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Cholecystitis

Also known as Gallbladder Inflammation

Cholecystitis (Greek, -cholecyst, "gallbladder", combined with the suffix -itis, "inflammation") is inflammation of the gallbladder, which occurs most commonly due to obstruction of the cystic duct with gallstones (cholelithiasis). Blockage of the cystic duct with gallstones causes accumulation of bile in the gallbladder and increased pressure within the gallbladder. Concentrated bile, pressure, and sometimes bacterial infection irritate and damage the gallbladder wall, causing inflammation and swelling of the gallbladder. Inflammation and swelling of the gallbladder can reduce normal blood flow to areas of the gallbladder, which can lead to cell death due to insufficient oxygen. Not everyone who has gallstones will go on to develop cholecystitis.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with cholecystitis, 82% report having sharp abdominal pain, 70% report having upper abdominal pain, and 56% report having nausea. The symptoms that are highly suggestive of cholecystitis are upper abdominal pain, although you may still have cholecystitis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with cholecystitis often receive hematologic tests, complete blood count, radiographic imaging procedure, intravenous fluid replacement, glucose measurement, kidney function tests, electrolytes panel and urinalysis .

Common Medications

The most commonly prescribed drugs for patients with cholecystitis include meperidine (demerol), zosyn, propofol, rocuronium, cefoxitin, sevoflurane, glycopyrrolate, cefotetan, neostigmine, bupivacaine / epinephrine, acetaminophen / aspirin / caffeine, butorphanol (stadol) and ropivacaine .

Meperidine (Demerol)
$27
(14 days)
Zosyn
$520
(7 days)
Propofol

Rocuronium

Cefoxitin
$359
(7 days)
Sevoflurane

Glycopyrrolate
$74
(28 days)
Cefotetan
$189
(7 days)
Neostigmine
$141
(28 days)
Butorphanol (Stadol)
$80
(21 days)
Ropivacaine

Who is at risk?

Groups of people at highest risk for cholecystitis include age 75+ years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get cholecystitis.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
1.0x
30-44 years
1.4x
45-59 years
1.3x
60-74 years
1.0x
75+ years
1.5x

Sex

Male
0.7x
Female
1.2x

Race/Ethnicity

Black
0.6x
Hispanic
1.3x
White
1.0x
Other
1.0x
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