Cholecystitis: Causes and Diagnoses

What is cholecystitis? Cholecystitis is caused by a blockade of the cystic duct, leading to distention of the gallbladder. This is also known as calculus cholecystitis, this caused by the reason of gallbladder, or cholelithiasis. There are many other cause of acute cholecystitis such as ischemia, allergic reactions infections with protozoa, and poisoning. When the gallbladder becomes distended, blood flow and lymphatic drainage are compromised in which it can lead to mucosal ischemia and necrosis. The mechanism as to how cholecystitis takes place is said to be uncertain, many theories exist. Injury may be the cause of retained concentrated bile which is a very unpleasant substance. In the occurrence of extended fasting, the gallbladder never obtains a cholecystokinin (CCK) stimulus to empty; thus, the concentrated bile remains immobile in the lumen.
Cholecystitis regularly shows as a pain in the right upper quadrant. The gallbladder may possibly be tender and distended. Pain is in the beginning intermittent, but then it presents as constant and severe. The pain may be referred pain that is felt in the right scapula instead of the right upper quadrant. It may also show a relationship with eating fried, greasy, fat foods. Diarrhea, vomiting, and nausea are common signs. More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation. Chronic cholecystitis manifests with broad symptoms such as nausea, unclear abdominal pain, burping, and diarrhea.
Treatment for cholecystitis varies on your symptoms and general health. Patients who have gallstones but don't have any symptoms may not need any treatment. For minor cases, treatment includes bowel rest, fluids and antibiotics given intravenously, and pain medicine. The main treatment for acute cholecystitis is a cholecystectomy which is the removal of the gallbladder. Frequently this surgery can be performed through small incisions in the abdomen, but