Therapy
The question that arises for those affected by gallbladder pain is: What can be done? It is not advisable to wait long before consulting a doctor, as such pain should always be clarified before further measures are taken. The treatment depends on the type and extent of the disease.
In simple cases, avoiding fatty foods, alcohol and weight loss can provide relief. But often the treatment is also carried out in hospital. First of all, the pain should be treated with painkillers and any colic should be alleviated.
Suitable for this are e.g.B. Novalgin® and Buscopan®. The treatment of inflammation of the gallbladder requires antibiotic coverage, usually followed by surgical removal of the gallbladder.
The treatment of stones usually includes their removal. Symptomatic gallbladder stones, however, require surgical removal of the gallbladder. In the bile duct, they can possibly be removed endoscopically.
In some cases, the stones can be shattered with shock waves from outside. Pain in the gallbladder usually manifests itself as lateral upper abdominal pain on the right side. The pain can radiate into the right shoulder and back.
In some cases the pain is accompanied by nausea and vomiting, jaundice or sweating. The pain can, if it is described precisely, be explained relatively simply by chemical laboratory diagnostics and an ultrasound of the abdomen. This is mainly due to the relatively few causes of gallbladder pain.
In the case of inflammation of the gallbladder or the bile ducts, the pain is usually acute and accompanied by painful pressure. When gallstones become symptomatic, they usually cause a colicky pain that increases in intensity. The most frequent and promising therapy for biliary pain is the removal of the gallbladder (cholecystectomy).
This can be performed in a minimally invasive manner and does not limit the patient’s quality of life. In some cases, an ERCP is performed to widen and remove stones or other causes. In case of inflammation, the therapy is always supplemented by antibiotic therapy.
