Chronic Cholecystitis – an overview
Chronic Cholecystitis – an overview – unction, it is known as chronic cholecystitis.The gallbladder is a small, pear-shaped organ located below your liver. It stores the bile produced by the liver and sends it to the small intestine via the common bile duct (CBD) to aid digestion of fat. CBD connects the liver, gall bladder, and pancreas to the small intestine. Gallbladder stones that block CBD are the leading cause of cholestitis. This blockage causes the bile to build up in the gallbladder, and that the gallbladder causes inflammation. – Chronic cholecystitis Information
If it occurs acutely on the face of chronic inflammation, it is a serious condition. The gallbladder may rupture if it is not treated properly, and is considered a medical emergency. Treatment usually includes antibiotics, pain medications, and gallbladder removal.
Chronic Cholecystitis – Hepatic and Biliary Disorders
Chronic cholecystitis almost always results from gall bladder stones and prior episodes of acute cholecystitis (even if mild). The damage ranges from a minor infiltration of a chronic inflammatory cell to a fibrotic, shrunken gallbladder. Extensive calcification due to fibrosis is called porcelain gallbladder.
What causes chronic cholecystitis? Chronic Cholecystitis – an overview
This condition usually begins with the formation of gallstones in the gallbladder. According to the Cleveland Clinic, whether your gallstones depend on many factors, including:
Bile stones are formed when substances in the bile form crystals like particles. They can range in size from sand grains to golf balls. The presence of gallstones causes pressure, irritation, and can lead to infection. The gallbladder begins to thicken over time. Eventually, the gallbladder begins to shrink. These changes make it harder for the gallbladder to function properly.
In addition to gallstones, cholecystitis can be caused by: Chronic Cholecystitis – Hepatic and Biliary Disorders
CBD drainage system infection
A cbd blockage
Excess cholesterol in the gallbladder, which may occur during pregnancy or after rapid weight loss
Decreased blood supply to the gallbladder due to diabetes
Tumors in the liver or pancreas
Gallbladder tumor, which is rare
When you experience repeated or prolonged attacks of cholestylitis, it becomes a chronic condition.
Symptoms of cholecystitis – Chronic Cholecystitis : Causes Symptoms & Diagnosis
Symptoms of cholecystitis may appear suddenly or develop slowly over a period of years. Most of the time these symptoms appear after meals which are high in fat.
Severe abdominal pain that may seem sharp or dull,
Stomach cramps and bloating,
Pain that spreads under your back or your right shoulder blade,
Loose, light colored feces,
Jaundice, which occurs when your skin and the whites of your eyes turn yellow., –
Chronic Cholecystitis – Hepatic and Biliary Disorders
A typical attack can last two or three days, but symptoms of cholecystitis vary widely from person to person. Symptoms appear on the right or middle upper part of your abdomen. The pain will usually last 30 minutes.
Complications may include:
Pancreatitis, inflammation of the pancreas
Gallbladder perforation as a result of infection
Increased gallbladder due to inflammation
Infection may cause bile formation
Gallbladder cancer (this is a rare, long-term complication)
Gallbladder death (this can be a tear and eventually an eruption of the organ)
Symptoms of cholecystitis can be treated at home with pain medication and rest, if you are diagnosed correctly. It is important that you talk to your doctor before deciding to treat at home. You can also take antibiotics and avoid fatty foods.
You should always seek medical attention if you have severe abdominal pain or your fever is not erupting.
How is Cholestitis diagnosed?
Your doctor will take your medical history and conduct a physical examination. The symptoms of cholecystitis are similar to other conditions, so they should be avoided.
There are tests that can help in the diagnosis of cholestylitis:
Chronic Cholecystitis : Causes Symptoms & Diagnosis
A CT scan uses X-rays to produce very detailed images of your abdomen. This is the most sensitive test, and the best bet in detecting the problem.
Your doctor may use an abdominal ultrasound to look at your gallbladder and liver. This will help them visualize stones and duct obstructions.
Blood tests can identify bloodstream infections. – Chronic cholecystitis Information
In cholescintigraphy, or a HIDA scan, an injection of a small amount of radioactive material can help identify abnormal contractions or obstructions of your gallbladder or bile ducts. It is also an accurate method of detecting problems. It can take anywhere from an hour to four hours to get your results back.
Endoscopic retrograde collagenopathography involves a thorough examination of your organs and detection of defects or problems using an endoscope (a long, flexible tube inserted under your throat), dye, and X-rays.
In a percutaneous transhepatic cholangiography, your doctor will inject a contrast dye into your liver with a needle. This allows your doctor to see your bile ducts on an X-ray.
Treatment options for cholecystitis – Chronic Cholecystitis : Causes Symptoms & Diagnosis
The specific cause of your attack will determine the course of treatment. Your doctor will also consider your overall health while choosing your treatment. Options include:
Broad-spectrum antibiotics to fight infection
Oral dissolution therapy using drugs to help dissolve gallstones (this is usually a last resort, reserved for individuals who cannot undergo surgery)
Painkillers to control pain during treatment – Chronic Cholecystitis : Causes Symptoms & Diagnosis
Surgery is often the course of action in cases of chronic cholecystitis. Today, gallbladder surgery is usually performed laparoscopically. Your surgeon will make small incisions in your abdomen and insert small surgical instruments to perform the surgery. In most cases, surgery is an outpatient procedure, which means shorter recovery time.
Your healthcare team will advise you about lifestyle and dietary guidelines that can improve your condition.