Women with cholecystitis should be careful of these symptoms

Cholecystitis is a common disease at present. Cholecystitis can lead to acute cholecystitis and chronic cholecystitis. Both women and men will be troubled by cholecystitis. The most common and obvious symptoms of cholecystitis are indigestion, aversion to greasy food, stuffiness and warmth in the upper abdomen, and a burning sensation in the stomach. Because water accumulation in the gallbladder can cause patients to have difficulty in defecation.

Symptoms and signs

1. Acute cholecystitis

Many patients develop the disease in the middle of the night after eating a greasy dinner, because a high-fat diet can increase the contraction of the gallbladder, and lying flat can make it easy for small gallstones to slide into and become embedded in the gallbladder duct. The main symptoms are persistent pain in the right upper abdomen, which worsens intermittently and may radiate to the right shoulder and back; it is often accompanied by fever, nausea and vomiting, but chills are rare and jaundice is mild. Abdominal examination revealed fullness in the right upper abdomen, tense abdominal muscles in the gallbladder area, and obvious tenderness and rebound pain.

2. Chronic cholecystitis

Symptoms and signs are atypical. Most of the symptoms are biliary indigestion, aversion to greasy food, upper abdominal distension, belching, heartburn, etc., which are similar to ulcer disease or chronic appendicitis. Sometimes, due to stones blocking the gallbladder duct, it may be an acute attack, but when the stones move and the obstruction is relieved, the condition will improve rapidly. Physical examination may reveal mild tenderness or percussion pain in the gallbladder area; if there is hydrops in the gallbladder, a round, smooth cystic mass can often be felt.

Disease diagnosis

1. Acute cholecystitis

It should be differentiated from diseases that cause abdominal pain (especially right upper abdominal pain), mainly including: acute pancreatitis, right lower pneumonia, acute diaphragmatic pleurisy, early stage of herpes zoster in the chest and abdomen, acute myocardial infarction and acute appendicitis.

2. Chronic cholecystitis

Care should be taken to differentiate it from peptic ulcer, chronic gastritis, gastric dyspepsia, chronic viral hepatitis, gastrointestinal neurosis and chronic urinary tract infection. In chronic cholecystitis, nausea and discomfort or increased pain in the right upper abdomen often occur after eating greasy food. This situation is rare in digestive tract diseases. In addition, differentiation can be made with the help of gastrointestinal barium meal radiography, fiber gastroscopy, liver function and urine tests.