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Doctor insights on: Acalculous Cholecystitis Diagnosis

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Dr. Jarrod Kaufman
187 doctors shared insights

Cholecystitis (Definition)

Cholecystitis is inflammation of the gallbladder causing epigastric and/or right upper quadrant abdominal pain occasionally radiating to the right flank and back. This is usually caused by gallstones, and ranges in severity from ...Read more


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My cousin recently got surgery for acute acalculous cholecystitis. Any foods you shouldn't eat after getting the surgery?

My cousin recently got surgery for acute acalculous cholecystitis. Any foods you shouldn't eat after getting the surgery?

NO: After biliary surgery, there is no foods to avoid. You may hear that fats need to be avoided, but that's a false recommendation. a small fraction of patients will have urgency post op but that's temporary and self limited. ...Read more

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What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.

What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.

H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read more

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My dad is having severe abdominal pain since past 3 days ... Ultra sound showed 4mm widening of gall bladder thickness.. Diagnosed with Acalculous Cholecystitis .. Prescribed with antibiotic and analgesic for 5 days.. Will cholecystectomy be necessary ??

My dad is having severe abdominal pain since past 3 days ... Ultra sound showed 4mm widening of gall bladder thickness.. Diagnosed with Acalculous Cholecystitis .. Prescribed with antibiotic and analgesic for 5 days.. Will cholecystectomy be necessary ??

If antibiotics don't: help or work, and the pain increases, fever, and other factors get worse, he may need a surgery to prevent against a ruptured gall bladder that can kill a person through spreading infection (peritonitis, or sepsis!) It is nothing to take lightly, and he needs to be monitored closely now for follow up. So, hope he does well with the current meds. Not out of the woods yet. Good luck! ...Read more

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Can you tell me in acute cholecystitis, if the diagnosis is evidently clinically, is an usg abdomen still a must?

Can you tell me in acute cholecystitis, if the diagnosis is evidently clinically, is an usg abdomen still a must?

Yes: An ultrasound would be used to tell if the paiins are from the gallbladder or not. There are many causes of abdominal pain. There are no pure "clinical" findings for acute cholecystitis without appropriate testing (physical exam, blood tests, ultrasound). ...Read more

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What is the different between acute and chronich cholecystitis?

Type of white cells: Acute cholecystitis has more neutrophils, and chronic cholecystitis has more lymphocytes. The symptoms however are usually the same - right upper quadrant abdominal pain sometimes associated with nausea and vomiting. In the acute phase, the pain however can be worse and associated with higher fever. The treatment however is the same for both, operation to remove the gallbladder. Hope this helps! ...Read more

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What is mild chronic cholecystitis?

See below: Mild means that. Chronic means present a long time. Cholecystitis means inflammation of the gallbladder. Put together would indicate long standing irritation from gallstones. If there are no gallstones then could be a minimal finding of slight gallbladder irritation from pathology. It is benign. ...Read more

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Would cholecystitis increase ESR rate?

Yes: Yes, it would like be elevated in any condition that would be associated with increased inflammation in the body. However, it is not usually of any value for the management or diagnosis of cholecysititis ...Read more