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    Cholecystitis Presentation

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    Shivangi Kulbhaskar
    This document discusses cholecystitis and cholelithiasis. Cholecystitis is inflammation of the gallbladder often due to infection, which can lead to gallstone formation (cholelithiasis) as cholesterol and other substances precipitate out of bile. Risk factors include a high-fat diet, obesity, age, genetics, and certain medical conditions or drugs. Symptoms include abdominal pain, nausea, and fever. Treatment involves surgical gallbladder removal or in some cases lithotripsy. Diet should be low in fat and trigger foods to reduce discomfort, with reintroduction of fats gradually after recovery.

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    Cholecystitis Presentation

    Uploaded by

    Shivangi Kulbhaskar
    90 views12 pages
    This document discusses cholecystitis and cholelithiasis. Cholecystitis is inflammation of the gallbladder often due to infection, which can lead to gallstone formation (cholelithiasis) as cholesterol and other substances precipitate out of bile. Risk factors include a high-fat diet, obesity, age, genetics, and certain medical conditions or drugs. Symptoms include abdominal pain, nausea, and fever. Treatment involves surgical gallbladder removal or in some cases lithotripsy. Diet should be low in fat and trigger foods to reduce discomfort, with reintroduction of fats gradually after recovery.

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    This document discusses cholecystitis and cholelithiasis. Cholecystitis is inflammation of the gallbladder often due to infection, which can lead to gallstone formation (cholelithiasis) as cholesterol and other substances precipitate out of bile. Risk factors include a high-fat diet, obesity, age, genetics, and certain medical conditions or drugs. Symptoms include abdominal pain, nausea, and fever. Treatment involves surgical gallbladder removal or in some cases lithotripsy. Diet should be low in fat and trigger foods to reduce discomfort, with reintroduction of fats gradually after recovery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    90 views12 pages

    Cholecystitis Presentation

    Uploaded by

    Shivangi Kulbhaskar
    This document discusses cholecystitis and cholelithiasis. Cholecystitis is inflammation of the gallbladder often due to infection, which can lead to gallstone formation (cholelithiasis) as cholesterol and other substances precipitate out of bile. Risk factors include a high-fat diet, obesity, age, genetics, and certain medical conditions or drugs. Symptoms include abdominal pain, nausea, and fever. Treatment involves surgical gallbladder removal or in some cases lithotripsy. Diet should be low in fat and trigger foods to reduce discomfort, with reintroduction of fats gradually after recovery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    CHOLECYSTITIS AND

    CHOLELITHIASIS

    S U B M I T T E D T O : S A N C H I TA T R I PAT H I
    S U B M I T T E D B Y : S H I VA N G I K U L B H A S K A R
    INTRODUCTION
    • Gall bladder concentrates bile formed in the liver and stores it until needed for
    digestion of fat.
    • Cholecystitis involves the inflammation of gallbladder usually due to a ;low grade
    chronic infection.
    • Such an infection affects the absorptive power of the gall bladder mucosa, in turn
    affecting the solubility ratios of the bile ingredients. Thus cholesterol may precipitate
    out causing gall stones to form.
    • Gall stone formation or cholelithiasis may occur with cholesterol bile pigments ,bile
    salt , calcium, and other substances precipitates out of the bile
    ETIOLOGY
    Gall stone formation includes factors are like Stasis ,infection and several metabolic
    changes
    High dietary fat intake over a long period of time .
    Family history
    Obesity
    High abdominal fat deposition
    Advancing age are other factors
    Diabetes
    Cholesterol – lowering drugs ,rapid weight loss ,fasting and being females are more
    prone to gall stone than men .
    Risk of gall stones in female because of sex hormones, pregnancy, postmenopausal
    women and oral contraceptives .
    SYMPTOMS
    • Sudden and rapidly intensifying pain in the upper right portion of your abdomen.
    • Feeling of fullness.
    • Distension after eating and particular difficulty in fatty food.
    • Vomiting
    • Nausea
    • Fever
    MANAGEMENT
    • Treatment of this disorder usually involves surgical removal of the gall bladder ,
    cholecystectomy.
    • Surgical may have to be withheld till the acute infection subsides . Till then patients is
    kept in bed and suitable analgesics and antibodies are administrated.
    • Other methods are :
    Extracorporeal shockwave lithotripsy(ESWL)
    Laparoscopic surgery
    NUTRIONAL MANGEMENT
    • The main aim of dietary treatment is to reduce discomfort by providing a diet restricted
    in fat or negligible fat.
    • After the surgery , a liquid diet given as hourly or two hours feeds daily for a few days .
    • When condition is settles down , clear soups ,weak tea ,milk, refined cereals may be
    added.
    • Pending surgery , some weight loss may be desirable in obese patients .In such
    cases, energy restriction as under obesity would apply.
    • Hepatic herbal supportive , antioxidants ,liver cells membrane protective and
    maintenances of adequate calorie, fluid and electrolytes , vitamins , especially fat
    soluble vitamins are routinely recommended.
    • Fats intake is major cause of pain , the energy needs should mainly be met from
    carbohydrates and not from fat sources.
    • Fat intake may be limited to 20-30 g /day and later increased to 40 -45g/ day.
    • High intake of soluble fibre through pulses , vegetables , fruits oilseeds , like flax seed
    and methi seeds help the body to get rid of bile acid sterols out of the guts.This is also
    gives a desirable microflora to favour inhibiting endogenous cholesterol production.
    DIET AND FEEDING PATTERN
    • Food which precipitate or aggravate symptoms should be avoided .
    • The tolerance to specific foods may be highly individual .
    • The most likely intolerance are fried foods , fatty meats eggs or legumes.
    • Low fat options like tone /skim milk and their products , lean meats like fish and
    chicken are better tolerated
    • Large meal should be avoided and plenty of fluids should be taken early in the
    morning ,late in the night and in between the meals
    • FOODS ALLOWED:
     Bread and chapatis from wheat , maize, jowar , bajra or ragi
     Breakfast cereals of wheat , rice , oatsmeal, maize.
     Pulses( washed )
     Fish or chicken
     Milk and milk products.
     vegetables,
     Fresh fruits
     Beverages etc.
    • FOODS TO BE AVOIDED:
     Fried foods
     Fatty meats
     Dried fruits
     Nuts
     Sweets
     Condiment and spices
     Papad
     Pickles ,chutneys
     Thick soups
     Gravies
     Whole milk /khoya

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