What medicine is good for cholecystitis?
Cholecystitis is a common disease of the biliary system, usually caused by gallbladder or bile duct infection, stones, or cholestasis. Patients often present with symptoms such as right upper quadrant pain, fever, nausea and vomiting. For the treatment of cholecystitis, drugs are one of the important means. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the treatment options for cholecystitis.
1. Common symptoms of cholecystitis
Typical symptoms of cholecystitis include:
| Symptoms | Description |
|---|---|
| right upper quadrant pain | Persistent or paroxysmal pain that may radiate to the right shoulder or back |
| Fever | Usually low-grade fever, high fever may occur in severe infections |
| Nausea and vomiting | Common accompanying symptoms, especially aggravated after eating greasy food |
| Jaundice | Yellow staining of the skin and sclera, suggesting bile duct obstruction |
2. Commonly used drugs for the treatment of cholecystitis
Depending on the cause and severity of cholecystitis, doctors usually prescribe the following medications:
| drug class | Representative medicine | function | Things to note |
|---|---|---|---|
| antibiotics | Ceftriaxone, metronidazole, levofloxacin | Control bacterial infections | It needs to be taken according to the course of treatment to avoid drug resistance. |
| Antispasmodic analgesics | Atropine, anisodamine | Relieve biliary spasm and pain | Use with caution in patients with glaucoma |
| choleretic drugs | Ursodeoxycholic acid, chenodeoxycholic acid | Promote bile secretion and excretion | Long-term use requires monitoring of liver function |
| NSAIDs | Ibuprofen, acetaminophen | Relieve pain and fever | Avoid taking it on an empty stomach and pay attention to gastrointestinal reactions |
3. Chinese medicine treatment of cholecystitis
In recent years, traditional Chinese medicine has also received widespread attention in the treatment of cholecystitis. The following are some commonly used Chinese medicine prescriptions and single herbs:
| Types of traditional Chinese medicine | Representative medicine | Efficacy |
|---|---|---|
| Heat-clearing and choleretic prescriptions | Yinchenhao Decoction, Dabupleurum Decoction | Clear away heat and detoxify, promote gallbladder and reduce jaundice |
| Single traditional Chinese medicine | money plant, knotweed, tulip | It promotes bile, expels stones, activates blood circulation and relieves pain. |
| Chinese patent medicine | Danning tablets, anti-inflammatory and choleretic tablets | Anti-inflammatory and choleretic, relieve symptoms |
4. Dietary precautions for patients with cholecystitis
In addition to drug treatment, dietary management of patients with cholecystitis is also very important:
| dietary principles | Recommended food | taboo foods |
|---|---|---|
| low fat diet | Lean meat, fish, soy products | Fried food, fatty meat, animal offal |
| high fiber diet | Whole grains, vegetables, fruits | Refined sugar, white bread |
| Eat small meals often | Eat small amounts 5-6 times a day | Overeating |
| Adequate moisture | Boiled water, light tea | Alcohol, carbonated drinks |
5. New progress in the treatment of cholecystitis
According to recent hot discussions on the Internet, there are the following new trends in the treatment of cholecystitis:
1.Minimally invasive treatment technology: Percutaneous transhepatic choledochoscopy (PTCS) and laparoscopic cholecystectomy are increasingly used, with less trauma and faster recovery.
2.targeted antibiotic therapy: Select more accurate antibiotics through bacterial culture and drug sensitivity testing to improve treatment effects.
3.Integrated Traditional Chinese and Western Medicine Treatment: Comprehensive treatment plans that combine traditional Chinese medicine with modern medicine are favored by patients.
4.Intestinal flora regulation: Studies have found that intestinal flora imbalance is related to the onset of cholecystitis, and the use of probiotics has become a new direction for auxiliary treatment.
6. When is surgical treatment needed?
Surgical treatment may be considered in the following situations:
| Indications for surgery | Description |
|---|---|
| recurring attacks | More than 3 attacks within a year |
| gallbladder stones | The diameter of the stone is greater than 2cm or there are multiple stones |
| Complications | Gallbladder perforation and abscess formation |
| Medication is ineffective | No improvement in symptoms within 72 hours |
7. Suggestions for preventing recurrence of cholecystitis
1. Maintain a healthy weight and avoid obesity
2. Eat regularly and avoid long periods of fasting
3. Moderate exercise to promote metabolism
4. Regular physical examination to detect biliary tract problems early
5. Control blood lipids and blood sugar levels
Summary: The treatment of cholecystitis requires a comprehensive consideration of drugs, diet and lifestyle factors. Antibiotics, antispasmodics, and choleretics are commonly used Western medicine treatments. Traditional Chinese medicine also has unique advantages in anti-inflammatory and choleretic properties. For patients with recurrent attacks or complications, surgical treatment may need to be considered. It is recommended that patients use medications rationally under the guidance of a doctor and pay attention to daily preventive measures to reduce the risk of recurrence.
check the details
check the details
en
