Treatment of chronic acalculous cholecystitis

Jul 13, 2018

Chronic, acalculous cholecystitis is an inflammation of the gallbladder, in which motor activity is impaired and the tonus of the bile-excoriating system is lost.

The choice of ways to treat this disease affects its phase, the patient's state of health and the existing complications.

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Basically acalculous cholecystitis in chronic form is expressed in pain sensations in the area under the ribs on the right side of the trunk.

To the patient, they can seem long and aching, harsh and unbearable, especially after eating harmful dishes, fading and growing.

Paroxysmal pain patient with this kind of chronic cholecystitis never feels. With the unpleasant sensations of this gallbladder disease, they do not collide immediately after its onset.

Chronic galloping cholecystitis progresses slowly, and its first manifestations, unlike all subsequent ones, are very weak.

Inflamed gallbladder mucosa

But the pathological processes occurring in the gallbladder, are reflected in other organs.

Because of this, there are also symptoms that indicate a change in the direction of the progression of the disease.

If the serous membrane of the gallbladder has become inflamed, the pain can be felt in the right side, and by nature it is constant.

When the patient takes a different position of the body, for example, the body tilts, the symptoms become noticeably more noticeable.

The pain may increase and be felt even in the area from the coccyx to the ribs or in the shoulder from the right side of the body.

When a failure in the functioning of the gallbladder causes a disruption of the liver, symptoms such as bitterness in the oral cavity, the urge to vomit and belching are observed.

These manifestations of the disease are necessarily accompanied by pain. With the development of chronic acalculous cholecystitis in acute form, the patient may encounter even an increase in temperature.

This is a sign that along with the gallbladder, the channels through which bile passes also began to become inflamed.

Types of gallbladder disease

But in some cases the disease is different. This happens with an atypical form of chronic acalculous cholecystitis.

If it is intestinal, then the following symptoms are of concern: periodic constipation, swollen abdomen, pain not felt in a specific place.

When the esophagitis form of the disease, which affects the esophagus mucosa, there are other symptoms: an endless burning sensation behind the sternum, chest pain and difficulty swallowing food.

In terms of severity, chronic acalculous cholecystitis is mild, moderate and severe.

A mild form means that the disease occurs with infrequent and rapidly occurring periods of exacerbation.

The patient's condition improves literally three days after making adjustments to the diet and diet. On the tissues of the gallbladder, the cholecystitis of the cholecystitis is not greatly affected.

If this type of cholecystitis occurs in a medium form, then the periods of remission are clearly alternating with periods of exacerbation. The patient's condition usually worsens for a period of 2 to 3 weeks.

Because the symptoms of this type of disease are pronounced, it is not difficult for doctors to detect it with the help of tests and examination of the gallbladder.

The severe form of chronic acalculous cholecystitis differs in the blurred boundaries between the period of normal and poor health, because the patient constantly feels pain.

How to be cured of chronic acalculous cholecystitis?

Treatment of gallbladder disease is based on the use of conservative methods, that is, the use of tablets, special diets and traditional medicines.

But, when chronic cholecystitis is sharpened, it is desirable to go to the hospital for a week and a half medication.

At the stage of the disease, in which the patient becomes much better, it is common to prevent complications and reduce the upcoming period of exacerbation.

That is, treatment should be aimed at restoring the gallbladder.

This is helped by drugs that destroy the infection and stop the inflammatory process, as well as medications to bring the digestion back to normal.

Treatment of the gallbladder from inflammation involves the use of a special diet. With increasing malaise and for the next two months, patients with chronic acalculous cholecystitis sit on diet No. 5a.

They are obliged to eat often, but little by little, and the evening portion of food should be the smallest.


The food used to treat this disease is cooked foods and baked dishes.

The list of prohibited products includes alcohol, carbonated drinks, biscuits and bread from high-grade flour, spicy, fatty, salted and fried in sunflower oil dishes.

Drug treatment of chronic stone-free cholecystitis requires the use of an antibacterial drug, for example, Cefotaxime.

During the exacerbation of the disease, it can be injected into the body through a vein. With normal health, it is recommended to take either Formylid or Erythromycin in the form of tablets.

Treatment should last about one and a half weeks. To ease pain, antispasmodics like "No-shpy" and "Papaverin" help.

Also, suffering from this type of cholecystitis, it is important to take enzymes that improve digestion. They are in the composition of such drugs as Mezim and Festal.

Still, to stimulate the production of bile, it is recommended to drink "Allochol" or "Cholagol".But treatment with these medicines represents a certain danger, because because of them pain can increase.

Absolutely safe and effective treatment of non-stagnant cholecystitis in chronic form is considered as folk methods.


To relieve inflammation, eliminate spasms and destroy pathogens, you can drink herbal infusion.

One of the most useful compounds for the gallbladder is prepared from the crushed dandelion root, oat seeds, celandine, hips and strawberry leaves. Such a drug persists for half an hour and drinks half a glass for half an hour before a meal.

Chronic galloping cholecystitis is a disease considered very dangerous. Start treatment of the affected gallbladder without delay, without the occurrence of complications.

It is necessary to change the diet, take antibacterial and some other drugs, and also restore the sick body folk remedies.

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