Infections and Inflammations
An infection is the condition of multiplication of parasitic organisms or microorganisms
within the body. An inflammation is the reactions that occur in the affected blood
vessels and adjacent tissues in response to an injury or abnormal stimulation
caused by a physical, chemical, or biologic agent. Many people use the terms
interchangeably since they have several symptoms in common and usually
are treated similarly.
Appendicitis :: Pancreatitis :: Hepatitis :: Cholecystitis
Oesophagitis :: Peritonitis
An acute condition in which the gall bladder becomes inflamed and swollen
flow of bile into duodenum is blocked by Gallstones; result is biliary colic -
pain in upper right abdomen or between shoulders,
Indigestion, especially after
food, and Nausea with or without vomiting; untreated, condition can lead to
and occasionally, if gall bladder bursts, to
Peritonitis. If site of pain
is as described
above, and pain persists for more than 3 hours, consult
your doctor if there is no
improvement in 2 hours.
- Ischemia (decrease blood supply to gallbladder)
- Secondary Infections
- Often starts after a large fatty meal
- Sudden, steady pain in the middle or right upper abdomen
- Medical History
- Clinical examination
- Abdominal X-ray
Course of illness
If untreated cholecystitis may lead to
- Gangrene in the gallbladder: This is a severe infection
with destruction of tissue. Diabetics and the elderly are at highest risk.
- Cholangitis: infection that occurs in common bile duct outside the
- Bowel rest (no food or drink)
- Intravenous fluid/feeding
- Antibiotics to combat infections: I.V. antibiotics may be used.
- Pain medications
- Laparoscopic Cholecystectomy, Surgical removal
of the gallbladder
2-3 days after cholecystitis for most patients
What you should do?
Go to the Hospital emergency or call the local emergency number (such
as 000, for Australia) if you have symptoms that may indicate peritonitis,
as it is a medical emergency.