FAQ - Acalculous Cholecystitis
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Whet type of diet would a patient with pancreatitis,hepatitis,and cholecystitis be given.?


If this is an acute condition, probably no diet. The physician would order the patient to be NPO, nothing by mouth. When a patient is NPO, there is an IV in place and fluids are given to prevent dehydration. Once things calm down , then they would start with clear liquids and advance as the patient can tolerate. Usually in this order clear liquids, full liquids, soft diet, full or regular diet providing there are no other problems such as limiting glucose, fat, and or sodium. Most pancreatitis and gallbladder patients need a low fat diet.  (+ info)

Recently diagnosed with chronic cholecystitis. Help?


I was recently diagnosed with chronic cholecystitis and my doctor doesn't think it's the cause of my chest pain, gastritis, nausea and vomitting, and back pain.

I want to have it removed. If I go to the hospital in again in pain and nausious, will they admit me and schedule surgery?


Tests I have had:
Blood shows no abnormalities
CT scan on my abdomen and chest-negative
chest X-ray-negative
Stress test on the heart-negative
EKG-negative
electrocardiogram-negative
Upper GI endoscopy-negative
Barium swallow-negative
H-pylori-negative
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the advice I can give you is that if you really want it out then it the foods that cause the inflammatory process to start back up (fried foods, milk products) then go to the ER. The golden rule is that if you go to the hospital twice for the same reason then the hospital will admit you for cholecystitis. But if you do not want to have surgery then avoid fried foods, real greasy foods, and milk products. They cause the the inflammatory process. But I really think your doctor is wrong. With gallbladder problems is mocks a heart attack. The chest pain, N/V and back pain are signs and symptoms of a gallbladder attack and I think you need to see another doctor for a second opinion and you will find out that you are right.  (+ info)

can you have chronic cholecystitis?


I always have a small pain in my RUQ, for like 18 years, under right front rib cage, under right scapula, on right outside ribcage, sometimes it feels like my esophagus is choked off a bit...what does this sound like? my doctor thinks cholecystitis is always severe, nausea, vomiting, etc...
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-- your complains alone is suggestive of many diseases mainly as chronic cholecystitis , amaebic liver abcess , sub-phrenic abcess , biogenic liver abcess ,

-- I want to know if the pain is related to food " what kind especially fatty meals suggest cholecystitis" or related to postion " if increase when you ly on your right side may be due to abcess" or if the pain related to respiration or breathing " most common with abcess"

-- the character of pain if it is stabing " abcess" or colicky "cholecystitis"

-- I want to know if there is fever or not and what it is degree " abcess"

-- I want to know if there is discomfort especially after fatty meals"cholecystitis"

== lastly you must have ULTRASONOGRAPHY because it is diagnostics for previous condition nearly 100% accurecy  (+ info)

im doing a report on cholecystitis? can anyone share any info, or personal experiences please?


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Is it possible to have a cholecystectomy if you have a rheumatic heart disease? What are the chances?


My brother in the philippines has a rheumatic heart disease for 2 years and the doctors just found recently that he has cholecystitis, Im just worried because the doctors doesnt want to remove the gallbladder.
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It would all depend upon the condition of your brother's heart at the time of his surgery. His surgeons would have to make the decision on the grounds of whether his heart would be able to endure the stress of major surgery. I feel for you it is a hard thing to go through for everybody involved.  (+ info)

will Cholecystitis increase ESR rate?


i was recently diagonised with chronic cholescystitis and doc has advised me to remove gall bladder. in one of the reports during all routine checks my ESR rate was 120mm/hr. Doctor told not to worry when i asked what is it. Is the ESR rate more dure to Cholecystitis???? I am confused, should i do more tests, go to new doctors???
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The removal of the gallbladder is the typical next step for someone in your situation.

Chronic Cholecystitis

Chronic cholecystitis is long-standing gallbladder inflammation almost always due to gallstones.

Chronic cholecystitis almost always results from gallstones and prior episodes of acute cholecystitis (even if mild). Damage ranges from a modest infiltrate of chronic inflammatory cells to a fibrotic, shrunken gallbladder. Extensive calcification due to fibrosis is called porcelain gallbladder.

Symptoms and Signs

Gallstones intermittently obstruct the cystic duct and so cause recurrent biliary colic. Such episodes of pain are not necessarily accompanied by overt gallbladder inflammation; the extent of inflammation does not correlate with the intensity or frequency of biliary colic. Upper abdominal tenderness may be present, but usually fever is not. Fever suggests acute cholecystitis. Once episodes begin, they are likely to recur.

Diagnosis

Chronic cholecystitis is suspected in patients with recurrent biliary colic plus gallstones. Ultrasonography or another imaging test usually shows gallstones and sometimes a shrunken, fibrotic gallbladder. The diagnosis is made in patients with a history of recurrent biliary colic and evidence of gallstones on ultrasonography. Cholescintigraphy may show nonvisualization of the gallbladder but is less accurate.

Treatment

Laparoscopic cholecystectomy is indicated to prevent symptom recurrence and further biliary complications. This is particularly valid for the porcelain gallbladder associated with gallbladder carcinoma.

The elevated ESR seems to have more of an indication of a vasculitis type problem. Maybe fibromyalgia, or another musculoskeletal or connective tissue disorder.  (+ info)

Is there a natural remedy for gallstones without surgery?


My nan suffers from Asthma and COPD and is worried about having surgery.
Her symptoms include pain in the upper right side under the ribs, pain in the right shoulder and lung, yellowing of the eyes and skin and she feels nauseous. Do these symptoms sound like cholecystitis?
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I suffered with gall stones for over 9 years,before having the operation, and none of the symptoms you mentioned sound like this.,she needs to get to a doctors right away, as it could be something far more serious, and if it was gall stone's , the operation is far more advanced and straightforward,since key hole surgery came along  (+ info)

what is the pathophysiology of acute cholecystitis.....??


Cholecystitis is often caused by cholelithiasis (the presence of choleliths, or gallstones, in the gallbladder), with choleliths most commonly blocking the cystic duct directly. This leads to inspissation (thickening) of bile, bile stasis, and secondary infection by gut organisms, predominantly E. coli and Bacteroides species.

The gallbladder's wall becomes inflamed. Extreme cases may result in necrosis and rupture. Inflammation often spreads to its outer covering, thus irritating surrounding structures such as the diaphragm and bowel.

Less commonly, in debilitated and trauma patients, the gallbladder may become inflamed and infected in the absence of cholelithiasis, and is known as acute acalculous cholecystitis.

Stones in the gallbladder may cause obstruction and the accompanying acute attack. The patient might develop a chronic, low-level inflammation which leads to a chronic cholecystitis, where the gallbladder is fibrotic and calcified.  (+ info)

cholecystitis with out gallstones?


I just had my gallbladder removed last week and i just got my biopsy results today on my gallbladder they said i had cholecystitis.Im trying to do some research on this so far what i have read is that people with cholecystitis have gallstones. Three months ago I was check for gallstones with a ultrasound and that came up normal. Well last week when i went to the er they did a hida scan which showed only 2 percent of my gallbladder function. My question is how did i get cholecystits if i didnt have no gallstones???? I will ask my dr next week about this when i see him. Any info would be nice thank you!!
Forgot to mentioned that i am a 27 year old male. I read that it is rare for males to have problems with there gallbladders.
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At least 95% of people with acute cholecystitis have gallstones. The inflammation almost always begins without infection, although infection may follow later. Rarely, acute cholecystitis occurs in a person without gallstones (acalculous cholecystitis). Acalculous cholecystitis is a serious disease. It tends to occur after major injuries, operations, burns, bodywide infections (sepsis), and critical illnesses—particularly in people receiving prolonged intravenous feedings. It can occur in young children as well, perhaps originating as an infection (viral or other).

In chronic cholecystitis, the gallbladder is damaged by repeated attacks of acute inflammation, usually from gallstones, and may become thick-walled, scarred, and small. The gallbladder generally contains sludge or gallstones that often obstruct its outlet or the cystic duct

Gallbladder Diseases Without Stones
Gallbladder disease can occur without stones, a condition called acalculous gallbladder disease. It can be acute (arising suddenly) or chronic (persistent).

Acute acalculous gallbladder disease usually occurs in patients who are very ill from other disorders. In such cases, inflammation occurs in the gallbladder, usually from a diminished blood supply or an impaired ability to contract and empty its bile.
Chronic acalculous gallbladder disease (also called biliary dyskinesia) appears to be caused by muscle defects or other problems in the gallbladder that cause impaired motility.
Diagnosing Acalculous Gallbladder Disease
Diagnosing Acute Acalculous Gallbladder Disease. Symptoms are similar to those of acute cholecystitis with gallstones, but they may be obscured by other medical conditions, since patients with this condition are often critically ill with other illnesses
Read the web site sourses I have given.  (+ info)

Why might a person with inflammation of the gallbladder also develop inflammation of the pancreas?


Why might a person with inflammation of the gallbladder (cholecystitis) also develop inflammation of the pancreas (pancreatitis)?
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The migration of stones from the gallbladder into the common bile or pancreatic duct is the link. I know because that's exactly what happened in my case.  (+ info)

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