What is the best medicine for cholecystitis

If you suffer from cholecystitis, it is recommended to consult a professional doctor about the use of medication. Current medications for treating cholecystitis include atropine, Shudantong, and anti-inflammatory and choleretic tablets. If the condition is serious, surgical treatment should be considered.

1. Non-surgical treatment:

It can also be used as preoperative preparation, including: a. bed rest, fasting, and gastric tube decompression for those with abdominal distension; b. fluid replacement, correction of water, electrolyte and acid-base imbalance; c. antispasmodic and analgesic; d. intravenous administration of effective antibiotics, such as gentamicin, ampicillin, chloramphenicol, and cephalosporin; it is effective for 80%-85% of early cases.

2. Surgical treatment

1. Acute cholecystitis: Generally, it is recommended to undergo active medical treatment for 12 to 24 hours, and then elective surgery after the symptoms are relieved.

2. Chronic cholecystitis: Regardless of the presence or absence of stones, the gallbladder has lost its function and is an infected lesion, so surgical resection should be performed at an appropriate time.

Acute cholecystitis:

3. General treatment

1. Rest in bed, give easily digestible liquid food, avoid greasy food, fast in severe cases, decompress gastrointestinal tract, and supplement nutrition, water and electrolytes intravenously.

⒉ Antispasmodic and analgesic drug treatment: atropine 0.5mg or 654-2 5mg intramuscular injection; nitroglycerin 0.3-0.6mg, sublingual; vitamin K38-16mg, intramuscular injection; pethidine analgesia.

⒊ Antimicrobial treatment: ampicillin, ciprofloxacin, metronidazole; aminoglycosides or cephalosporins can also be used. It is best to choose antibiotics based on the results of bacterial culture and drug sensitivity tests.

⒋ Choleretic: Shudantong, anti-inflammatory choleretic tablets or Qinggan choleretic oral liquid can be taken orally, and can be used only after the attack is relieved.

5. Surgical treatment: Patients with necrosis, suppuration, perforation, or incarcerated stones should receive timely surgical treatment, such as cholecystectomy or cholecystostomy.