Chronic Cholecystitis- Causes, Symptoms, and Treatment - 0 views

• 
  #1 sophiemay on 21 Apr 23

   

  Chronic Cholecystitis- Causes, Symptoms, and Treatment

  
  

  Reviewed by Dr. Valeria Simone MD (Southlake General Surgery, Texas)

  
  

  Inflammation of the gallbladder occurs repeatedly in patients with chronic cholecystitis, a medical disorder that can have serious consequences. Gallstones are a common contributor to this issue since they block bile flow and irritate the gallbladder indefinitely.

  
  

  In the long run, persistent cholecystitis can cause severe complications such as gallbladder dysfunction, lower quality of life, and even the need for surgery. In order to receive prompt diagnosis and effective treatment, it is essential to be aware of the symptoms and risk factors related to chronic cholecystitis.

  
  

  The gallbladder is a little, pear-shaped organ situated on the underside of your liver. The gallbladder stores bile generated by the liver and release it to the small intestine through common bile ducts (CBD) to help in the processing of fats.

  
  

  The common bile ducts (CBD) link the gallbladder, the liver, and the pancreas to the small digestive tract. Gallstones blocking the CBD which is the main source of cholecystitis. This blockage leads to develop the bile in the gallbladder and that development makes them become inflamed.

  
  

  If this happens intensely despite ongoing chronic inflammation, it is a server condition. The gallbladder can rupture anytime if it is not diagnosed properly, and this condition can even lead to a medical emergency. Treatment normally includes antibiotics, pain meds, and gallbladder removal surgery.

  
  

  
  

  
  

  

  
  

  
  

  
  

  How does chronic cholecystitis happen?

  
  

  This condition normally starts with the development of gallstones in the gallbladder. As indicated by the Southlake General Surgery, Texas, regardless of whether you have gallstones may rely upon a few variables, including:

  
  

  
  
  • genetic inclination
  
  
  • the activity of gallbladder activity
  
  
  • dietary propensities
  
  
  • weight
  
  

  
  

  Gallstones develop when substances in the bile structure are crystal-like particles. They can go from the size of a grain of sand to the size of a golf ball.

  
  

  The presence of gallstones creates pressure, and inflammation, and may lead to infection. The gallbladder walls start to thicken after some time. Ultimately, the gallbladder begins to contract. These progressions make it harder for the gallbladder to function appropriately.

  
  

  In addition to gallstones, cholecystitis can be expected to:

  
  

  
  
  • CBD drainage system infection
  
  
  • Blockage of CBD
  
  
  • Excess amount of cholesterol in the gallbladder, which can occur during pregnancy or after rapid weight loss
  
  
  • tumors in the liver or pancreas
  
  
  • due to diabetes blood supply gets impacted by the gallbladder
  
  
  • gallbladder tumors, which are uncommon
  
  

  
  

  Once you experience recurring or continued attacks of cholecystitis, it develops into a chronic condition.

  
  

  Why do you get cholecystitis?

  
  

  There are various factors that increase the causes of being impacted with cholecystitis:

  
  

  
  
  • Gallstones are common in women as compared to men. This makes women almost more certain than men to create cholecystitis.
  
  
  • The changing of hormones can frequently cause it. Pregnant women or individuals on hormone therapy are at the most serious risk.
  
  
  • The age of 40 increases the risk of developing the condition of cholecystitis.
  
  
  • Hispanics and Native Americans have a greater risk of creating gallstones than other individuals.
  
  
  • Individuals who are overweight are likewise bound to get this condition.
  
  
  • Rapid weight reduction or increase in weight can cause this problem.
  
  
  • If any individual is suffering from diabetes, then the risk of cholecystitis increases.
  
  

  
  

  What are the symptoms of cholecystitis?

  
  

  Symptoms of cholecystitis can show up abruptly or grow gradually over time of years. Often these side effects show up after a meal that is high in fat. This may include:

  
  

  
  
  • severe pain the in the abdomen that might feel sharp or dull
  
  
  • swelling and cramping in the abdomen
  
  
  • fever and chills
  
  
  • itching
  
  
  • pain that levels up to your back or underneath your right shoulder blade
  
  
  • loose or light-colored stools
  
  
  • nausea and vomiting
  
  
  • Jaundice, change in skin color and the whites of eyes to yellow
  
  

  
  

  A distinctive attack can last for a few days approximately two or three days, yet symptoms of cholecystitis differ broadly from individual to individual. The side effects show up on the right or center upper part of your stomach. The pain will generally keep going for 30 minutes.

  
  

  Complications of cholecystitis

  
  

  This can include:

  
  

  
  
  • gallbladder perforation, which leads to infection
  
  
  • enlarged gallbladder because of inflammation
  
  
  • infection might lead the bile to accumulate
  
  
  • death of tissues belonging to the gallbladder (this can prompt a tear and eventually a burst of the organ)
  
  
  • gallbladder cancer (one of the rare long-term complications)
  
  
  • pancreatitis, an inflammation known for the pancreas
  
  

  
  

  You can treat the symptoms of cholecystitis at home with pain medicines and an adequate amount of rest if your condition is appropriately diagnosed.

  
  

  It is important to consult with your doctor prior to making the decision to stay home and treat the condition. It is strongly suggested that, while recuperating at home, you refrain from eating fatty foods and take any antibiotics as directed.

  
  

  If you have a high temperature that won’t go away or are suffering significant abdominal pain, you should seek medical attention immediately.

  
  

  Diagnosis of Cholecystitis at Southlake General Surgery

  
  

  Our surgeon Dr. Simone MD at Southlake General Surgery, Texas will examine your medical history and prescribe a few physical examinations. The symptoms of cholecystitis are quite similar to other conditions, so they should preclude those conditions.

  
  

  Following are a few examinations that can help diagnose cholecystitis:

  
  

  
  
  • CT Scan: To get detailed images of your abdomen. This is the most reliable test and is likely the smartest option for finding the issue.
  
  
  • You may be recommended to have an abdominal ultrasound to examine your gallbladder and liver function. This will help the surgeon to locate the tones and blockages in a duct.
  
  
  • A blood test can also help to find out infections in the blood
  
  
  • HIDA Scan or Cholescintigraphy: In this process, a small amount of radioactive material is injected to distinguish unusual constrictions or blockages of the gallbladder and bile ducts. It is another technique to locate the problem. It might take from an hour to four to get the test results.
  
  
  • Endoscopic Retrograde Cholangiopancreatography (ERCP): In this examination, an endoscope is inserted down your throat, dye, and an X-ray to examine your organs deeply and discover deformities or issues.
  
  
  • In a percutaneous transhepatic cholangiography, the doctor will embed contrast dye into the liver with the help of a needle. This permits the doctor to view your bile ducts on X-rays.
  
  

  
  

  Treatment for cholecystitis at Southlake General Surgery, Texas

  
  

  The specific reason for your problem will decide the course of treatment. Our doctor will likewise consider your overall health while picking your treatment. The choices include:

  
  

  
  
  • a broad range of antibiotics to fight infection
  
  
  • oral dissolution treatment using prescriptions to help break up gallstones (this is normally a final call, held for people who can’t go through a surgical procedure)
  
  
  • pain reliever medicines to control pain because of treatment
  
  

  
  

  Laparoscopic Surgery for Chronic Cholecystitis at Southlake General Surgery, Texas

  
  

  Laparoscopic surgery is the most recommended treatment for chronic cholecystitis. During laparoscopic surgery, our surgeon makes 3-4 small incisions to insert the laparoscope and other special surgical equipment to perform the surgery. In many cases, the surgery is an outpatient procedure, which implies quick discharge and a shorter recovery time.

  
  

  Our healthcare team will guide you about activities and food you can take the post after the surgery to speed up the recovery process.

  
  

  Life after Surgery

  
  

  Post cholecystitis surgery an individual must make a few adjustments in daily routine and regular meals. During recovery, it is always recommended to have 5-6 small meals in a day and avoid fatty and fried meals. This helps bile in the digestive tract to get normal. One fetish meal may throw off the system and develop spasms in the gallbladder and bile duct. As advised by the surgeon, follow your surgeon’s instructions for a diet plan of a low-fat meal with lean proteins.

  
  

  Let’s explore more: Chronic Cholecystitis- Causes, Symptoms, and Treatment - Southlake General Surgery

  
  

  Appointment

  
  

  For more information on the causes, symptoms, and treatment of chronic cholecystitis. Contact our healthcare expert today at +1 817-748-0200. You can also make an online appointment with us.

  
  

  Follow us on Facebook and YouTube.

  
  

  Source: Chronic Cholecystitis- Causes, Symptoms, and Treatment - Southlake General Surgery

   

  <div class="cArrow"> </div><div class="cContentInner"><p style="padding-left: 240px;"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" href="https://southlakegeneralsurgery.quora.com/Chronic-Cholecystitis-Causes-Symptoms-and-Treatment" target="_top" rel="nofollow">Chronic Cholecystitis- Causes, Symptoms, and Treatment</a></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Reviewed by <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/about-us/" target="_blank" rel="noopener nofollow">Dr. Valeria Simone MD (Southlake General Surgery, Texas)</a></span></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Inflammation of the gallbladder occurs repeatedly in patients with chronic cholecystitis, a medical disorder that can have serious consequences. <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/exploring-gallstones-treatment-options/" target="_blank" rel="noopener nofollow">Gallstones</a></span> are a common contributor to this issue since they block bile flow and irritate the gallbladder indefinitely.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">In the long run, persistent cholecystitis can cause severe complications such as gallbladder dysfunction, lower quality of life, and even the need for surgery. In order to receive prompt diagnosis and effective treatment, it is essential to be aware of the symptoms and risk factors related to chronic cholecystitis.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">The gallbladder is a little, pear-shaped organ situated on the underside of your liver. The gallbladder stores bile generated by the liver and release it to the small intestine through common bile ducts (CBD) to help in the processing of fats.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">The common bile ducts (CBD) link the gallbladder, the liver, and the pancreas to the small digestive tract. <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/understanding-gallstones-cause-symptoms-risk-factors-and-treatment/#more-2226" target="_blank" rel="noopener nofollow">Gallstones</a></span> blocking the CBD which is the main source of cholecystitis. This blockage leads to develop the bile in the gallbladder and that development makes them become inflamed.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">If this happens intensely despite ongoing chronic inflammation, it is a server condition. The gallbladder can rupture anytime if it is not diagnosed properly, and this condition can even lead to a medical emergency. Treatment normally includes antibiotics, pain meds, and <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/gallbladder-surgery/" target="_blank" rel="noopener nofollow">gallbladder removal surgery</a></span>.</p> <br /> <div class="q-box"> <br /> <div class="CssComponent-sc-1oskqb9-0 QTextImage___StyledCssComponent-sc-1yi3aau-0 cfUEeh"> <br /> <div class="q-box unzoomed" tabindex="-1"><img class="q-image qu-display--block" src="https://qph.cf2.quoracdn.net/main-qimg-0e9f6e95070aa79e18398e250ff0f5aa" /></div> <br /> </div> <br /> </div> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">How does chronic cholecystitis happen?</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">This condition normally starts with the development of gallstones in the gallbladder. As indicated by the <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/" target="_blank" rel="noopener nofollow">Southlake General Surgery, Texas</a></span>, regardless of whether you have gallstones may rely upon a few variables, including:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">genetic inclination</li> <br /> <li class="q-relative">the activity of gallbladder activity</li> <br /> <li class="q-relative">dietary propensities</li> <br /> <li class="q-relative">weight</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Gallstones develop when substances in the bile structure are crystal-like particles. They can go from the size of a grain of sand to the size of a golf ball.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">The presence of gallstones creates pressure, and inflammation, and may lead to infection. The gallbladder walls start to thicken after some time. Ultimately, the gallbladder begins to contract. These progressions make it harder for the gallbladder to function appropriately.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">In addition to gallstones, cholecystitis can be expected to:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">CBD drainage system infection</li> <br /> <li class="q-relative">Blockage of CBD</li> <br /> <li class="q-relative">Excess amount of cholesterol in the gallbladder, which can occur during pregnancy or after rapid weight loss</li> <br /> <li class="q-relative">tumors in the liver or pancreas</li> <br /> <li class="q-relative">due to diabetes blood supply gets impacted by the gallbladder</li> <br /> <li class="q-relative">gallbladder tumors, which are uncommon</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Once you experience recurring or continued attacks of cholecystitis, it develops into a chronic condition.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Why do you get cholecystitis?</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">There are various factors that increase the causes of being impacted with cholecystitis:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Gallstones are common in women as compared to men. This makes women almost more certain than men to create cholecystitis.</li> <br /> <li class="q-relative">The changing of hormones can frequently cause it. Pregnant women or individuals on hormone therapy are at the most serious risk.</li> <br /> <li class="q-relative">The age of 40 increases the risk of developing the condition of cholecystitis.</li> <br /> <li class="q-relative">Hispanics and Native Americans have a greater risk of creating gallstones than other individuals.</li> <br /> <li class="q-relative">Individuals who are overweight are likewise bound to get this condition.</li> <br /> <li class="q-relative">Rapid weight reduction or increase in weight can cause this problem.</li> <br /> <li class="q-relative">If any individual is suffering from diabetes, then the risk of cholecystitis increases.</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">What are the symptoms of cholecystitis?</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Symptoms of cholecystitis can show up abruptly or grow gradually over time of years. Often these side effects show up after a meal that is high in fat. This may include:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">severe pain the in the abdomen that might feel sharp or dull</li> <br /> <li class="q-relative">swelling and cramping in the abdomen</li> <br /> <li class="q-relative">fever and chills</li> <br /> <li class="q-relative">itching</li> <br /> <li class="q-relative">pain that levels up to your back or underneath your right shoulder blade</li> <br /> <li class="q-relative">loose or light-colored stools</li> <br /> <li class="q-relative">nausea and vomiting</li> <br /> <li class="q-relative">Jaundice, change in skin color and the whites of eyes to yellow</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">A distinctive attack can last for a few days approximately two or three days, yet symptoms of cholecystitis differ broadly from individual to individual. The side effects show up on the right or center upper part of your stomach. The pain will generally keep going for 30 minutes.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Complications of cholecystitis</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">This can include:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">gallbladder perforation, which leads to infection</li> <br /> <li class="q-relative">enlarged gallbladder because of inflammation</li> <br /> <li class="q-relative">infection might lead the bile to accumulate</li> <br /> <li class="q-relative">death of tissues belonging to the gallbladder (this can prompt a tear and eventually a burst of the organ)</li> <br /> <li class="q-relative">gallbladder cancer (one of the rare long-term complications)</li> <br /> <li class="q-relative">pancreatitis, an inflammation known for the pancreas</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">You can treat the symptoms of cholecystitis at home with pain medicines and an adequate amount of rest if your condition is appropriately diagnosed.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">It is important to consult with your doctor prior to making the decision to stay home and treat the condition. It is strongly suggested that, while recuperating at home, you refrain from eating fatty foods and take any antibiotics as directed.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">If you have a high temperature that won’t go away or are suffering significant abdominal pain, you should seek medical attention immediately.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Diagnosis of Cholecystitis at Southlake General Surgery</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Our surgeon <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/about-us/" target="_blank" rel="noopener nofollow">Dr. Simone MD at Southlake General Surgery, Texas</a></span> will examine your medical history and prescribe a few physical examinations. The symptoms of cholecystitis are quite similar to other conditions, so they should preclude those conditions.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Following are a few examinations that can help diagnose cholecystitis:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">CT Scan: To get detailed images of your abdomen. This is the most reliable test and is likely the smartest option for finding the issue.</li> <br /> <li class="q-relative">You may be recommended to have an abdominal ultrasound to examine your gallbladder and liver function. This will help the surgeon to locate the tones and blockages in a duct.</li> <br /> <li class="q-relative">A blood test can also help to find out infections in the blood</li> <br /> <li class="q-relative">HIDA Scan or Cholescintigraphy: In this process, a small amount of radioactive material is injected to distinguish unusual constrictions or blockages of the gallbladder and bile ducts. It is another technique to locate the problem. It might take from an hour to four to get the test results.</li> <br /> <li class="q-relative">Endoscopic Retrograde Cholangiopancreatography (ERCP): In this examination, an endoscope is inserted down your throat, dye, and an X-ray to examine your organs deeply and discover deformities or issues.</li> <br /> <li class="q-relative">In a percutaneous transhepatic cholangiography, the doctor will embed contrast dye into the liver with the help of a needle. This permits the doctor to view your bile ducts on X-rays.</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Treatment for cholecystitis at Southlake General Surgery, Texas</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">The specific reason for your problem will decide the course of treatment. Our doctor will likewise consider your overall health while picking your treatment. The choices include:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">a broad range of antibiotics to fight infection</li> <br /> <li class="q-relative">oral dissolution treatment using prescriptions to help break up gallstones (this is normally a final call, held for people who can’t go through a surgical procedure)</li> <br /> <li class="q-relative">pain reliever medicines to control pain because of treatment</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Laparoscopic Surgery for Chronic Cholecystitis at Southlake General Surgery, Texas</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Laparoscopic surgery is the most recommended treatment for chronic cholecystitis. During laparoscopic surgery, our surgeon makes 3-4 small incisions to insert the laparoscope and other special surgical equipment to perform the surgery. In many cases, the surgery is an outpatient procedure, which implies quick discharge and a shorter recovery time.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Our healthcare team will guide you about activities and food you can take the post after the surgery to speed up the recovery process.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Life after Surgery</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Post cholecystitis surgery an individual must make a few adjustments in daily routine and regular meals. During recovery, it is always recommended to have 5-6 small meals in a day and avoid fatty and fried meals. This helps bile in the digestive tract to get normal. One fetish meal may throw off the system and develop spasms in the gallbladder and bile duct. As advised by the surgeon, follow your surgeon’s instructions for a diet plan of a low-fat meal with lean proteins.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Let’s explore more: <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/chronic-cholecystitis-causes-symptoms-and-treatment/" target="_blank" rel="noopener nofollow">Chronic Cholecystitis- Causes, Symptoms, and Treatment - Southlake General Surgery</a></span></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Appointment</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">For more information on the causes, symptoms, and treatment of chronic cholecystitis. Contact our healthcare expert today at +1 817-748-0200. You can also <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/make-an-appointment/" target="_blank" rel="noopener nofollow">make an online appointment </a></span>with us.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Follow us on <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.facebook.com" href="https://www.facebook.com/southlakegeneralsurgery/" target="_blank" rel="noopener nofollow">Facebook</a></span> and <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.youtube.com" href="https://www.youtube.com/channel/UC52jtLNZsXETpR7nCYAUCpQ" target="_blank" rel="noopener nofollow">YouTube</a></span>.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Source: <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/chronic-cholecystitis-causes-symptoms-and-treatment/" target="_blank" rel="noopener nofollow">Chronic Cholecystitis- Causes, Symptoms, and Treatment - Southlake General Surgery</a></span></p></div>

  ...

  Cancel

To Top