Cholecystitis is a serious liver disease that has its own causes and symptoms. Pathology is characterized by a wave-like course, that is, there are periods of remission and relapse. The exacerbation stage is dangerous for a person, since an inflammatory process develops in the liver, bile penetrates into the abdominal cavity or the general blood flow. If the patient marks the first signs of cholecystitis exacerbation – deterioration of health, loss of consciousness and severe vomiting – you should immediately call an ambulance, since such a condition without qualified medical support can lead to serious consequences.
Symptoms of a cholecystitis attack
The exacerbation of cholecystitis is manifested by sharp pain in the right hypochondrium. Symptomatic picture can be complemented by fever, increased heart rate, vomiting, yellowing of the skin and sclera. The attack is similar to biliary colic, characterized by weakness, abdominal distension and a drop in blood pressure.
First aid to the patient before the arrival of the doctors
Emergency care for patients with cholecystitis before the arrival of doctors is as follows:
- organization of complete rest in the supine position, preferably on the right side;
- refusal to eat;
- to stop nausea, you must drink water, preferably mineral and without gases;
- if gagging is observed, it is important to prevent the tongue from dropping. After vomiting, some mineral water is allowed to be taken in small sips;
- under the side you can put a warm, but not hot water heater. If the heat pain increases from the heat, you need to remove the heating pad.
- take analgesics and painkillers with a narcotic effect;
- drink alcohol to reduce pain;
- do a cleansing enema.
It must be remembered that in this state you should not use choleretic herbs and preparations; take a warm bath. Also in the period of exacerbation can not hold tubage.
The actions of the emergency doctor
With obvious symptoms of cholecystitis, the patient is urgently hospitalized. Before bringing the patient to the ward, the doctor injects an intravenous antispasmodic mixture, which includes the solution of No-shpa and Papaverine, Platyphylline and Atropine. It helps to reduce spasms and intraductal pressure, to improve the flow of bile into the duodenum. They can also drip intravenous Novocain.
Immediately from the car the patient on a stretcher is transferred to the emergency department. If the patient has liver cramps, then he is transported in a sitting position.
The patient enters the surgical department, where he is examined and find out the cause of intense pain. If necessary, anesthesia is carried out drugs.
Help with exacerbation of cholecystitis in the hospital implies therapeutic treatment and in extreme cases, surgery. The patient is prescribed injections of antibiotics, medicines that relieve from cramps in the gall bladder, as well as painkillers. After the acute symptoms subside, the patient is prepared to remove the gallbladder if there is evidence.
Conservative therapy can be carried out at home, after discharge from the hospital, and is based on proper nutrition, taking medication, as well as rest.
Food during exacerbation of cholecystitis should be correct and balanced, include the following foods:
- the first days after the exacerbation must refrain from eating. Allowed to drink unsweetened and weak tea. It is recommended to use a decoction of rice, but not less than two liters per day;
- fluid intake should be in small portions;
- on the third day you can eat porridge, drink jelly;
- on the fifth day, boiled lean meat, fish, and dairy products should be added to the diet;
- on the seventh day it is allowed to consume a small amount of vegetable and butter. It is also recommended to diversify the diet with vegetables, fruits, boiled eggs and bread crumbs.
Preventive measures for cholecystitis occupy an important place and are as follows:
- timely treatment of the disease;
- compliance with the recommendations of the expert;
- diet, especially for problems with excess weight, which will help to normalize the outflow of bile;
- balanced diet;
- limited medication.
In any situation, you should not engage in self-therapy, as this provokes complications and deterioration of health.