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What is Cholecystitis?

Cholecystitis is defined as the inflammation of the gallbladder.

Which age group are more affected due to Cholecystitis?

The females are more prone than males, women of multiple pregnancies, females who use birth control pills, obese people, individuals having a history of cholecystitis in grandparents.

How Cholecystitis is classified?

Acute cholecystitis is of two types:

• Due to gallstone – calculus cholecystitis 90% cases

• Without gallstone – calculus 10% cases.

Classification depending on the pathology: 

Necrotizing type

Haemorrhage and necrosis occur in the gallbladder for 3-5 days.

Suppurative type

Pus formation in gallbladder leading to the formation of an abscess in the gallbladder, attack stays for 7 to 10 days.

Chronic type

It is occurring repeatedly in milder form causing atrophy of gallbladder wall.

Oedematous type

In this the swelling all around the gallbladder affects for 2-3 days.

Emphysematous type

It is caused by gas-forming bacteria anaerobes, that makes gas in walls of the gallbladder and this type is especially found in diabetic patients.

What Causes Cholecystitis?

• Blockage of the tube.

• A calculus type of cholecystitis occurs in the following conditions

• Sepsis.

• Prolonged fasting.

• Long-term total parenteral nutrition.

• Severe trauma.

• Critical illness.

• Sickle cell anaemia

• Cardiac defects cause.

• Diabetes mellitus.

• Patient with aids affected by another viruses’ cytomegalovirus.

• Calculus type of cholecystitis occur in the following cases

• Pregnancy

• Older age

• Obesity or rapid weight loss.

• Females are more prone.

• Drugs like hormonal therapies in females.

What Are the Symptoms of Cholecystitis?

• Pain occurs in the right side of the abdomen and extends to the right shoulder.

• Pain in the right upper abdominal quadrant is very sharp and steady.

• The painful part of the abdomen is tender to the touch. The patient does not allow examining.

• Vomiting may be present.

• Nausea.

• Chills.

• Fever.

• Abdominal bloating is present.

• Discomfort.

What is the prognosis of Cholecystitis?

• The most of the cases show good prognosis.

• In most of the cases the Cholecystectomy is done.

What Are the Complications of Cholecystitis?

• Perforation of gallbladder due to repeated damage to the walls of the gallbladder as by infection.

• The decay of gallbladder leads to gangrene of gallbladder.

• Enlargement of the gallbladder.

• Spread of infection within the gallbladder damaging its functions.

How to Investigate Cholecystitis?

• Blood tests



• Platelet count

• Complete blood count

• Imaging tests

• Ultrasound abdomen.

• X-ray abdomen.

• CT scan of the gallbladder.

• MRI of the gallbladder.

How to Treat Cholecystitis?

• Antibiotics help to decrease the infection.

• Antipyretics to decrease the fever.

• Analgesics for excessive pain.

• Fasting so as to decrease the stress on the gallbladder.

• Hospitalization in acute emergency cases.

• Finally, surgery is the solution.

• Cholecystectomy (removal of the gallbladder) is done and the patient is advised to take fat-free diet after surgery.

What is the Dietary management of Cholecystitis?

• The fat-free diet is advised to the patient.

• The nutritional and balanced diet is advised.

• Avoid alcohol and smoking.

• Try to reduce the stress of life by meditating.

• Obese people are advised to go for a regular walk and exercise.

• Females are advised to follow family planning, avoid contraceptives pills.

What is the indicated medicine of Cholecystitis?

• Belladonna

• Berberis vulgaris

• Carduus marianus

• Lycopodium clavatum

• Cinchona officinalis 

For more information, you can visit MayoClinic and WebMD.


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