Inflammation of Gall Bladder | पित्ताशय (पित्त) की सूजन के लक्षण | Cholecystitis swelling Treatment
Channel: Dr. Jasmeet Singh Ahluwalia
Date: 25/02/2023

Cholecystitis, or inflammation of your gallbladder, occurs when a gallstone blocks bile from exiting the organ. It’s an extremely painful condition. Often, because of repeat bouts and serious complications, surgery is the best treatment option for long-term symptom relief. Fortunately, you don’t need your gallbladder and can live a normal life without it.

What is cholecystitis?
Cholecystitis is inflammation in your gallbladder. Your gallbladder is a small pear-shaped organ tucked away under your liver in the upper right section of your abdomen. Your gallbladder’s job is to store bile – a fat-digesting fluid made by the liver – and to release it to your small intestine after you eat a meal. Cholecystitis usually develops when the bile gets trapped in your gallbladder and becomes infected with bacteria. Bile gets trapped when gallstones block the flow of bile out of your gallbladder.

What are the symptoms of cholecystitis?
Symptoms can be acute or chronic.

Acute cholecystitis comes on suddenly and causes severe, ongoing pain. More than 95% of people with acute cholecystitis have gallstones. Pain begins in your mid to upper right abdomen and may spread to your right shoulder blade or back. Pain is strongest 15 to 20 minutes after eating and it continues. Pain that remains severe is considered a medical emergency.

Chronic cholecystitis means you’ve had repeated attacks of inflammation and pain. Pain tends to be less severe and doesn’t last as long as acute cholecystitis. The repeated attacks are usually caused by gallstones blocking the cystic duct intermittently.

Other signs and symptoms of cholecystitis may include:

Tenderness in your abdomen when it's touched.
Nausea and bloating.
Vomiting.
Fever above 100.4 F (38 C). Fever may not be present in older adults and usually doesn’t occur in people with chronic cholecystitis.
Chills.
Abdominal pain that gets worse when taking a deep breath.
Abdominal pain and cramping after eating – especially fatty foods.
Jaundice (a yellowing of skin and eyes). 


How is cholecystitis caused?
Cholecystitis most frequently occurs when gallstones (‘stones’ that form within the bile coming down from your liver) block the tube leading out of your gallbladder. This results in a build-up of bile, which causes inflammation.

Rarely, cholecystitis can also be caused by other problems with your bile duct, such as a tumour, problems with blood supply to the gallbladder, and infections.

How is cholecystitis diagnosed?
If your doctor suspects you have cholecystitis, they will examine you and ask you about your medical history. They will usually order an ultrasound of your abdomen and order a blood test to look for signs of liver inflammation or infection. They may order further tests such as a CT of your abdomen if the diagnosis isn’t definite from the ultrasound.
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STAR Hospital - Region's First Internationally Certified Super-Specialist Centre for Bariatric Surgery | Weight Loss Surgery | Metabolic Surgery | Diabetes Surgery

Dr. Jasmeet Singh Ahluwalia
(MS, FNB-MAS, FBMS)
Super-Specialist Bariatric, Metabolic & Advanced Laparoscopic Surgeon

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