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Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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Cholecystitis is a medical disorder caused 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.
The collection of trapped bile produces irritation and pressure in the gallbladder.
This can result in infection and a hole (perforation) in the gallbladder.
In 90% of cases, acute cholecystitis is induced by gallstones in the gallbladder
Chronic cholecystitis induces irritation and swelling of the gallbladder that continues over time.
The causes of acute cholecystitis can be classified into two main categories:
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.
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
The main symptom is pain in the upper right quadrant or upper middle part of the abdomen.
1. Slow onset of abdominal pain starting from the epigastrium, radiating to the right sub costal area, may be palpated in the back at the sub-scapular region that normally lasts at least 30 minutes.
2. Nausea and vomiting
3. Loss of appetite
Diagnosis can normally be made by:
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.
Ultrasound is highly reliable in showing up the presence of gallstones
CT scan and magnetic resonance imaging (MRI) scan can help to diagnose the cholecystitis.
Intravenous, transhepatic and endoscopic retrograde cholangiography are more accurate in diagnosing the gallbladder function and stones
The initial treatment will normally involve:

1. Fasting (not eating or drinking) to take the strain off the gallbladder
2. Receiving fluids through a drip directly into a vein (intravenously) to prevent dehydration
3. Taking medication to relieve the pain
4. If the patient has a suspected infection, he or she will also be given antibiotics.
Surgery to remove the gallbladder (cholecystectomy) is normally needed when gallstones are present.
Gallstones consist of small cholesterol stones, normally made with cholesterol, that form in the gallbladder which is a sac that store bile from the liver.

TABLE OF CONTENT
Introduction
Chapter 1 Cholecystitis
Chapter 2 Gallstones
Chapter 3 Causes
Chapter 4 Symptoms
Chapter 5 Diagnosis
Chapter 6 Treatment
Chapter 7 Prognosis
Chapter 8 Cholangitis
Epilogue

LanguageEnglish
PublisherKenneth Kee
Release dateOct 23, 2016
ISBN9781370406579
Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

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"

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    Book preview

    Cholecystitis And Gallstones, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Cholecystitis

    And Gallstones,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2016 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 the Cholecystitis, Gallstones, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What The patient Need to Treat Cholecystitis)

    This eBook 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 Condition) 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 autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenmed.wordpress.com.

    From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com 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 conditions.

    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 condition 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.

    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 caused 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.

    The collection of trapped bile produces irritation and pressure in the gallbladder.

    This can result in infection and a hole (perforation) in the gallbladder.

    In 90% 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 irritation and swelling of the gallbladder that continues over time.

    The gallbladder is a sac sited under the liver that stores bile that is made 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?

    The gallbladder is an organ located below the liver.

    It keeps bile which the body makes use to digest fats in the small intestine.

    The causes of acute cholecystitis can be classified into two main categories:

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