Where will the gallbladder hurt if it is rough

Rough gallbladder means that the gallbladder wall is rough. Because of the location of the disease, this disease can be easily confused with other diseases after it occurs. In addition to knowing where the pain will occur when the gallbladder is rough, we also need to have a comprehensive understanding of this disease and make a comprehensive judgment based on our own situation. Only in this way can we detect the disease in time. When we are unsure, we should go to a regular hospital for diagnosis in time.

pathology

When eating (especially when eating fatty foods), fat and gastric acid stimulate the small intestinal mucosa to produce cholecystokinin, causing the gallbladder to contract. The bile in the gallbladder then flows into the duodenum and small intestine through the cystic duct and common bile duct, participating in the digestion and absorption of fat.

Common gallbladder diseases include cholecystitis, gallstones, etc.

symptom

If the gallbladder and bile duct mucosa becomes inflamed, the bile duct is blocked, and bile excretion is not smooth, the absorption of fat and fat-soluble vitamins will be affected. At the same time, the ratio of cholesterol to bile salts in bile sweat changes and the cholesterol concentration increases, making it easy to develop gallbladder and bile duct stones. After eating fat, the gallbladder contracts and pain, even severe pain and nausea, occurs in the right upper abdomen.

Judgment index

The gallbladder is a pear-shaped hollow organ located in the gallbladder fossa of the liver and is divided into three parts: the base, body and neck. The gallbladder wall is thin and smooth, with a normal wall thickness of 1-2 mm. Ultrasound examination of the gallbladder showed no echo in the gallbladder cavity and enhanced echo on the posterior wall. The long diameter of the gallbladder is 6--8cm, the transverse diameter is 4.0mm±, and the gallbladder wall thickness exceeds 3.0mm, which is considered gallbladder wall thickening. Thickening of the gallbladder wall is common in cholecystitis, hepatitis, hypoproteinemia, heart failure, and ascites. In normal people, the gallbladder wall can thicken by 4.0mm-5.0mm after a meal.

In acute icteric hepatitis A, the gallbladder wall becomes thickened and rough. The more severe the jaundice, the more obvious the changes in the gallbladder wall. The patient had no symptoms or signs of cholecystitis. As the hepatitis improves, the gallbladder wall returns to normal.

In acute cholecystitis, the cyst wall thickens up to 4 mm and becomes unclear. If the cyst wall edema is significant, the wall thickness may reach 7.0 mm, and double-layer echoes may appear under B-ultrasound. In chronic cholecystitis, the gallbladder may shrink, the cyst wall may thicken evenly or unevenly, the cyst wall may become rough, and cyst wall calcification may occur.

Viral hepatitis causes changes in the ultrasound image of the gallbladder (Chinese Journal of Infectious Diseases, 89.3.174). Among 74 cases of viral hepatitis confirmed by liver biopsy, 7 of 10 cases of acute mild hepatitis had gallbladder changes; 17 of 42 cases of chronic active hepatitis had gallbladder changes, 9 of 20 cases of chronic metastatic hepatitis had gallbladder changes; and 1 of 2 cases of cirrhosis had gallbladder changes. Abnormal changes of the gallbladder include thickening of the gallbladder wall, increase in gallbladder volume, lack of gallbladder visualization, poor gallbladder contraction function, and decrease in gallbladder volume. The explanation for gallbladder changes caused by viral hepatitis is unclear. Gallbladder changes have nothing to do with the severity of viral hepatitis, alanine aminotransferase, alkaline phosphatase, glutamyl transpeptidase, or hepatitis typing. Among them, 3 cases underwent duodenal drainage examination, and the bile secretion was normal, which ruled out cholecystitis. It has a significant relationship with the white/globulin ratio (hypoproteinemia).

Ultrasound examination of healthy people only reveals that the gallbladder wall is rough, but not thickened, and there are no symptoms and signs of cholecystitis, viral hepatitis, fatty liver, or alcoholic liver disease. Cholecystitis cannot be diagnosed based solely on the roughness of the gallbladder wall, and regular follow-up is recommended. In my clinical observations over the past 20 years, I have found that the roughness of the gallbladder wall alone cannot be diagnosed as a disease.