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Diagnosis and treatment of chronic cholecystitis


Diagnosis and treatment of chronic cholecystitis

Diagnosis and treatment of chronic cholecystitis

Cholecystitis can be caused by bacteria (E. coli, streptococcus, staphylococcus, etc.), helminths, giardia, fungi; there are cholecystitis of toxic and allergic nature. The microbial flora penetrates the gallbladder by ascending (from the intestine), hematogenous (through the blood) or lymphogenous (through the lymph) pathway.

Symptoms of chronic cholecystitis:

- dull, aching (sometimes sharp) pain in the right hypochondrium,
- sensation of bitterness and metallic taste in the mouth,

- belching air

- nausea,

- flatulence,

- violation of defecation (possible alternation of constipation and diarrhea),
- irritability, insomnia.

Diagnosis of chronic cholecystitis:

Diagnosis begins with the identification of the main complaints and external signs of the disease, showing the doctor a further diagnostic algorithm. To clarify the diagnosis of chronic cholecystitis, the following diagnostic methods are used:

- Ultrasound of the abdominal organs, in particular the gallbladder, can detect the presence of stones or signs of inflammation in the gallbladder.

- Cholegraphy - an x-ray examination method that allows you to identify signs of inflammation of the gallbladder. Cholegraphy is not performed during an exacerbation of the disease, as well as during pregnancy (in these cases, ultrasound is preferred).

- General and biochemical blood tests - allow you to identify signs of inflammation and other signs characteristic of diseases of the liver and gallbladder

- Analysis of feces for parasites (roundworm, giardia) - mandatory for all patients with cholecystitis.

Treatment of chronic cholecystitis:

With exacerbations of chronic cholecystitis, hospitalization in a surgical or therapeutic hospital is necessary;
therapy is the same as for acute cholecystitis. In mild cases, outpatient treatment is possible: bed rest, dietary nutrition - restriction of fatty foods and their caloric content, eating 4-6 times a day.
In the exacerbation phase of the process, broad-spectrum antibiotics are used, which accumulate in bile in a sufficiently high concentration, in usual therapeutic doses for 7-10 days. With giardiasis, antiparasitic drugs are effective. To eliminate biliary dyskinesia and spastic pain, symptomatic treatment is prescribed with one of the antispasmodic drugs (no-shpa, motilium, etc.).
Violation of the outflow of bile in patients with chronic cholecystitis is corrected by choleretic agents (synthetic and vegetable origin), stimulating the formation and secretion of bile by the liver, as well as increasing muscle contraction of the gallbladder and the flow of bile into the duodenum. It is advisable to use enzyme preparations containing bile acids.

You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling-Med clinic will make you feel confident in yourself and in your health!

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