Chronic cholecystitis history and symptoms: Difference between revisions

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* Yellowing of skin and whites of the eyes ([[jaundice]])
* Yellowing of skin and whites of the eyes ([[jaundice]])


===Chronic Cholecystitis===
===Common Symptoms===
* Attacks of upper [[abdominal pain]]
* Episodes of upper [[abdominal pain]]
* Nausea and vomiting
* Belching
* Belching
* [[Diarrhea]]
* [[Diarrhea]]

Revision as of 16:34, 5 February 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

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Overview

Cholecystitis usually presents as a pain in the right upper quadrant. This is usually a constant, severe pain. The pain may be felt to 'refer' to the right flank or right scapular region at first. This is usually accompanied by a low grade fever, vomiting and nausea. More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation, perforation or ascending cholangitis. Another complication, gallstone ileus, occurs if the gallbladder perforates and forms a fistula with the nearby small bowel, leading to symptoms of intestinal obstruction.

Chronic cholecystitis manifests with non-specific symptoms such as nausea, vague abdominal pain, belching, and diarrhea.

History and Symptoms

The hallmark of chronic cholecystitis is biliary colic. A positive history of biliary colic, nausea and vomiting are suggestive of chronic cholecystitis. The most common symptoms of chronic cholecystitis are right upper quadrant abdominal or epigastric pain, pain is usually prolonged and there is a positive history of pain after ingestion of heavy fatty meals. The pain is severe and steady and may radiate to the back or right shoulder.

History

Patients with chronic cholecystitis may have the positive family history of:

Symptoms

Acute Cholecystitis

The main symptom is abdominal pain that is located on the upper right side or upper middle of the abdomen. The pain may:

  • Be sharp, cramping, or dull
  • Come and go
  • Spread to the back or below the right shoulder blade
  • Be worse after eating fatty or greasy foods
  • Occur within minutes of a meal

Other symptoms that may occur include:

Common Symptoms

References

  1. Jones MW, Ferguson T. PMID 29262051. Missing or empty |title= (help)
  2. [+https://www.ncbi.nlm.nih.gov/books/NBK470236/#article-19521.s1 "Gallbladder, Cholecystitis, Chronic - StatPearls - NCBI Bookshelf"] Check |url= value (help).
  3. "Cholecystitis - ScienceDirect".


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