Cholecystitis



INTRODUCTION

Cholecystitis means Inflammation of Gall Bladder.. When it's acute, it's painful and in gallstones, we should always not wait "till the patient's strength is exhausted. Acute and Chronic is either calculus or less commonly acalculus. Since the clinical picture of those two entities differs they're discussed separately.


TYPES
  1. Acute Cholecystitis
  2. Chronic or old Cholecystitis


ACUTE CHOLECYSTITIS

Acute Cholecystitis caused by a gallstone, which obstructs the gallbladder's outlet. Its spontaneous dislodgment leads to so-called biliary colic while persisting impaction of the stone produces gallbladder distention and inflammation. Later gut(intestine) bacteria invade the inflamed organ and infection supervenes.


CHRONIC CHOLECYSTITIS

It is the condition where the patient carries for while even years.. Sometime feels pain at the inner angle of right scapula( back cut of beef ) related to severe acidity. it's a another causation of Gallbladder cancer..


SIGN AND SYMPTOMS
  1. In acute cholecystitis, there's severe unbearable pain at right inner side of 9th ribs, called Murphy's sign.
  2. Nausea ( tendency to vomiting )
  3. Acidity
  4. Constipation
  5. Rarely bleeding from anus
  6. Indigestion, especially fatty foods
  7. Less thirsty
  8. Sometimes polychromatic stool, means stool with different colour
  9. Blotted abdomen, means full with gas, especially upper abdomen
  10. Jaundice
  11. When gallbladder fill with stone, then it's called CHOLELITHIASIS and it needs treatment as yearly as possible.


ACALCULUS CHOLECYSTIS

This is a manifestation of the disturbed micro circulation in critically ill patients. Although of multi factorial causation ( eg. prolonged fasting, administration of total parental nutrition etc. )
the common pathogenic pathway is perhaps gallbladder ischemia, mucosal injury and secondary bacterial invasion. Acalculous cholecystitis may be a life-threatening condition developing during a significant illness, eg, following operation or after severe injury. Stones may occasionally be present within the acutely inflamed gallbladders in these circumstances but are probably etiologically irrelevant.


INVESTIGATION
  1. Ultrasonography of whole abdomen
  2. Oral Cholecystogram
  3. Liver function test
  4. Scan of abdomen


HOMEOPATHIC MEDICINES

CINCHONA OFF 6 may be a excellent medicine for gallstone colic/pain

CHOLESTERINUM 30 another good medicine for it and it's an influence to dissolve the cholesterol stone

BELLADONNA 30 , when patient feels much pain. provides it frequently.

CHELLEDONIUM M 6 very needful medicine for any sort of gallstone.

NB: Physician's consultation is usually got priority

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