Acute Cholecystitis Treatment
Treatment for acute gallbladder disease or cholecystitis includes bowel rest, intravenous fluids, pain medications, and antibiotics. Medications may be required to control nausea and vomiting. Laparoscopic removal of the gallbladder is the standard of care for the surgical treatment of cholecystitis.
Treatment for gallbladder disease includes:
- Intravenous fluids
- Increase hydration
- Nothing by mouth, advancing to a clear liquid diet when symptoms improve
- Ciprofloxacin (Cipro)
- Meropenem (Merrem)
- Imipenem and cilastatin (Primaxin)
- Piperacillin and tazobactam (Zosyn)
- Ampicillin and sulbactam (Unasyn)
- Metronidazole (Flagyl)
- Medications for nausea and vomiting:
- Pain medications:
- Meperidine (Demerol)
- Hydrocodone and acetaminophen (Vicodin, Lortab 5/500, Lorcet-HD)
- Oxycodone and acetaminophen (Percocet, Tylox, Roxicet)
- Medication to breakdown gallstones:
- Endoscopic retrograde sphincterotomy:
- A flexible, lighted scope reaches the intestine via the esophagus and stomach.
- Gallstones are removed from the gallbladder through the bile duct.
- Lithotripsy for gallstones:
- Gallstones are broken into smaller pieces by subjecting them to high frequency sound waves.
- Not used for acute cholecystitis
- Laparoscopic cholecystectomy:
- The gallbladder is removed through a small incision in the abdomen, using a flexible, lighted scope.
- General cholecystectomy:
- The gallbladder is removed through an incision in the abdomen, without the use of endoscopy.
Acute Cholecystitis Questions For Doctor
The following are some important questions to ask before and after the treatment of gallbladder disease.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Acute Cholecystitis Specialist
Physicians from the following specialties evaluate and treat gallbladder disease:
Continue to Acute Cholecystitis Home Care
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