What is cholecystitis calculous?

Cholecystitis calculous is considered in medicine as a manifestation of cholelithiasis. With this ailment, there is a gradual formation of stones in the gallbladder and the subsequent inflammation of its walls. In this article, we will talk about this disease, and also consider in detail the main causes of its occurrence and modern methods of treatment.

Case history: calculous cholecystitis

As is known, in the gall bladder stones are formed due to the consecutive subsidence of the so-called insoluble constituents of bile and their crystallization. As for the main reasons that lead to stone formation, the specialists distinguish the following: diabetes mellitus, stagnation of bile due to pregnancy or sedentary lifestyle in general, obesity, violation of fat metabolism, etc. In general, cholecystitis calculous, as a rule, accompanies various kinds of chronic liver diseases.

Symptoms

First of all, patients with this disease begin to complain of biliary colic (pain in the right upper quadrant, which is often accompanied by nausea and vomiting). In some cases, vomiting has an admixture of bile, which often provokes a constant taste of bitterness in the mouth. On the other hand, cholecystitis calculous outside this attack does not manifest itself.

Diagnostics

The most common at the moment, the method of diagnosing this disease is recognized as ultrasound. Thanks to him, it becomes possible to assess the condition of the bile ducts themselves, the presence and number of stones. In addition, an endoscopic examination of the stomach and (if necessary) 12 duodenum is considered mandatory for such a disease as cholecystitis calculous. As an additional method, x-ray examination is often appointed, including using a special contrast.

Treatment

According to experts, most often patients are diagnosed with acute calculous cholecystitis, therefore, the main methods of therapy should be aimed at eliminating seizures, as well as preventing their recurrence. So, doctors conditionally distinguish two main methods - surgical and conservative - to solve this problem. As for the first, the operation is usually appointed in the presence of stones larger than 5 cm. In other situations, conservative medical treatment is used. In addition, all patients without exception are prescribed a special diet. It implies a sharp restriction of fried and spicy foods, as well as cholesterol-rich foods. Doctors recommend to enrich your diet with vegetable dishes, rich in fiber.

To relieve the pain in this disease in medicine today use antispasmodics. Mostly, they are injected into the body through injections, as against the background of the disease, taking tablets is extremely ineffective.