This article teaches you to distinguish between "stomachache" and "gallbladder pain".
Then by carefully asking the patient's symptoms and a simple physical examination, it can be found that acute cholecystitis is a common acute abdomen in the field of surgery. "it refers to gallbladder inflammatory disease caused by bacterial infection, concentrated bile or chemical stimulation of reflux pancreatic juice, which is often caused by greasy food, depression, fatigue and other factors. Chronic cholecystitis is often an obvious chronic inflammatory change or dysfunction of the gallbladder caused by long-term or uninterrupted stimulation. Clinically, the pathological changes left after repeated attacks of acute cholecystitis are the most common type of chronic cholecystitis. This is because the initial symptoms of cholecystitis are often associated with atypical symptoms of cholecystitis. "can it be transformed into pain in the right upper abdomen or lower edge of ribs with the progress of the disease? Especially in patients after eating greasy food can appear severe pain in the right upper abdomen "at the same time cholecystitis can be accompanied by fever, back pull pain" a small number of patients can show chest tightness, nausea, vomiting symptoms.
"Doctor, I have a sudden stomachache these two days, but I haven't relieved it after taking several kinds of stomach medicine. what's going on?" Such complaints can always be heard in the general surgery clinic, and then through careful questioning of the patient's symptoms and simple physical examination, it can be found that this is not the patient's "stomachache", but "gallbladder pain". Why can't the patient always distinguish between stomachache and gallbladder pain? How can the attack of bile pain be relieved effectively? What are the characteristics of traditional Chinese medicine in the treatment of bile pain? How to prevent and cure bile pain in daily life? Let's analyze it one by one here.
The initial symptoms of "gallbladder pain" and "stomachache" are similar.
"gallbladder pain", also known as biliary colic, often refers to cholecystitis, which is divided into acute cholecystitis and chronic cholecystitis, in which acute cholecystitis is a common acute abdomen in the field of surgery, with an incidence second only to acute appendicitis. TCM is called "biliary distension disease". It refers to gallbladder inflammatory disease caused by bacterial infection, concentrated bile or chemical stimulation of reflux pancreatic juice. Often due to overeating greasy, emotional depression, fatigue and other factors.
Chronic cholecystitis is often an obvious chronic inflammatory change or dysfunction caused by long-term or uninterrupted stimulation of the gallbladder. clinically, the pathological changes left over from repeated attacks of acute cholecystitis are the most common type of chronic cholecystitis.
So, why can't you tell the difference between "gallbladder pain" and "stomachache"? This is because the initial symptoms of cholecystitis are often similar to "stomachache", which can be expressed as pain in the middle and upper abdomen, and abdominal distension in atypical cholecystitis, which is often mistaken for "stomachache" by patients. as the course of the disease progresses, it can be transformed into pain in the right upper abdomen or the lower edge of the ribs, especially severe pain in the right upper abdomen after eating greasy food, and cholecystitis can be accompanied by fever and back pain. A small number of patients can show chest tightness, nausea and vomiting. In the process of diagnosis, doctors can distinguish by physical examination, abdominal CT and B-ultrasound.
Acute cholecystitis should be treated immediately
When cholecystitis acute attack, should immediately go to the hospital emergency treatment, through the doctor's consultation, physical examination and auxiliary examination and other clear diagnosis to determine the mode of treatment. While waiting for medical treatment, acupoints can be pressed to have a certain analgesic effect, such as Hegu acupoint, Shenmen acupoint and so on.
Must not endure pain, delay medical treatment, acute cholecystitis may have pancreatitis, gallbladder perforation, jaundice and other complications. Chronic cholecystitis often shows dull pain and discomfort, which can be relieved by light diet, acupoint massage, oral medicine and so on. Drug treatment should follow the doctor's advice. If the pain is severe, you should go to the hospital immediately.
Traditional Chinese medicine has a brilliant plan for the treatment of "gallbladder pain".
For cholecystitis which does not need emergency surgery, in addition to routine antibiotic treatment, traditional Chinese medicine can also clear away heat and relieve pain through acupuncture, auricular points, oral Chinese medicine and so on.
Traditional Chinese medicine believes that gallbladder is "the viscera of Zhongqing". On the surface of the liver, Professor Zhu Peiting of Longhua Hospital earlier put forward the theory of "treatment of biliary disease from the liver" and created the hospital's self-made proprietary Chinese medicine "Qingdan capsule (formerly known as Danning tablet)". It has a good effect in the clinical treatment of biliary diseases.
In acupuncture treatment, we can choose Hegu, Danshu, Zhongwan, Zusanli, gallbladder acupoints, Yanglingquan and so on. Most of the auricular points are Shenmen and sympathetic acupoints, accompanied by liver, gallbladder or auricle to detect sensitive areas.
(the writer is a hepatobiliary surgeon in Longhua Hospital affiliated to Shanghai University of traditional Chinese Medicine)
[daily prescription for prevention and treatment of cholecystitis]
1. Shut up. Light diet, patients with chronic cholecystitis avoid eating greasy, do not overeat, choose less oil cooking methods.
two。 Be sure to eat breakfast. The gallbladder is the organ of the human body to store bile. If you do not eat breakfast, the cholesterol in the bile in the gallbladder will be highly saturated and cause cholesterol deposition, which will cause cholecystitis when the stone stimulates the inner wall of the gallbladder.
3. Only when you are in a good mood can you make a "decision". Traditional Chinese medicine says that the gallbladder dominates "decision". Any bad mood will affect its "decision" and make it dysfunctional. Therefore, it is appropriate to maintain a good state of mind in life.
4. Defecation leads to the drop of gallbladder qi, and keeping the stool unobstructed can make the gallbladder qi smooth and play a cholagogic role, so as to prevent the occurrence of biliary diseases.
5. For patients with cholecystolithiasis, they should habitually sleep in the right lying position. The gallbladder is located in the Pyriform fossa (gallbladder fossa) behind the liver in the right upper abdomen. The right lying position can reduce the probability of gallstone obstruction of the bile duct from physical factors. (Li Jiong)
Source: Wen Wei Po