The truth that 95% of people don’t know! Is it the cause of abdominal pain and fever?

Cholecystitis, a seemingly insignificant disease, actually affects the health of many people. Its incidence rate is close to 4%, especially among urban residents and adults, and the elderly are a high-risk group. So, in the face of this potential health threat, how can we identify the symptoms of cholecystitis? And how can we effectively prevent it?

Cholecystitis: a "minor illness" that should not be ignored

Although cholecystitis is usually not life-threatening, its symptoms, such as fever and abdominal pain, are enough to seriously affect the patient's quality of life. More seriously, some acute cholecystitis may develop into gallbladder gangrene, gallbladder perforation, and even cause septic shock. Especially for patients with underlying diseases such as heart disease, cholecystitis may also induce heart disease, thus endangering life. In addition, if chronic cholecystitis is not cured for a long time, there is also a risk of cancer.

The incidence rate is close to 4%. How much do you know?

Although there is no detailed epidemiological data on cholecystitis nationwide, domestic reports show that the incidence of chronic cholecystitis in adults is between 0.78% and 3.91%, while the incidence of acute cholecystitis is about 3% to 4.5%. The high incidence of nearly 4% reminds us that cholecystitis is not a rare disease. It is particularly noteworthy that cholecystitis is more common among urban residents, with a higher incidence in adults and the elderly, and the number of female patients is about twice that of male patients.

95% of cholecystitis is related to cholelithiasis

About 95% of cholecystitis is caused by cholelithiasis, which is mainly caused by stone impaction and retrograde infection of intestinal bacteria or invasion through the blood circulation. Although non-calculous cholecystitis accounts for a lower proportion, it is also a cause of concern, as it is more common in the elderly, critically ill patients or patients after major surgery.

Cholecystitis and gastric disease: How to distinguish them?

Since the onset area of ​​cholecystitis is close to the stomach, many patients tend to confuse the two. Professor Jian Zhixiang pointed out that the typical manifestation of cholecystitis is a positive Murphy's sign, that is, when pressing the midpoint of the right clavicle and the junction of the costal arch, the patient will experience tenderness or rebound pain. Gastric disease is often manifested by indigestion symptoms such as fullness after eating, acid reflux, and belching. Of course, the most accurate distinction still requires medical examinations such as B-ultrasound and gastroscopy.

Treatment and prevention: scientific response, stay away from greasy

Regarding the treatment of cholecystitis, Professor Jian Zhixiang suggested that acute cholecystitis is usually treated with conservative medical treatment, including antispasmodics, analgesia and antibiotics. If the condition recurs after the inflammation subsides, or there are surgical indications, such as gallstones or significant thickening of the gallbladder wall, cholecystectomy should be performed in a timely manner.

In terms of prevention, a reasonable diet and weight control are the key. Patients with cholecystitis should follow the principles of a regular, light, low-oil, low-fat, and low-cholesterol diet, and avoid eating a lot of greasy food. At the same time, they should exercise properly, maintain a stable weight, avoid obesity, and develop good living habits, such as regular work and rest, emotional stability, etc. In addition, regular check-ups are also essential so that doctors can adjust treatment plans in a timely manner according to the condition.

Although cholecystitis is not an incurable disease, its high incidence and potential serious complications cannot be ignored. By understanding the causes, symptoms and prevention methods of cholecystitis, we can better protect the health of ourselves and our families. As Julian Cheung said, "The future is far from greasy", let's start with our daily diet and stay away from the troubles of cholecystitis.