Is Chronic Cholecystitis?
Cholecystitis or acute cholecystitis is the sudden inflammation
of your gallbladder. If this condition persists for a prolonged period of time,
such as months, or if you have repeated attacks, it’s known as chronic
The gallbladder is a small, pear-shaped organ located on the underside
your liver. It stores bile made by the liver and sends it to the small
intestine via the common bile duct (CBD) to aid in the digestion of fats. The
CBD connects the liver, the gallbladder, and the pancreas to the small
intestine. Gallstones blocking the CBD are the leading cause of cholecystitis.
This blockage causes bile to build up in the gallbladder, and that buildup
causes the gallbladder to become inflamed.
This is a serious condition. The gallbladder could rupture if
it’s not treated properly, and this is considered a medical emergency. Treatment
usually involves antibiotics, pain medications, and removal of the gallbladder.
Causes Chronic Cholecystitis?
This condition usually begins with the formation of gallstones in
the gallbladder. According to the Cleveland
Clinic, whether you have gallstones may depend on several factors,
including genetic predisposition, weight, gallbladder activity, and dietary
Gallstones form when substances in the bile form crystal-like
particles. They can range from the size of a grain of sand to the size of a
golf ball. The presence of gallstones causes pressure, irritation, and may
cause infection. The walls of the gallbladder begin to thicken over time.
Eventually, the gallbladder starts to shrink. These changes make it harder for
the gallbladder to function properly.
In addition to gallstones, cholecystitis can be due to:
- infection of the CBD drainage system
- a CBD blockage
- excess cholesterol in the gallbladder, which can
happen during pregnancy or after rapid weight loss
- decreased blood supply to the gallbladder
because of diabetes
- tumors in the liver or pancreas
- tumor in the gallbladder, which is rare
When you experience repeated or prolonged attacks of
cholecystitis, it becomes a chronic condition.
A number of factors increase your chances of getting
- Gallstones are more common in women than in men.
Because of this, women are more likely than men to develop cholecystitis.
- The Cleveland
Clinic states that the risk of developing this condition increases after
- Hispanics and Native Americans have a higher
risk of developing gallstones than other people.
- Obese individuals are also more likely to get
and Symptoms of Cholecystitis
Symptoms of cholecystitis can appear suddenly or develop slowly
over a period of years. Signs and symptoms include:
- severe abdominal pains that may feel sharp or
- abdominal cramping and bloating
- pain that spreads to your back or below your
right shoulder blade
- loose, light-colored stools
- jaundice, which is when your skin and the whites
of your eyes turn yellow
A typical attack can last two or three days, but symptoms of
cholecystitis vary widely from person-to-person.
Complications can include:
- pancreatitis, which is an inflammation of the
- cancer of the gallbladder, which is rare
- perforation of the gallbladder
- enlarged gallbladder due to inflammation
- death of gallbladder tissue
Cholecystitis Is Diagnosed
Your doctor will take your medical history and conduct a physical
exam. The symptoms of cholecystitis are similar to those of other conditions,
so they must rule out those conditions.
There are tests that can help diagnose cholecystitis:
- The CT scan uses X-rays to produce very detailed
pictures of your abdomen.
- The abdominal ultrasound helps your doctor view
all the internal organs in your abdomen and see how blood flows through your
- Blood tests can identify infections.
- In cholescintigraphy,
or a HIDA scan, an injection of a small amount of radioactive material can
help identify abnormal contractions or obstructions of your gallbladder and
retrograde cholangiopancreatography (ERCP) involves using an endoscope
(a long, flexible tube inserted down your throat), dye, and an X-ray to thoroughly
examine your organs and find defects or problems.
- In a percutaneous
transhepatic cholangiography (PTC), your doctor will insert contrast dye
into your liver with a needle. This allows your doctor to see your bile ducts
Options for Cholecystitis
The specific cause of your attack will determine the course of treatment.
Your doctor will also consider your overall health when choosing your
treatment. The options include:
- broad-spectrum antibiotics for fighting
dissolution therapy using medications to help dissolve gallstones
relievers for controlling pain during treatment
If you have a ruptured gallbladder, surgical removal of your gallbladder will be necessary.
Surgery is often the course of action in cases of chronic cholecystitis. Today,
gallbladder surgery is generally done laparoscopically. Your surgeon will make
small incisions in your abdomen and insert small surgical tools to perform the
surgery. In most cases, the surgery is an outpatient procedure, which means a
shorter recovery time.
Your healthcare team will advise you about lifestyle and dietary
guidelines that can also improve your condition.
Outlook for Chronic Cholecystitis
When treated properly, the long-term outlook is quite good. You
don’t need a gallbladder to live or to digest food. Without your gallbladder,
bile will flow directly from your liver into your small intestine.
Chronic Cholecystitis Be Prevented?
If you’ve had one or more bouts of cholecystitis, speak to your
doctor to learn about changes you can make to avoid chronic cholecystitis. Ask
about dietary guidelines that may include reducing how much fat you eat.
Regular exercise is often helpful.
Gallstones are the main cause of cholecystitis. You can lower
your risk of developing more gallstones by maintaining a healthy weight. If you
need to lose weight, try to do it slowly because rapid weight loss can increase
your risk of developing gallstones.