Treatment For Stomach Pain Combined With Cholecystitis

When experiencing stomach pain along with cholecystitis, a combination of anti-inflammatory, gastric protection, and bile-stimulating medications can be used to manage symptoms, alongside dietary modifications to support recovery. In cases where it is difficult to distinguish between stomach pain and cholecystitis, treatment strategies often cover both conditions to ensure effective management. Here are the key approaches:

1. Medication Therapy:
If a patient presents with elevated white blood cell counts and fever, antibiotics such as Cefotaxime or Cefepime may be prescribed to combat infection. Additionally, medications like Pantoprazole can be used to protect the stomach lining, while bile-stimulating agents such as Chushu Capsules help improve gallbladder function.

2. Dietary Adjustments:
For patients with mild symptoms, adopting a light diet rich in fruits and vegetables can help alleviate discomfort. However, in more severe cases where intense pain or signs of upper abdominal peritonitis occur, fasting may be necessary. During this period, intravenous nutrition can be provided to maintain energy and nutrient intake.

3. Surgical Intervention:
If diagnostic tests confirm that the cholecystitis is caused by gallstones, surgical removal of the gallbladder (cholecystectomy) is often recommended to prevent recurrent episodes and complications.

Additional Considerations:
In cases where a gastroscopy reveals Helicobacter pylori infection or gastric ulcers, a four-drug regimen (commonly known as quadruple therapy) should be initiated to eradicate the bacteria and promote ulcer healing. Addressing gastric issues effectively can lead to significant improvement in most patients' symptoms.

By combining medical treatment, lifestyle changes, and, when necessary, surgical options, individuals suffering from stomach pain and cholecystitis can achieve better outcomes and improved quality of life.