I feel pain and tiredness in my back. What's going on?

Generally speaking, there are many reasons for back pain, which may be spinal problems, fatigue, cholecystitis, back pain, fatigue, or thoracic vertebrae degeneration. No matter what causes the back pain, if you want to diagnose the disease, it is best to go to the hospital for a check-up. You can usually relieve the pain through hot compresses or massage.

Symptoms of cholecystitis

The earliest symptom of acute cholecystitis is pain, and the pain usually occurs after eating high-fat food, and mostly occurs at night. Most of the reasons are overeating or eating too much high-fat food the night before, which leads to severe pain in the right upper abdomen and slowly radiates to the right shoulder.

Chronic cholecystitis may sometimes be asymptomatic during remission, or only have mild indigestion symptoms. If indigestion symptoms worsen after eating high-fat or greasy foods and dull pain or discomfort occurs in the right upper abdomen, you should suspect the possibility of cholecystitis.

Well, through the above content, we have learned that cholecystitis is divided into acute cholecystitis and chronic cholecystitis. The causes of the two are relatively detailed, but the clinical manifestations of cholecystitis are also different. Regarding acute cholecystitis and chronic cholecystitis, their symptoms are as follows:

Clinical manifestations of cholecystitis

1. Abdominal pain

About 85% of patients with acute cholecystitis have right upper abdominal pain as the main symptom. The abdominal pain is mostly persistent, may worsen in paroxysmal forms, and radiate to the right shoulder and back. The abdominal pain of chronic cholecystitis is often recurrent, mostly dull pain and bloating.

2. Fever

The fever of acute cholecystitis is generally between 38 and 39 degrees Celsius, and there is usually no chills.

3. Nausea and vomiting

Acute cholecystitis is the most common.

4. Symptoms of indigestion such as abdominal distension, belching and aversion to greasy food

It can occur in patients with both acute and chronic cholecystitis, but is more common in chronic cholecystitis.

5. Jaundice

About 10% of patients with acute cholecystitis may experience mild jaundice, which may be caused by spasm of the lower sphincter of the common bile duct or spread of infection to the biliary system.

Causes of cholecystitis

1. Bad living habits

Some patients do not pay attention to dietary nutrition and physical exercise in their daily lives, which leads to low body resistance and immunity, making it easy for infection to occur. If the infection reaches the gallbladder, cholecystitis will develop.

2. Infection factors

The invasion of bacteria from systemic infection or local lesions through the blood, lymph, bile duct, intestines, or the spread of inflammation in adjacent organs. The invasion of parasites and the bacteria they bring in are all important causes of cholecystitis.

3. Chemical factors

Bile retention in the gallbladder, the high concentration of bile salts in it, or the reflux of pancreatic juice into the gallbladder, with active pancreatic enzymes, can stimulate significant inflammatory changes in the gallbladder wall. In some severely dehydrated people, the increased bile salt concentration in the bile can also cause acute cholecystitis.

What should not be eaten for cholecystitis

1. Don’t eat high-fat foods

Cholecystitis often occurs in the evening or early morning after a full meal, especially after eating too much fat, the symptoms will be aggravated. This is because a large amount of bile is needed to digest fat, and due to the presence of cholecystitis, bile secretion is affected, so pain in the gallbladder area will occur. Chronic cholecystitis will cause dull pain after a full meal of fat, and will be accompanied by symptoms of indigestion, such as belching, abdominal distension, etc. Therefore, patients with cholecystitis should keep their fat intake between 40-50 grams per day, and avoid fatty meat, fried eggs, lard, butter, cream, etc., and choose vegetable oil for cooking.

2. Avoid acidic foods

Avoid acidic foods such as vinegar, bayberry, hawthorn, lemon, etc., because these foods will cause the duodenum and stomach to secrete cholecystokinin, causing the gallbladder to contract, which can cause biliary colic.

3. Don’t touch cold or overheated food

Do not touch overheated soups or overcold foods, such as ice cream, popsicles, iced drinks, beer, etc., because being too cold or too hot can cause spasms in the bile duct sphincter, leading to dull pain or colic in the gallbladder area. Therefore, overcold or overheated foods are not suitable for patients with cholecystitis.

4. Don’t touch sugar

Because carbohydrates can cause β-cells to secrete insulin, the secretion of insulin can promote the increase of cholesterol, causing the cholesterol in the bile to be saturated, thereby causing the onset of gallstones.

5. Don’t eat spicy food

Spicy and irritating foods can stimulate the increase of gastric and duodenal substances, stimulate the production of cholecystokinin, cause spasms in the bile duct and sphincter, cause obstruction of bile excretion, and thus cause biliary colic.

6. Avoid high cholesterol foods

The presence of high cholesterol requires the gallbladder to secrete a large amount of bile for metabolism. If not enough bile is secreted, cholesterol will turn into gallstones. Therefore, limiting cholesterol intake can reduce the burden on the gallbladder and reduce the occurrence of gallstones. Foods with relatively high cholesterol include: pig brain, cow brain, pig kidney, pig liver, duck liver, cow liver, lamb liver, pig stomach, pig heart, chicken and duck offal, etc.

Summary: For patients with cholecystitis, they must pay attention to their diet. Do not eat too much high-fat animal meat or liver, nor eat too much sweet, sour, or spicy food. The diet must be light and not too stimulating. After discovering cholecystitis, they must pay attention to developing good living habits and exercise more.