How long does it take for cholecystitis to heal after taking medicine?

Patients with cholecystitis are in great pain and cannot eat normally. Sometimes they also suffer from loss of appetite, are too weak, and have jaundice. Therefore, if you have cholecystitis, you must go to the hospital for diagnosis and treatment in time, avoid spicy and greasy foods, and eat a light diet. At the same time, you must follow the doctor's instructions during treatment and do not blindly treat yourself. So, how long does it take for cholecystitis to be cured by taking medicine?

1. General treatment

① Actively prevent and treat bacterial infections and complications, pay attention to food hygiene, prevent the occurrence of biliary parasitic diseases, and actively treat intestinal ascariasis. ② Maintain a moderate lifestyle, pay attention to the combination of work and rest, maintain appropriate temperature, maintain an optimistic mood and smooth bowel movements. ③If the disease is accompanied by stones or occurs frequently, surgical treatment may be considered. ④ A low-fat meal should be chosen to reduce bile secretion and reduce the burden on the gallbladder.

2. Medication

(1) Acute cholecystitis

① For antispasmodics and analgesia, intramuscular atropine, sublingual nitroglycerin, pethidine (meperidine), etc. can be used to relieve spasms and pain in the Oddi sphincter. ② Antibiotics are used to prevent bacteremia and suppurative complications. They are usually used in combination with ampicillin, clindamycin and aminoglycosides, or second-generation cephalosporins such as cefuroxime or cefuroxime are used for treatment. Changes in antibiotics should be based on the results of blood cultures, bile cultures during surgery, bacterial cultures of the gallbladder wall, and drug sensitivity tests. ③ Choleretic drugs: 50% magnesium sulfate taken orally (not needed for those with diarrhea), dehydrocholic acid tablets taken orally, and bile acid tablets taken orally.

(2) Chronic cholecystitis

① Choleretic drugs can be taken orally, such as 50% magnesium sulfate, dehydrocholic acid tablets, etc. ②Antiparasitic therapy

Deworming is targeted at the cause of the disease. ③ Litholytic therapy: If the cause is cholesterol stones, chenodeoxycholic acid lithotripsy can be used for treatment. Literature reports that the lithotripsy efficiency can reach about 60%. After the treatment, you still need to take a maintenance dose to prevent recurrence.

(3) Rational selection of Chinese patent medicines

①Function of Jindan tablets: anti-inflammatory and choleretic. Used for acute and chronic cholecystitis. ② Function of Qinggan Lidan Oral Liquid: Clears away dampness and heat in the liver and gallbladder. It is mainly used to treat symptoms such as poor appetite, flank pain, fatigue, yellow urine, greasy tongue coating, stringy pulse, liver depression and qi stagnation, and uncleared damp-heat in the liver and gallbladder.

3. Surgical treatment

Cholecystectomy is the fundamental treatment for acute cholecystitis. Indications for surgery: ① Patients with gallbladder gangrene and perforation, complicated by diffuse peritonitis; ② Patients with repeated acute attacks of acute cholecystitis and a clear diagnosis; ③ Patients whose condition continues to develop and worsen after active medical treatment; ④ Patients with no contraindications to surgery and who can tolerate surgery. For patients with chronic cholecystitis and cholelithiasis, once the diagnosis is established, cholecystectomy is a reasonable fundamental treatment. If the patient has serious diseases such as heart, liver, lung, etc. or the systemic condition cannot tolerate surgery, medical treatment can be given.