Cholecystitis Overview
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Cholecystitis is a swelling and irritation of your gallbladder, a small organ on the right side of your belly near your liver.
The gallbladder’s job is to hold a digestive juice called bile. It releases bile into your small intestine when your body needs it to break down fats. But if the path to your small intestine is blocked, bile gets trapped. That backup can irritate your gallbladder. That’s how cholecystitis happens.
Nausea and vomiting are common symptoms. They often show up after you’ve eaten a big or especially fatty meal.
It’s easy to mistake cholecystitis for other health problems, but another telltale sign is intense pain -- in your belly, in your back, or under your right shoulder blade.
If you don’t see a doctor and get treatment, it can lead to dangerous infections or become a long-term condition. The most common solution is surgery to remove your gallbladder.
Cholecystitis Symptoms
Cholecystitis can mimic other health problems, so you’ll need to see a doctor for a diagnosis.
You might feel a sharp, sudden pain in the upper right side of your belly. You may also feel pain in your back or below your right shoulder blade. Deep breaths may make it worse. Some other symptoms to watch out for include:
Nausea
Vomiting
Fever
Bloating
Yellow skin or eyes (jaundice)
Bowel movements that are loose and light-coloured
Symptoms may get worse after a high-fat meal. If you can’t get comfortable or sit still because your pain is so strong, head to an emergency room.
Cholecystitis Causes
The usual reason bile backs up is that gallstones -- lumps of bile that turned solid -- block the way to the small intestine. Gallstones are common. About 10% to 20% of Americans have them. About half of people with gallstones will get cholecystitis.
But gallstones aren’t the only problem that can cause this condition. Others include:
Gallbladder sludge, a thick liquid, builds up in the organ. This can happen if you’re pregnant or if you’ve lost a lot of weight quickly.
Tumours block the bile’s path. A growth in your pancreas or liver can stop it from draining.
Your gallbladder doesn’t have a good blood supply. People with diabetes can have this problem.
An infection affects your gallbladder. Bacteria can damage the system that drains bile, causing it to back up.
Cholecystitis can come on suddenly. You may hear a doctor or nurse call it an “acute” case. Or it can be a long-term problem. Those cases are called “chronic.”
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