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Acute cholecystitis
Discussion in 'All Categories' started by Mithilesh - Dec 13th, 2023 12:01 pm.
My USG Report suggest Acute cholecystitis. What should i do?
re: Acute cholecystitis by Dr. B. S. Bhalla - Dec 13th, 2023 12:02 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Acute cholecystitis is inflammation of the gallbladder, often due to gallstones blocking the cystic duct. If your ultrasound (USG) report suggests acute cholecystitis, it's crucial to follow up with a healthcare provider promptly. Here are some general recommendations:

Consult with a Healthcare Professional:

Schedule an appointment with your primary care physician or a gastroenterologist. They will review your medical history, symptoms, and the ultrasound findings to determine the appropriate course of action.
Pain Management:

If you are experiencing pain, your healthcare provider may prescribe pain medication to help manage discomfort.
Anti-Inflammatory Medications:

In some cases, nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce inflammation.
Nausea and Vomiting Management:

If you are experiencing nausea and vomiting, your healthcare provider may prescribe medications to help control these symptoms.

If there is evidence of infection, antibiotics may be prescribed to treat the infection.
Dietary Changes:

Your healthcare provider may recommend dietary modifications, such as a low-fat diet, to ease symptoms and reduce stress on the gallbladder.
Surgery (Cholecystectomy):

In many cases, especially if the cholecystitis is recurrent or severe, surgery to remove the gallbladder (cholecystectomy) may be recommended.
re: Acute cholecystitis by Harman - Jan 14th, 2024 11:56 am
I have Acute cholecystitis. Is surgery (cholecystectomy) necessary, or are there non-surgical alternatives?
re: Acute cholecystitis by Dr. Bishal - Jan 14th, 2024 11:57 am
Dr. Bishal
Dr. Bishal
In many cases of acute cholecystitis, the standard and most effective treatment is surgical removal of the gallbladder, known as cholecystectomy. This procedure is generally considered safe and is often performed laparoscopically, which involves smaller incisions and a quicker recovery compared to open surgery.

Non-surgical alternatives may be considered in certain situations, especially if surgery is not immediately possible or if there are medical reasons preventing surgery. However, these alternatives are usually temporary measures and do not address the underlying issue:

Antibiotics: In some cases, antibiotics may be prescribed to reduce inflammation and treat the infection. This is typically a short-term solution and may not prevent future episodes.

Percutaneous Drainage: For cases with severe inflammation or if surgery is not immediately possible, a drainage tube may be inserted through the skin to drain fluid from the gallbladder.

ERCP (Endoscopic Retrograde Cholangiopancreatography): This procedure may be performed to remove gallstones from the common bile duct. However, it does not address the gallbladder itself and is not a definitive treatment for cholecystitis.
re: Acute cholecystitis by Himanshu - Apr 10th, 2024 10:08 am
What are the potential complications of acute cholecystitis?
re: Acute cholecystitis by Dr. Rishi - Apr 10th, 2024 10:10 am
Dr. Rishi
Dr. Rishi
Acute cholecystitis, if left untreated or not managed properly, can lead to several potential complications, including:

Gangrene: Severe inflammation can reduce blood flow to the gallbladder, leading to tissue death (gangrene) in the gallbladder.

Perforation: Inflammation and pressure buildup can cause the gallbladder to rupture, leading to bile leakage and potentially life-threatening infections in the abdominal cavity (peritonitis).

Abscess formation: Pus-filled pockets (abscesses) can develop in the gallbladder or surrounding tissues due to infection.

Bile duct obstruction: Inflammation can cause the gallbladder or bile ducts to become blocked, leading to jaundice (yellowing of the skin and eyes) and potentially severe liver problems.

Pancreatitis: Inflammation in the pancreas can occur due to blockage of the pancreatic duct by gallstones or inflammation spreading from the gallbladder.

Chronic cholecystitis: Repeated episodes of acute cholecystitis can lead to chronic inflammation of the gallbladder, which can cause ongoing pain and digestive problems.

Gallbladder cancer: Although rare, chronic inflammation and gallstones can increase the risk of developing gallbladder cancer over time.

Sepsis: In severe cases, untreated acute cholecystitis can lead to a systemic infection (sepsis), which can be life-threatening if not promptly treated.
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