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What mostly causes undetected cholecystitis on top of an early pregnancy?

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تم إضافة السؤال من قبل LLernalyn Dionoza , Director of Nursing , Al Ansari Specialist Hospital
تاريخ النشر: 2016/10/19
Shahida Khan
من قبل Shahida Khan , Clinical Instructor , Life Saving Institute of Nursing

Nousia, Vomiting

Morning sikns

wt changes

abdominal pain

 

sami george
من قبل sami george , Medical Doctor , Ruge Valley Health system

progesterone increases in pregnancy. Progesterone causes relaxation of smooth muscles, including ureter,intestines, biliary system, which causes slowing of stream leading to increased incidence of urinary tract infections,constipation and stasis of the biliary system which increases incidence of cholecystitis and forming of sludges and calculi

Kiran Riaz Arain
من قبل Kiran Riaz Arain , Specialist , Memon Medical Institute Hospital

Acidity in pregnancy, excessive vomitings abdominal pains

Amany Al Menyawy
من قبل Amany Al Menyawy , Supervisor Nurse in Operating Room , Monufia University Emergency Hospital. Medical officer in Dubai Customs (from 2009 till now).

during pregnancy gall bladder stretches and enlarges due to the hormones changing, There is also decrease of motion of the gall bladder during pregnancy because  increasing uterus size. These changes can't allow the mother to detect the changes in the gall bladder. rather than the morning sickness, abdominal pain , backache,  and other discomforts of pregnancy hide the signs and symptoms of cholecystitis.

ghassan alkhairy
من قبل ghassan alkhairy , CONSULTANT GENERAL SURGEON AND LAPAROSCOPIC SURGERY , TATHLEETH GENERAL HOSPITAL

hyper emesis gravidarum in first trimester mimic the symptoms of gallbladder inflammation also the hormonal changes in the body .

rana kamil
من قبل rana kamil , assistant sonologist , Sahiwal diagnostic centre

because the symptoms of early pregnancy and cholecystitis are the same, backache, nausea, vomiting and abdominal pain etc

Karl Kenneth Tajor
من قبل Karl Kenneth Tajor , General Scope Nurse. O.R Nurse , Bukidnon Provincial Hopsital, Al Rafa Polyclinic, Dr. Ayad Al Shakarchi Medical Center

ABDOMINAL PAIN, NAUSEA AND VOMITING (MORNING SICKNESS) AND BACKACHE

Heba idris
من قبل Heba idris , Registered Nurse , Garden City Hospital

as it s similar to pregnancy symptoms;  morning sickness, abdominal pain because of fetal movements, backache,  and other discomforts of pregnancy mask some of the signs and symptoms of cholecystitis.

Jeffrey Arcilla Gallo Gallo
من قبل Jeffrey Arcilla Gallo Gallo , Clinical Instructor , Medical Colleges of Northern Philippines

Anatomically, during the second and third trimester the gall bladder naturally stretches and enlarges due to the hormones relaxing and progesterone which has relaxation effects to the smooth muscles. There is also lesser motility  of the gall bladder during pregnancy because of the growing fetus and the corresponding expanding uterus.  These structural changes allow the mother not to detect pathological changes in the gall bladder.

Physiologically speaking, morning sickness, abdominal pain because of fetal movements, backache,  and other discomforts of pregnancy mask some of the signs and symptoms of cholecystitis.  

Abdul Razzaque Budhani
من قبل Abdul Razzaque Budhani , Senior medical officer (ER) , SMBB TRUAMA CENTER CHK

  • Obesity or sudden weight gain (that can be the case in pregnancy)
  • Sudden loss in weight (that can also be the case in certain pregnancies)
  • Diabetes
  • Crohn’s disease
  • Hyperlipidemia
  • Family history of gallstones, especially on the maternal side.

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