Summary

Acute cholecystitis is a common disease that can usually be treated laparoscopically. If a patient presents within the 48 to 72 hours of the onset of symptoms, immediate laparoscopic cholecystectomy is recommended. If the presentation is delayed, a "cooling off" period of hydration and IV antibiotics are instituted, followed by delayed laparoscopic cholecystectomy in 6 weeks. There is a slight increase in the risk of conversion to open cholecystectomy when compared with elective laparoscopic cholecystectomy. Cholecystostomy tube placement is reserved for patients who are too ill to withstand general anesthesia, often encountered when treating acute acalculous cholecystitis.

Chronic cholecystitis is likewise treated with laparo-scopic cholecystectomy. Chronic acalculous cholecystitis, also referred to as gallbladder dyskinesia, frequently afflicts patients with associated gastrointestinal motor disorders. These patients frequently have relief of their symptoms following cholecystectomy, particularly in those who have a low preoperative gallbladder ejection fraction.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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