Suggestion: Cholecystitis can be divided into acute and chronic cases. Many patients with acute cholecystitis get sick in the middle of the night after eating a greasy dinner, because a high-fat diet can strengthen the contraction of the gallbladder, and it is easy for small gallstones to slide into and embed in the cystic duct when lying down. The main manifestations are persistent pain in the right upper abdomen and paroxysmal aggravation, which can 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 showed that the right upper abdomen was full, and the abdominal muscles in the gallbladder area were tense, tender and rebounding. Symptoms and signs of chronic cholecystitis are atypical. Most of them are bile dyspepsia, aversion to greasy food, flatulence in the upper abdomen, belching and heartburn. If you have had surgery, you usually need to eat well and rest. You can't eat greasy and spicy food in your diet. Review regularly.
Wang Qingyang-Gantun Town Community Hospital, guanxian City, Shandong Province
internal medicine
Certified doctor