Which doctor treats cholecystitis: diagnosis and treatment.

click fraud protection

Cholecystitis is the onset of inflammatory processes in the gallbladder. This disease can affect anyone, regardless of age or sex. The main cause of the appearance of cholecystitis is metabolic and nutrition disorders. Unfortunately, among diseases of the gastrointestinal tract, this ailment is the most common, so it is important to know which doctor treats cholecystitis.

Symptoms of cholecystitis

Symptoms, as a rule, depend on the form of the disease.

Important! For more information on the symptoms and treatment of cholecystitis in adults, see here.

In acute form:

instagram viewer
1. Severe pain that occurs immediately after eating.
2. Suddenly arising nausea.
3. There is a bitter taste in the mouth.
4. Vomiting( can occur many times).
5. Increased body temperature( up to 39 ͦ).
6. Diarrhea( may occur once).

Know: if you have found at least one symptom of cholecystitis, then the question of which doctor is treating this ailment should not arise from you. Urgently consult a gastroenterologist. If in your area the reception of a gastroenterologist is impossible, go to the therapist or surgeon.

In the chronic form of the disease:

• regular pain in the region of the right hypochondrium, becoming aching;
• a constant sense of weakness;
• recurrent nausea;
• bloating;Rarely, a liquid stool occurs in the
• ;
• sensation of dryness and bitterness in the mouth.

Important: all of the above symptoms manifest themselves particularly after taking fried or fatty foods. This factor is a kind of provocateur of the occurrence of pain. If you deliberately ignore the symptoms, this can lead to serious consequences, in particular, to the transition to an acute crisis form.

The main causes of the occurrence of cholecystitis

1. Heredity.
2. The older the age, the greater the likelihood of the disease.
3. Frequent consumption of sweet, fatty, smoked, spicy.
4. Abuse of alcoholic beverages. Stones in the gallbladder.
5. A sedentary lifestyle.
6. Diseases of the small intestine. Fast food diets.
7. Overeating.
8. Diabetes mellitus.
9. Staphylococcal infection.
10. Giardiasis.

Important! On the principles of diet in cholecystitis of the gallbladder, find out in our article.

Which doctor treats cholecystitis

If you develop one of the previously listed signs, you should consult your doctor. The first appointment should be with the therapist. The doctor listens to the patient's complaints and appoints appropriate tests. After all the studies are completed, and the diagnosis of the disease is confirmed, the patient will go to the gastroenterologist.

Important! It's interesting to know how cholecystitis manifests in women? Read in our article.

Diagnosis of the disease, however, like any other, through patient interview and initial examination. After that the gastroenterologist appoints a number of additional examinations and analyzes in order to determine the severity of the disease.

In case of severe cholecystitis the patient may be referred to a surgeon.

Diagnosis of cholecystitis

Laboratory diagnostic methods are performed to evaluate blood values, as well as determine the status of the liver and pancreas. For this, clinical and biochemical blood tests, general urine analysis and stool analysis are performed.

In some cases it is possible to carry out bacteriological and biochemical studies of bile. To do this, use duodenal sounding.

Remember: cholecystitis is most often affected by people with cholelithiasis or those who are obese.

Instrumental methods consist in carrying out:

• ultrasound( reveals an increase in the size of the gallbladder, wrinkling of the organ, compaction of the walls of the bladder, etc.);
• cholecystography( detects pathology in the upper parts of the digestive tract);
• esophagogastroduodenoscopy( determines the presence of stones in the gallbladder).
• laparoscopic diagnosis( used to identify an objective picture of the patient's condition).

As a gastroenterologist, the treatment of cholecystitis

is performed. After the gastroenterologist has decided on the diagnosis, he prescribes treatment. For example, classical therapy for cholecystitis in the acute stage implies urgent hospitalization. At an easy stage of illness the patient is hospitalized for 7 days.

In case of inflammation in the gallbladder, the doctor prescribes anti-inflammatory drugs, including antibiotics.

Important! On how to treat an exacerbation of chronic cholecystitis, you can find out on the pages of our site.

After the inflammation is removed, the doctor prescribes cholagogue medicines to accelerate the emptying of the body and improve the overall condition of the patient. Similar preparations at a cholecystitis also are capable to lower inflammatory processes still at early stages of illness.

To eliminate the infection of bile, the doctor prescribes antibacterial drugs. Such treatment should last no more than 14 days.

If in a series of studies in the gallbladder, with a pronounced inflammation, stones are found, the doctor prescribes surgery. Depending on the severity of the disease and the size of the stones, the purpose of surgical intervention can be the removal of deposits or the elimination of the gallbladder. Such a decision the doctor takes only if conservative treatment in this case is powerless.

Important: in the treatment of cholecystitis should be observed diet. Food should be chemically and mechanically sparing. Only vegetarian soups should be present in the patient menu. It is not recommended to eat fatty, fried, smoked and spicy food. The food should not be too cold and not too hot. In the diet should be: boiled vegetables, compotes, soft drinks, dairy products, yesterday's white and black bread, etc.

In the treatment of cholecystitis in chronic form, it is shown that enzyme and antacid preparations should be used for 3 days.

Important! Want to learn how to treat cholecystitis at home? Read here.

Therapy also uses mud applications on the right hypochondrium. Typically, such procedures are performed around 10. It is also quite effective in the treatment of electrophoresis of dirt on the liver. Such procedures are prescribed by the doctor with extreme caution and only those patients who do not have infectious manifestations.

Some gastroenterologists prescribe a patient with cholecystitis, herbal preparations and infusions. Also, several cases of recovery after long-term homeopathic treatment were recorded.

Important: if you have found signs of cholecystitis, then the question of which doctor to go to should not arise, because even the slightest ignoring of the problem can lead to irreversible consequences.