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Treatment for symptomatic cholecystitis typically involves a combination of medical and surgical interventions. Medical Treatment: 1. Fluid replacement and hydration 2. Antibiotics to treat infection 3. Pain management with analgesics 4. Anti-inflammatory medications 5. Bowel rest (fasting) to reduce gallbladder stimulation Surgical Treatment: 1. Laparoscopic cholecystectomy (minimally invasive surgery) 2. Open cholecystectomy (traditional surgery) 3. Percutaneous cholecystostomy (drainage of gallbladder) Indications for Surgery: 1. Severe symptoms 2. Failure of medical treatment 3. Recurrent episodes 4. Complications (e.g., gangrene, perforation) 5. Gallbladder cancer suspicion Surgical Options: 1. Laparoscopic cholecystectomy: Less invasive Faster recovery Smaller incisions 2. Open cholecystectomy: More invasive Longer recovery Larger incision 3. Percutaneous cholecystostomy: Temporizing measure Drainage of gallbladder Bridge to surgery Post-Surgical Care: 1. Monitoring for complications 2. Pain management 3. Antibiotics 4. Fluid replacement 5. Gradual diet advancement It's essential to note that surgery is usually the definitive treatment for symptomatic cholecystitis, and medical treatment is often used as a bridge to surgery or for patients who are not surgical candidates. #cholecystitis