Acute cholecystitis is an inflammation of the gallbladder and requires prompt medical intervention. The first line treatment for acute cholecystitis is usually focused on reducing inflammation and relieving pain. This is typically accomplished through the use of antibiotics, such as cephalosporins, and intravenous fluids. Pain medication, such as non-steroidal anti-inflammatory drugs (NSAIDs), may also be prescribed to manage the pain and discomfort associated with acute cholecystitis. In more severe cases, surgery may be required to remove the gallbladder.
In cases where infection or blockage has caused the acute cholecystitis, antibiotics are usually prescribed to treat the underlying infection. Depending on the specific type of infection, the doctor may prescribe a single antibiotic or a combination of antibiotics. Additionally, intravenous fluids may be administered to help reduce swelling and restore electrolyte balance.
In cases where the gallbladder is inflamed but not infected, pain medications and other supportive measures will be used to reduce inflammation and pain. NSAIDs are commonly prescribed and help to reduce inflammation, pain, and fever associated with the condition. Other treatment options include antibiotics, antispasmodics, and antiemetics.
In more severe cases, surgery to remove the gallbladder may be recommended. This is typically done in cases where other treatments have not been successful or when the risk of complications is high.
In conclusion, the first line treatment for acute cholecystitis typically includes antibiotics, intravenous fluids, and pain medication. In more severe cases, surgery may be required in order to remove the gallbladder. It is important to seek medical attention as soon as possible in order to ensure the best outcome.