Do I need intravenous infusion for gallstones combined with cholecystitis?

Whether intravenous infusion is needed for patients with gallstones and cholecystitis depends on the severity of the condition. Mild patients usually do not require intravenous infusion, while moderate to severe patients may require intravenous administration to control infection and inflammation. If gallstones combined with cholecystitis only present with mild abdominal pain, low-grade fever, or indigestion, they can be treated with oral antibiotics such as cefixime dispersible tablets, levofloxacin tablets, and antispasmodic drug racemic scopolamine tablets, combined with a low-fat diet and bed rest. At this time, intravenous infusion is not necessary, and excessive intravenous fluid replacement may increase the burden on the gastrointestinal tract. But if there is persistent high fever, severe upper right abdominal tenderness, or significant increase in blood count, it indicates the spread of bacterial infection or biliary obstruction. Intravenous infusion of drugs such as cefoperazone sodium and sulbactam sodium, metronidazole and sodium chloride injection is needed to quickly control the infection and correct electrolyte imbalance. Patients with partially combined common bile duct stones or suppurative cholangitis may require endoscopic stone removal or emergency surgery in addition to intravenous infusion.

Cholecystolithiasis patients with cholecystitis should strictly fast from greasy food, and choose liquid diet such as rice soup and lotus root starch during the acute attack period. After symptoms are relieved, they will gradually transition to low-fat semi liquid diet such as steamed eggs and oatmeal Congee. Drink no less than 1500 milliliters of water daily to promote bile excretion and avoid severe exercise induced biliary colic. If skin discoloration, chills, or blurred consciousness occur during treatment, immediate medical attention should be sought to investigate serious complications such as biliary sepsis.