the pain is related to food " what kind especially fatty meals suggest cholecystitis" or related to postion " if increase when you ly on your right side may be due to abcess" or if the pain related to respiration or breathing " most common with abcess" -- the character of pain if it is stabing " abcess" or colicky "cholecystitis" -- I want to know if there is fever or not and what it is degree " abcess" -- I want to know if there is discomfort especially after fatty meals"cholecystitis" == lastly you must have ULTRASONOGRAPHY because it is diagnostics for previous condition nearly 100% accurecy

Question: Is it possible to have a cholecystectomy if you have a rheumatic heart disease? What are the chances? My brother in the philippines has a rheumatic heart disease for 2 years and the doctors just found recently that he has cholecystitis, Im just worried because the doctors doesnt want to remove the gallbladder.

Answer: It would all depend upon the condition of your brother's heart at the time of his surgery. His surgeons would have to make the decision on the grounds of whether his heart would be able to endure the stress of major surgery. I feel for you it is a hard thing to go through for everybody involved.