- The symptoms of acalculous cholecystitis
- Causes of acalculous cholecystitis
- Treatment of acalculous cholecystitis
Acalculous cholecystitis what is it? This disease, which is characterized by the presence of inflammatory processes in the gallbladder without formation of stones. Therefore, this kind of is also called acalculous cholecystitis.
The symptoms of acalculous cholecystitis
The most common symptom of this disease is a dull pain in the right hypochondrium, occurring after a few minutes or hours after consumption of fried or fatty foods, and after stressful situations or after heavy physical exertion. The typical symptoms of cholecystitis without stones (acalculous) cholecystitis
- frequent belching
- bitter taste in mouth
- nausea (constant or periodic bouts)
- vomiting (acute exacerbations or for violations of diet).
Symptoms of acalculous cholecystitis may be atypical for this disease. In particular, we are talking about the origin of the arrhythmia, palpitations, pain on the background of bloating, bouts of diarrhea or constipation.
The totality of symptoms is the basis for diagnosis. Physical examination, interviewing the patient factors for a preliminary diagnosis. Clarifying information will give a General analysis of blood, ultrasound of the gall bladder, radiography, duodenalnoe probing, scintigraphy. Optimal methods of examination chosen by the doctor depending on the patient’s condition and other factors.
Causes of acalculous cholecystitis
The main reason for the emergence and subsequent development of acalculous cholecystitis getting into the gallbladder infectious agent. The infection could enter blood or lymph, and also of the neighboring organs, the presence of inflammatory processes in the intestine. Cholecystitis in most cases is not a standalone, and is accompanied by a number of inflammatory processes these include pancreatitis (in most cases), rarely hepatitis and diseases of other organs of the digestive system. The presence of other inflammatory processes the transfer factor of acute acalculous cholecystitis chronic.
In addition to infectious causes, there are other. In particular, we are talking about the violation of the outflow of bile from the bladder, the deformation of the body wall, the deterioration of the tone of the gall bladder, prolapse of the abdominal organs. Very often the reason for the development of acalculous cholecystitis is becoming pregnancy, lack of exercise, eating disorders, overeating, and abuse of harmful foods, alcohol. Another risk factor for dysfunction of the endocrine system.
At the beginning of the development of acalculous cholecystitis disorders of motor function of the gallbladder, and only after there is a deepening of the process of the emergence of infection. The result is sluggish inflammation and chronic acalculous cholecystitis, concerning not only the gallbladder, but also its ducts. After some time, the gall bladder loses the ability to full their functions, which provokes the stagnation of bile. Further, the structure body changes, deformations, adhesions are often formed bladder with the intestines.
Treatment of acalculous cholecystitis
The methodology for the treatment of acalculous cholecystitis depends on the form of acute or chronic. Treatment of chronic acalculous cholecystitis is
- in remission through diet, the emphasis on sparing diet, individually tailored diet based on their personal characteristics
- in periods of exacerbations with the use of medicines. Drug therapy consists of antibiotics, antispasmodics, anti-inflammatory drugs. Depending on the condition of the patient, the doctor may also prescribe antioxidants, the funds that contribute to the normalization of the functioning of the biliary system. If necessary, the patient is undergoing treatment from parasitic processes, pathologies, complications.
Acute acalculous cholecystitis treated in hospital (surgical Department). You need constant medical monitoring of the patient and monitoring the effectiveness of treatment. The treatment’s duration of acute cholecystitis from 1.2 to 2 months. Upon completion of inpatient treatment is assigned to an outpatient under strict control
gastroenterologist. You need to pass examinations, comply with recommendations for treatment, prevention, diet.
After the treatment of acute cholecystitis and in remission periods in chronic cholecystitis the benefits of a Spa treatment. To prevent recurrence, it is necessary to observe measures of prevention this applies to diet, treatment of primary and secondary dyskinesia of bile ducts. Diet is very important the patient will need to get used to the constant power mode at the same time, 5-6 times a day in small portions. Food standards are developed individually
Acalculous cholecystitis is not a fatal disease, however, if you run it, the inflammatory process will spread to other organs and cause severe pathology. Treatment of the running process very complex and lengthy. Therefore, it is important for the patient immediately upon detection of the primary symptoms of the disease to consult a gastroenterologist or, in severe condition, call the emergency assistance.