Cholecystitis: Causes, Symptoms, Treatment And Prevention

Cholecystitis: Causes, Symptoms, Treatment And Prevention

The condition of the inflamed gallbladder is known as cholecystitis. The gallbladder is a pear-shaped organ that resides under the liver. It stores a digestive juice known as bile. Bile consists of various chemicals but the main pigment is known as bilirubin. When the quantity of bilirubin increases in the bile, gallstones can form.

Cholecystitis occurs when a gallstone is stuck at the opening of the gallbladder. If left untreated for a long period of time, cholecystitis can lead to perforation of the gallbladder, tissue death, fibrosis, and shrinking of the gallbladder, or secondary bacterial infections.

Causes

The primary reason for cholecystitis is the trapping of gallstones at the opening of the gallbladder. The risk of developing gallstones is increased by-

  • Genetic factors
  • Diabetes
  • Losing weight rapidly
  • Obesity
  • Oldage
  • Pregnancy

The other reasons for cholecystitis could be-

  • Shock
  • Immune deficiency
  • Injury to the abdomen from burns or trauma
  • Fasting for very long

Symptoms

Symptoms for cholecystitis

The most common signs and symptoms of cholecystitis include pain in the upper right portion of the abdomen. You may also suffer from fever and your white blood cell count will be high. The other symptoms which you might have are-

  • No appetite
  • Tenderness on the upper-right hand side of the abdomen
  • Abdominal bloating
  • Vomiting
  • Sweating
  • Feeling of nausea

If someone is suffering from acute cholecystitis, the pain starts out of the blue and persists. The condition intensifies if left untreated and you continue to breathing in deeply.

Complications

If cholecystitis is left untreated for a prolonged period of time, it can complicate the condition giving rise to other problems-

  • A tube or channel, known as fistula, can develop between the gallbladder and duodenum. This is caused if a large stone erodes the wall of the gallbladder.
  • A gallbladder may get stretched or swollen due to excessive bile accumulation. This is known as gallbladder distention. The risk of tear, infection or tissue death is much higher in this case.
  • The tissue of the gallbladder can also die which can lead to gangrene. This makes the risk of perforation higher.

Treatment

The gallbladder can get inflamed if a gallstone has become large enough which doesn’t allow the bile to be drained. In cases like this, the doctor can ask you for the removal of the gallbladder. This can be done in two ways-

  • Conservative “Open” surgery- In this type of surgery, a large cut is made by the surgeon in the abdomen. People undergoing open surgery require a longer hospital stay and recovery time.
  • Laparoscopic Treatment- This is highly recommended by the doctor for treating gallstones. With a laparoscopic procedure, a small incision is made through which a small laparoscope is inserted to help the doctor to see inside.

Some of the advantages of laparoscopic surgery are discussed below-

Reduced risk of bleeding During laparoscopic surgery, the surgeon makes one or more small incisions in the abdomen. These allow the surgeon to insert the laparoscope, small surgical tools, and a tube used to pump gas into the abdomen. This is done so that the doctor can look inside and operate easily. The size of the incision size is so small that the large incision made for open surgery reduces the risk of bleeding.

The less painful healing process In the case of conservative methods, patients take a longer time to recover as one large incision is made. With laparoscopic surgery, the post-surgical wound is much smaller and properly bandaged with abdominal sutures. This ensures that the healing process is much less painful.

Reduced chances of scarring Traditionally, before the emergence of this treatment, a surgeon had to cut a patient’s belly that was 6-12 inches long. This allowed doctors to see inside the abdominal or pelvic cavity and operate accordingly. Particularly in overweight and obese patients, there is a high risk of infection in the scar tissue, specifically if the surgical wound is larger.

Reduced risk of infection The risk of postoperative infection is significantly reduced to a minimal in laparoscopic surgery as there is minimum exposure of internal organs to external contaminants. As laparoscopic surgeries are day-care procedures, patients are generally discharged the same day. They can return to their daily activities much more quickly.

Patients who suffer from a lung or heart disease, laparoscopic treatment is carried out without general anesthesia. Surgeons guide their patients for traditional or laparoscopic surgery, accordingly after thorough diagnosis.

Prevention

If the risk of developing gallstones can be reduced then the chance of developing cholecystitis is also decreased. This can be done if you follow the below-mentioned precautions-

Diet after surgery
  • Avoid saturated fats
  • Keep a regular breakfast, lunch and dinner times
  • Avoid skipping meals
  • Exercise daily for at least half an hour
  • Avoid rapid loss of weight

If you follow a healthy lifestyle and regularly monitor your body weight, then you are at a lower risk of developing gallstones.

High consumption of junk food leads to an increase in cholesterol levels. This is the main reason for the development of gallstones in obese people. Pristyn Care is known for providing the best gallstone treatment. Our doctors use the most advanced laparoscopic technology which ensures a seamless surgical experience to our patients.

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