A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Cholecystitis, Diagnosis and Treatment and Related Diseases
Cholecystitis is a medical disorder produced by acute or chronic inflammation of the gallbladder.
Acute cholecystitis is an acute inflammation of the gallbladder that causes severe abdominal pain.
Acute cholecystitis happens when bile becomes trapped in the gallbladder.
Accumulation of trapped bile produces inflammation and pressure in the gallbladder.
This can result in infection and a hole (perforation) in the gallbladder.
In 95% of cases, acute cholecystitis is induced by gallstones in the gallbladder.
Other causes are severe illness and (rarely) tumors of the gallbladder.
Chronic cholecystitis induces inflammation and swelling of the gallbladder that persists over time.
Calculous cholecystitis is the most frequent and normally less serious type of acute cholecystitis.
It is responsible for around 95% of all cases.
Calculous cholecystitis occurs when the main opening to the gallbladder, called the cystic duct, becomes blocked by a gallstone or by a substance known as biliary sludge.
Biliary sludge is a combination of bile (produced by the liver that digests fats) and small crystals of cholesterol and salt.
The blockage in the cystic duct leads from a build-up of bile in the gallbladder, raising the pressure inside it and causing it to become inflamed.
In 20% cases, the inflamed gallbladder may also become infected by bacteria.
Acalculous cholecystitis is a less frequent but normally more serious form of acute cholecystitis.
It normally forms as a complication of a serious illness, infection or injury that damages the gallbladder.
Acalculous cholecystitis is often linked with problems such as accidental injury to the gallbladder during major surgery, blood poisoning (sepsis), serious damages or burns, severe malnutrition or AIDS.
Acute Cholecystitis is normally produced by these:
1. Blockage of the cystic duct by a gallstone -most common cause 95%
2. Bacterial infection after obstruction in 50% of cases
3. Bacterial or viral infection after gastroenteritis-germs from the intestines going up the cystic duct into gallbladder.
Chronic cholecystitis is normally caused by repeated attacks of acute cholecystitis.
These attacks produce the walls of the gallbladder to thicken.
The gallbladder starts to shrink.
After a period of time, the gallbladder is less capable of concentrating, storing, and releasing bile.
The major symptom is pain in the upper right quadrant or upper middle portion of the abdomen.
1. Slow start of abdominal pain starting from the epigastrium, spreading to the right sub costal area, may be palpated in the back at the sub-scapular region that normally persists at least 30 minutes.
The pain linked with acute cholecystitis is normally persistent, and does not go away within a few hours.
2. Nausea and vomiting
3. Loss of appetite
Diagnosis can normally be made by:
1. Physical examination with a positive Murphy's sign.
The affected upper right part of the abdomen is normally extremely tender, and breathing deeply can make the pain worse.
2. Plain X-rays can show the presence of gallstones in 10-15% patients
3. Oral cholecystogram is 95% accurate
4. Ultrasound is highly reliable in showing up the presence of gallstones
Even though cholecystitis may clear with medical treatment, surgery to remove the gallbladder (Cholecystectomy) is normally needed when gallstones are present.
TABLE OF CONTENT
Introduction
Chapter 1 Cholecystitis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Acalculous Cholecystitis
Chapter 8 Cholangitis
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
Read more from Kenneth Kee
Avoidant Personality Disorder, A Simple Guide To The Disorder, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsHyper-Pigmentation Of The Skin A Simple Guide To The Condition, Treatment, And Related Conditions Rating: 5 out of 5 stars5/5Iodine Deficiency, A Simple Guide to the Condition, Treatment and Related Diseases Rating: 4 out of 5 stars4/5A Simple Guide to Psychosis, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Anemia, Treatment and Related Diseases Rating: 5 out of 5 stars5/5Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Congestive Heart Failure, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Intestinal Parasitic Diseases, A Simple Guide to These Conditions Rating: 4 out of 5 stars4/5Shoulder Disorders, A Simple Guide To The condition, Diagnosis, Treatment And Improvised Treatment Rating: 5 out of 5 stars5/5A Simple Guide to Skin Fungal Infections, (Updated 2023) Diagnosis, Treatment and Related Conditions Rating: 5 out of 5 stars5/5A Simple Guide to The Pineal Gland (The Third Eye) And Its Function Rating: 5 out of 5 stars5/5Sulfur Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 3 out of 5 stars3/5Peripheral Neuropathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Lymphedema (Lymph Obstruction), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsHernia, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions Rating: 5 out of 5 stars5/5Autism Spectrum Disorder (Updated), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Pelvic Floor Dysfunction, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsCase Notes From A Family Doctor Rating: 5 out of 5 stars5/5Dependent Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsVitamin B12 Deficiency, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 5 out of 5 stars5/5Paranoid Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Liver Cirrhosis, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Histrionic Personality Disorder, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsFetal Alcohol Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Vitamin B1 Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 4 out of 5 stars4/5Thyroid Nodule, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5
Related to A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
Related ebooks
A Simple Guide to Acalculous Cholecystopathy, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsNecrotizing Fasciitis, (Flesh Eating Disease) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsHirschsprung’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsGastric Outlet Obstruction, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsSweet’s Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsJaundice, (Hyperbilirubinemia) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Food Poisoning, (Gastroenteritis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsCholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Diabetic Ketoacidosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis Rating: 3 out of 5 stars3/5Diabetes Mellitus And Its Complications, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsFlatulence, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsGastrointestinal Bleeding, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsVolvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Irritable Bowel Syndrome and Colon Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Gallstones and Gallbldder Diseasess Rating: 0 out of 5 stars0 ratingsInflammation of Digestive Tract, a Simple Guide to the Condition, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsEsophageal Varices, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsDyspepsia (Indigestion), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsGastric (Stomach) Cancer: Cancer Is Curable, It's Up to You Rating: 0 out of 5 stars0 ratingsVentricular Septal Defect, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Adrenal Cancer, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsThe Story of Me a Black Nurse Rating: 5 out of 5 stars5/5Let Me Entertain You Rating: 0 out of 5 stars0 ratingsPortal Hypertension, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsChronic Kidney Disease Demystified: Doctor’s Secret Guide Rating: 0 out of 5 stars0 ratingsFast Facts: Type 2 Diabetes: Identify early, intervene effectively, make every contact count Rating: 0 out of 5 stars0 ratingsCellulitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratings
Medical For You
The Lost Book of Simple Herbal Remedies: Discover over 100 herbal Medicine for all kinds of Ailment, Inspired By Dr. Barbara O'Neill Rating: 0 out of 5 stars0 ratingsWhat Happened to You?: Conversations on Trauma, Resilience, and Healing Rating: 4 out of 5 stars4/5Brain on Fire: My Month of Madness Rating: 4 out of 5 stars4/5The Little Book of Hygge: Danish Secrets to Happy Living Rating: 4 out of 5 stars4/5Gut: The Inside Story of Our Body's Most Underrated Organ (Revised Edition) Rating: 4 out of 5 stars4/5The Song of the Cell: An Exploration of Medicine and the New Human Rating: 4 out of 5 stars4/5The Emperor of All Maladies: A Biography of Cancer Rating: 5 out of 5 stars5/5The Vagina Bible: The Vulva and the Vagina: Separating the Myth from the Medicine Rating: 5 out of 5 stars5/5The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally Rating: 5 out of 5 stars5/5Mediterranean Diet Meal Prep Cookbook: Easy And Healthy Recipes You Can Meal Prep For The Week Rating: 5 out of 5 stars5/5Mating in Captivity: Unlocking Erotic Intelligence Rating: 4 out of 5 stars4/5Adult ADHD: How to Succeed as a Hunter in a Farmer's World Rating: 4 out of 5 stars4/5Blitzed: Drugs in the Third Reich Rating: 4 out of 5 stars4/5Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life Rating: 5 out of 5 stars5/5Living Daily With Adult ADD or ADHD: 365 Tips o the Day Rating: 5 out of 5 stars5/5This Is How Your Marriage Ends: A Hopeful Approach to Saving Relationships Rating: 4 out of 5 stars4/5ketoCONTINUUM Consistently Keto For Life Rating: 5 out of 5 stars5/5The 40 Day Dopamine Fast Rating: 4 out of 5 stars4/5The Obesity Code: the bestselling guide to unlocking the secrets of weight loss Rating: 4 out of 5 stars4/5Peptide Protocols: Volume One Rating: 4 out of 5 stars4/5The Art of Dying Well: A Practical Guide to a Good End of Life Rating: 4 out of 5 stars4/5ATOMIC HABITS:: How to Disagree With Your Brain so You Can Break Bad Habits and End Negative Thinking Rating: 5 out of 5 stars5/5
Reviews for A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
0 ratings0 reviews
Book preview
A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions - Kenneth Kee
A
Simple
Guide
To
Cholecystitis,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2021 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Cholecystitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Cholecystitis)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
My diagnosis and treatment capability has improved tremendously from my continued education.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Cholecystitis
What is Cholecystitis?
Cholecystitis is a medical disorder produced by acute or chronic inflammation of the gallbladder.
Acute cholecystitis is an acute inflammation of the gallbladder that causes severe abdominal pain.
Acute cholecystitis happens when bile becomes trapped in the gallbladder.
Accumulation of trapped bile produces inflammation and pressure in the gallbladder.
This can result in infection and a hole (perforation) in the gallbladder.
In 95% of cases, acute cholecystitis is induced by gallstones in the gallbladder.
Other causes are severe illness and (rarely) tumors of the gallbladder.
Chronic cholecystitis induces inflammation and swelling of the gallbladder that persists over time.
The gallbladder is a sac located under the liver that stores bile that is produced in the liver.
Bile assists the intestines digest fats.
Cholecystitis is a potentially serious condition that normally needs to be treated in hospital.
What are the causes of Cholecystitis?
Causes
The gallbladder is an organ located below the liver.
It retains bile which the body uses to digest fats in the small intestine.
The causes of acute cholecystitis can be classified into two main categories:
1. Calculous cholecystitis
2. Acalculous cholecystitis
1. Calculous cholecystitis
Calculous cholecystitis is the most frequent and normally less serious type of acute cholecystitis.
It is responsible for around 95% of all cases.
Calculous cholecystitis occurs when the main opening to the gallbladder, called the cystic duct, becomes blocked by a gallstone or by a substance known as biliary sludge.
Biliary sludge is a combination of bile (produced by the liver that digests fats) and small crystals of cholesterol and salt.
The blockage in the cystic duct leads from a build-up of bile in the gallbladder, raising the pressure inside it and causing it to become inflamed.
In 20% cases, the inflamed gallbladder may also become infected by bacteria.
Acalculous cholecystitis
Acalculous cholecystitis is a less frequent but normally more serious form of acute cholecystitis.
It normally forms as a complication of a serious illness, infection or injury that damages the gallbladder.
Acalculous cholecystitis is often linked with problems such as accidental injury to the gallbladder during major surgery, blood poisoning (sepsis), serious damages or burns, severe malnutrition or AIDS.
Acute cholecystitis (Calculous cholecystitis) often happens because a gallstone obstructs the cystic duct,