Question 1

is cholangitis painful?

Accepted Answer

Usually: Cholangitis is bile duct inflammation usually occurring secondary to bile duct obstruction from stones.  Bacteria in the bile duct are readily absorbed into the bloodstream from the liver and lead to serious infections.  Classic findings are right upper abdominal pain (not unlike a gallbladder attack), fever, and jaundice.  Some people are so ill that they are lethargic and have no pain complaints.

Question 2

is cholecystitis painful?

Accepted Answer

Yes: Chronic cholecystitis or biliary colic is caused by transient obstruction of the gallbladder by a gallstone, causing fairly classic right-upper or upper-midline pain(non-cramping, severe, radiating into back);  the pain is often associated with nausea+/-vomiting and bloating.  Acute cholecystitis will cause the same pain, however it may last for a day or more, and may be associated with fever.

Question 3

can you die from cholecystitis?

Accepted Answer

Uncommon: Left untreated, cholecystitis may lead to rupture of the gall bladder with spread of infection to the abdominal cavity, peritonitis and septicemia and death.

Question 4

what are the tests for cholangitis?

Accepted Answer

Labs, U/S, ERCP: Classic findings include jaundice, right upper abd pain, and fever. Ultrasound may show dilitation of the bile duct +/- (the often-offending) gallstones. Endoscopy. (ERCP) may identify the bile duct obstruction and rx it via stone extraction +/- stenting.

Question 5

what sort of disease is cholangitis?

Accepted Answer

Charcot's Triad: Cholangitis is an infectious inflammation of the bile circulation which in turn results in inflammation of the liver. The hallmark signs of cholangitis are known as "charcot's triad" and include: right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin). Cholangitis can be fatal if left untreated.

Question 6

what are the tests for cholecystitis?

Accepted Answer

Exam and test: A diagnose of cholecystitis is combination of history and exam (upper and right upper abd pain, pain after eating ) and rafipgraphic study (ultrasound and maybe hida scan.

Question 7

what sort of disease is cholecystitis?

Accepted Answer

Gallbladder infect'n: Cholecystitis is a something that occurs when the gallbladder becomes infected, usually by bacteria. This can occur usually when the gallbladder is unable to drain properly, such as when it is blocked by a stone.

Question 8

so what are the symptoms of cholangitis?

Accepted Answer

Pain,Fever,Jaundice: Cholangitis is an infection in the bile ducts that occurs with blockage of the bile duct, typically due to stones, tumors, or strictures of the ducts.  Bacteria rapidly enter the bloodstream from the liver, causing serious infections.  Treatment centers on IV antibiotics, aggressive supportive care, and, occasionally, relief of the blockage (typically performed by gastroenterologists via ercp).

Question 9

what interventions work for cholecystitis?

Accepted Answer

Cholecystitis Tx: IV antibiotics can be given to treat an acute inflammation of the gallbladder. However, the only way to cure and prevent further attacks of cholecystitis is to have the gallbladder surgically removed (cholecystectomy)

Question 10

is flaygl normally prescribed for cholecystitis?

Accepted Answer

Yes: The types of bacteria that cause these infections include gram positive, gram negative and anaerobes (Bacteroides, Clostridium). Flagyl helps cover the latter class. Normally not used in isolation, but as an analog to other antibiotics that have better coverage for the first 2 classes of bacteria.

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Cholangitis vs cholecystitis

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