Causes of inflammation and bile infectionThis disease, also known as cholecystitis, usually occurs when the bile that goes to the small intestine is blocked by gallstones. As a result, bile is retained in the gallbladder, causing swelling, pain, and the possibility of bile infection. In addition to gallstones, inflammation and bile infections can also be caused by tumors in the pancreas or liver, reduced blood flow to the gallbladder, bacterial infections that attack the bile duct system, deposits in the gallbladder, and due to the appearance of scar tissue. Although rare, bile infection can also occur as a complication of a severe illness. For example, diabetes or HIV. If inflammation and bile infection have been going on for a long time, the walls of the swollen gallbladder will become hard and thick.
Symptoms of inflammation and bile infectionInflammation or infection of the bile can be identified from various symptoms, such as:
- Main symptoms: Severe pain in the upper right abdomen (under the rib cage). This pain can spread to the back or right shoulder and tends to last for several hours, even more than six hours. The pain also tends to occur after eating and becomes worse if you take a deep breath.
- Stomach aches when touched.
- Throw up.
- If it is mild, treatment for inflammation or infection of the bile is done by fasting, giving intravenous fluids and injecting antibiotics through blood vessels, taking medication, and drinking lots of water so that the inflammation subsides.
- For severe conditions, patients must be taken and treated in a hospital. Treatment includes cholecystectomy to remove a gallbladder. Often this operation can be done by making a small incision in the abdomen to insert a special instrument (laparoscopic surgery) or it can also be a conventional operation with a larger incision. However, if a bile infection is caused by a gallstone attached to the bile duct, treatment may involve an endoscopic procedure to remove stones in the bile duct first. After endoscopy is done, then the gallbladder surgery is done. Usually surgery can wait several days to several weeks for inflammation in the bile to subside.