Chronic cholecystitis history and symptoms
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
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Overview
Cholecystitis usually presents as a pain in the right upper quadrant. This is usually a constant, severe pain. The pain may be felt to 'refer' to the right flank or right scapular region at first. This is usually accompanied by a low grade fever, vomiting and nausea. More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation, perforation or ascending cholangitis. Another complication, gallstone ileus, occurs if the gallbladder perforates and forms a fistula with the nearby small bowel, leading to symptoms of intestinal obstruction.
Chronic cholecystitis manifests with non-specific symptoms such as nausea, vague abdominal pain, belching, and diarrhea.
History and Symptoms
The hallmark of chronic cholecystitis is biliary colic. A positive history of biliary colic, nausea and vomiting is suggestive of chronic cholecystitis. The most common symptoms of chronic cholecystitis are right upper quadrant abdominal or epigastric pain, pain is usually prolonged and there is a positive history of pain after ingestion of heavy fatty meals. The pain is severe and steady and may radiate to the back or right shoulder.[1][2][3]
History
Patients with chronic cholecystitis may have the positive family history of:
- Previous episodes of right upper quadrant or epigastric pain
- Opioids and estrogen use
- Diabetes
- Hypertension
- Infections such as:
- Rapid weight loss or hospitalization
Symptoms
Common Symptoms
The common symptoms of acute cholecystitis include:
- Episodes of upper abdominal pain
- Nausea and vomiting
- Belching
- Diarrhea
- Nausea or vomiting
Less Common Symptoms
The less common symptoms of acute cholecystitis include:
- Jaundice
- Malaise
References
- ↑ Jones MW, Ferguson T. PMID 29262051. Missing or empty
|title=(help) - ↑ [+https://www.ncbi.nlm.nih.gov/books/NBK470236/#article-19521.s1 "Gallbladder, Cholecystitis, Chronic - StatPearls - NCBI Bookshelf"] Check
|url=value (help). - ↑ "Cholecystitis - ScienceDirect".