If gallbladder disease occurs, it will cause great harm to the patient. Gallbladder disease includes diseases such as gallstones and cholecystitis, which often interact with liver disease, causing abnormal pain in the right rib area, gastrointestinal symptoms, nausea and vomiting, and often leading to indigestion and high fever. A small number of patients will have symptoms of jaundice, and severe cases will cause infectious shock. 1. Pain Severe pain or colic in the right upper abdomen is mostly caused by acute cholecystitis due to stones or parasites blocking the neck of the gallbladder. The pain often occurs suddenly and is very severe, or presents a colic-like state. It often occurs after eating high-fat foods and often occurs at night. General pain in the right upper abdomen is seen in acute cholecystitis without obstruction of the cystic duct. The pain in the right upper abdomen is generally not severe and is mostly persistent bloating. As the gallbladder inflammation progresses, the pain may also worsen. The pain is radiating, and the most common radiating sites are the right shoulder and the lower angle of the right scapula. It is caused by gallbladder inflammation stimulating the right phrenic nerve endings and the peripheral nerves of the abdominal wall. 2. Nausea and vomiting The most common symptoms include persistent or frequent nausea and vomiting, which can cause dehydration, collapse and electrolyte imbalance, and are more common when stones or ascaris block the gallbladder duct. 3. Chills, chills, and fever Mild cases often have chills and low fever; severe cases may have chills and high fever, which may reach above 39°C, and mental symptoms such as delirium and delirium may occur. 4. Jaundice It is less common. If jaundice occurs, it is usually mild, indicating that the infection has spread to the liver through the lymphatic vessels, causing liver damage, or the inflammation has invaded the common bile duct. Right upper abdominal tenderness and rebound pain 5. Septic shock If the jaundice becomes significantly worse, it may indicate common bile duct obstruction with stones or concurrent common bile duct inflammation. In severe cases, signs of peripheral circulatory failure may occur. Blood pressure is often low and even infectious shock may occur, which is particularly common in severe cases of purulent gangrene. |
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