What and how to treat chronic cholecystitis

Category Gastroenterology | August 12, 2017 17:53


  • Causes Symptoms
  • Therapeutic diet
  • Medicines

Inflammatory disease of the gallbladder or cholecystitis is very common in people older than 40 years.Advantageously, with him facing women.

What and how to treat chronic cholecystitis tell the doctor, hepatologist.

However, before taken for treatment, it is necessary to establish the cause of the disease.


Cholecystitis in most cases has the appearance of a bacterial nature.The number of conditionally pathogenic microflora, which causes inflammation of the gallbladder, are streptococci and staphylococci, Proteus, and Pseudomonas aeruginosa.The most common disease-causing bacteria get into the gallbladder by contact: through the intestines or other organs located next to, and with a current of lymph and blood from distant foci of inflammation.Chronic cholecystitis is characterized by remission and exacerbation of symptoms.Chronic inflammation in the gallbladder by the following factors:

  • Reduction of human physical act
    ivity combined with an unbalanced diet;
  • Parasitic diseases (giardiasis, amoebiasis, opistorhoz, etc.);
  • Overweight and obesity;
  • Diabetes;
  • Medication (oral contraceptives, ceftriaxone, octreotide);
  • Pregnancy;
  • large intervals between meals.

After several relapses of acute cholecystitis chronic form is extremely rare.The most common chronic cholecystitis acts as an independent disease.Proceeds it is long enough for several years.If time does not recognize the disease and do not know what and how to treat chronic cholecystitis, the inflammation can result in serious complications - such as wrinkling of the gall bladder and the loss of all of its functions.


One of the most important and striking symptoms of cholecystitis is pain.In most cases, patients complain of dull and aching pain in the right side of the upper abdomen.the pain is intense and constant By reducing the muscle tone of the gall bladder.However, more than half of the cases it might not be, and patients may feel a heaviness in the right predrebere.

In another case, when the tone of the gall bladder increased, pain is manifested in the form of attacks, reminiscent of biliary colic with cholelithiasis.In this case, the pain occurs due to spasm of the muscles, which in turn can be caused by excessive consumption of certain foods (fatty, fried, spicy, alcohol, carbonated beverages), or stress.In addition to the pain in his right side cholecystitis patients experience other unpleasant symptoms:

  • bitterness in the mouth, especially in the morning;
  • Belching with bitter taste;
  • Vomiting bile impurities;
  • Diarrhea or constipation;
  • Bloating;
  • General weakness, fatigue, and irritability;
  • slight rise in body temperature.

patients with advanced forms of cholecystitis also observed significantly decreased performance and susceptibility to frequent colds.

Therapeutic diet

the question how to treat chronic cholecystitis, you will only be able to answer specialist.Given the disease, data acquired during the diagnosis, and the individual characteristics of each patient, the doctor will select the necessary range of medicines.How to treat chronic cholecystitis?One only drug therapy treatment of this complex disease is not restricted.

Without power correction cure cholecystitis will be very problematic.So the first thing prescribed by the doctor is accessed patients with the question how to treat chronic cholecystitis - a therapeutic diet.From the diet should be categorically excluded fatty, fried, spicy and savory, sweet pastries, sweets, hot spices and alcohol.The consumption of eggs should be reduced to 2-3 pieces per week.Instead, therapeutic diet menu should include cholecystitis:

  • Vegetable oils.They should be used in the composition of vegetable salads.Olive, sunflower and corn oil reduces cholesterol and prevent the formation of gallstones;
  • Fruits and vegetables fresh.They include a lot of fiber, which normalizes digestion and removes from the body excess cholesterol;
  • bread from wheat flour and cereals.Normalize the flow of bile and reduce muscle tension gallbladder.

In the period of acute cholecystitis should significantly reduce food intake and increase the amount of fluid to 5-6 glasses a day.Take small portions of food should be 5-6 times a day.


special attention to the issue than to treat chronic cholecystitis deserve medications.Take them only by a physician is necessary and in accordance with his recommendations.

  • At the expressed symptoms of inflammation - antibiotics (ciprofloxacin and amoxicillin): The following drugs may be administered depending on the patient's symptoms and course of the disease
  • When severe pain - painkillers (no-spa and platifillin);
  • Bile drugs (holenzim, allohol and corn silk).