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What should be noted in acute cholecystitis?

Nov 03, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
In cases of acute cholecystitis, it is important to promptly control diet, follow medical instructions for proper medication use, avoid behaviors that may trigger pain, closely monitor changes in condition, and carry out appropriate postoperative care. Scientific management can help alleviate symptoms and prevent complications. If abdominal pain worsens, high fever persists, or jaundice develops, immediate medical attention at a hepatobiliary surgery department is necessary. During the acute phase, fasting and water restriction are required temporarily.

Acute cholecystitis requires timely dietary control, adherence to medical instructions for proper medication use, avoidance of behaviors that may trigger pain, close monitoring of disease progression, and appropriate postoperative care. Scientific nursing can help alleviate symptoms and prevent complications. If abdominal pain worsens, high fever persists, or jaundice occurs, immediate consultation with a hepatobiliary surgeon is necessary.

1. Timely dietary control: During the acute phase, fasting and water restriction are required temporarily. After symptom relief, gradually transition from low-fat liquid diets (such as rice broth) to more solid foods. Avoid greasy, spicy, and high-protein foods to reduce gallbladder contraction and prevent worsening inflammation and pain.

2. Follow medical advice for proper medication: Use antibiotics as prescribed to control infection and antispasmodic drugs to relieve cramping pain. Do not stop or adjust medication doses without guidance. Monitor for adverse reactions such as nausea or rash during treatment and promptly inform your doctor.

3. Avoid behaviors that trigger pain: Avoid strenuous exercise, bending over, or lifting heavy objects, which increase intra-abdominal pressure. Maintain emotional stability to prevent emotional fluctuations from stimulating gallbladder contractions, thereby reducing the frequency and severity of pain episodes.

4. Closely monitor changes in condition: Pay attention to the location and nature of abdominal pain and any accompanying symptoms. Record changes in body temperature and appetite. If pain spreads, chills occur, or vomiting develops, these may indicate worsening of the condition, requiring prompt medical evaluation and adjustment of treatment.

5. Postoperative care: Rest in bed early after surgery and gradually increase activity levels. Keep the surgical wound clean and dry. Resume eating according to medical instructions, monitor the wound for bleeding, redness, or swelling, and avoid engaging in heavy physical labor too soon.

Daily care should include regular meals, avoiding overeating, choosing light and easily digestible foods, routine follow-up gallbladder ultrasound examinations, maintaining a healthy sleep schedule, enhancing overall immunity, and promptly communicating with your doctor if discomfort arises to adjust the care plan accordingly.

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