The main symptoms of cholecystitis.

Many obese people, who, as a rule, do notadhere to the principles of rational and healthy nutrition, you can meet the symptoms of cholecystitis. Such subjects use an excessive amount of fatty foods, which their body is not able to fully digest. At some point, people are running out of the possibilities of internal compensatory mechanisms, and formation begins in the gallbladder of an insoluble deposit, which subsequently forms stones in it. This process is often accompanied by inflammatory phenomena in the very wall of the gallbladder and the ducts coming to it and from it.

At the very beginning of the disease, patients can do nothingdo not disturb. In the subsequent necessarily appear the first signs of cholecystitis, which are associated with a feeling of overcrowding and heaviness in the right subcostal area, i.e. at the site of the projection of the liver and the gall bladder, as well as in the dyspeptic syndrome. Dyspepsia may be mild with a mild degree of the process, or very severe, in the form of vomiting with bile and a bitter taste in the mouth of bitter bitterness in the progression of the disease.

At some point, when a person is tooviolently breaks his diet or undergoes intensive shaking, the concrement from the gall bladder begins to shift from its place and actively migrate towards the flow of bile. Stones, as a rule, begin to get stuck already in the neck of the gallbladder. Some of them, which are smaller in size than the cervical lumen, go further, getting stuck in the ducts or in the mouth of the sphincter of Oddi. Movement of the stone does not pass without a trace, even for the most "thick-skinned" patients. Symptoms of cholecystitis are aggravated by a fit of sharp and painful hepatic colic. From the fact that the concrement blocked the exit of bile, signs of intoxication and inflammatory phenomena begin to increase. There is a fever because of the rising temperature, in the hypochondrium, where the liver is located, pulsating dull pain, irradiating also in other areas of the body. Cholecystitis, the signs of which depend on its form: catarrhal, purulent or gangrenous, in itself is a very insidious disease. It can simulate an attack of appendicitis, heart pains or mask for exacerbation of osteochondrosis. Therefore, at the very beginning, it is extremely difficult to diagnose the disease precisely, especially to an inexperienced doctor. To help in unclear cases, instrumental methods of examination come. This and ultrasound, and X-ray studies using contrast agents, and computer tomography, and magnetic resonance.

From the collection of a detailed and complete history of the patient,where he will indicate not only all the symptoms of cholecystitis, but also tell what caused them, 98% of the success in the formulation of the only true diagnosis depends. A significant role in the refinement of the severity of the process is played by laboratory tests. This is a general and biochemical blood test. In the first of them, leukocytosis will increase and the ESR will accelerate, and in the second one, close attention should be paid to bilirubin, which must also grow. With mechanical obstruction of the excretory ducts, when bile can not leave the body naturally, the proportion of direct bilirubin increases, which enters the bloodstream at high concentrations. Bilirubin for blood is a foreign and very toxic substance. Therefore, the tactical goal, when the patient has expressed symptoms of cholecystitis in the acute stage, is to normalize the outflow of bile to stop the flow of bilirubin and bile acids into the blood. Still, the patients themselves, as well as doctors need to pay attention to the color stains. If urine begins to darken, and the feces become discolored, it means that the disease progresses and requires immediate treatment.