Cholecystitis often occurs. Does it require surgery to treat it? How to prevent it in daily life

A friend left a message to Huazi, saying that he often suffers from cholecystitis. When the disease attacks, his stomach hurts so much, he feels nauseous and vomits, and he can't eat well. He heard that the ultimate solution to cholecystitis is to remove the gallbladder surgically. Is this true? Is there no other way?

Hua Zi said that surgery is the final means of treating cholecystitis, but it is not necessarily the best means. Paying more attention to regulating liver and gallbladder function can prevent the onset of cholecystitis and eliminate symptoms.

1. Most cases of cholecystitis are complications of gallstones. The gallbladder is located behind the liver and is a pear-shaped sac whose main function is to concentrate and store bile secreted by the liver. Bile is discharged into the intestines, where it can excrete various products of liver metabolism, emulsify fat, and promote the absorption of lipids, cholesterol, and fat-soluble vitamins in the intestines.

Under the stimulation of obesity, high-fat diet, diabetes, hyperlipidemia, female hormones and other factors, the cholesterol concentration in the bile secreted by the liver increases, which is easy to cause gallstones. If the gallstones block the bile duct, it will cause acute cholecystitis, which is the cause of most cholecystitis. In addition, there are other reasons such as biliary ascariasis, tumors, and infections, which can also cause acute cholecystitis.

2. Treatment of acute cholecystitis If acute cholecystitis occurs, the best way to deal with it is to go to the hospital and use antispasmodics to relieve gallbladder spasms; use analgesics to relieve gallbladder pain; use anti-inflammatory drugs to inhibit inflammatory reactions; if bacterial infection occurs, antibiotics should be used to fight the infection. Don't just bear it at home, as it may get worse and cause gallbladder or bile duct damage, bleeding, or even perforation.

After the acute phase, treatment is needed for the cause. For example, if it is cholesterol stones, some choleretic drugs can be used to promote the dissolution and excretion of gallstones. If it is caused by parasites, anthelmintics need to be used for treatment.

3. Daily diet to prevent cholecystitis Do not be a vegetarian. Eating a lot of fatty foods is an important factor inducing gallstones, but a completely vegetarian diet can also promote the formation of gallstones. This is because when fat and protein are present in the diet, it will stimulate the intestines and promote the contraction of the gallbladder to excrete bile. If you eat a completely vegetarian diet, it will not stimulate the contraction of the gallbladder, which will cause bile stasis, thereby accelerating the formation of gallstones.

The diet should be a combination of meat and vegetables. Choose vegetable fats instead of animal fats. Pay attention to reducing the cholesterol in the diet, such as avoiding animal offal, fatty meat, egg yolk, crab roe and other foods. You can eat fish, shrimp, lean meat, beans, milk and other foods rich in protein. You can eat more green leafy vegetables, whole grains and other foods rich in fiber to help absorb cholesterol in the intestines.

4. What kind of cholecystitis requires surgical treatment? Generally speaking, as long as the symptoms of cholecystitis are not very severe, surgical treatment is not required. Because surgical treatment basically involves the removal of the gallbladder, which will have a certain impact on future life. Therefore, when conservative treatment is possible, if the symptoms can be relieved through medication and diet adjustment, there is no need for surgery.

However, if the symptoms are severe, such as persistent high fever, severe infection, possible gallbladder perforation, diffuse peritonitis, acute suppurative cholangitis, etc., surgical treatment should be actively performed. Also, if the cholecystitis attacks are very frequent, it is recommended to remove the gallbladder surgically at a scheduled time.

In summary, most cases of cholecystitis are complications of gallstones. In the case of acute attacks, you need to go to the hospital for treatment. Vegetarianism cannot prevent cholecystitis, but may promote the formation of gallstones. In the case of acute attacks of cholecystitis, if the symptoms are severe, surgery should be actively performed to avoid worsening of the disease. I am pharmacist Huazi, welcome to follow me and share more health knowledge.