Cholecystitis or scarring of the bile duct. The greatest risk factor for cholecystitis is gallstones. Risk factors for gallstones include female sex, increasing age, pregnancy, oral contraceptives, obesity, diabetes mellitus, ethnicity (Native North American), rapid weight loss. Gallstones blocking the flow of bile account for 90% of cases of cholecystitis (acute calculous cholecystitis). Blockage of bile flow leads to thickening and buildup of bile causing an enlarged, red, and tense gallbladder. The gallbladder is initially sterile but often becomes infected by bacteria, predominantly "E. coli", "Klebsiella", "Streptococcus", and "Clostridium" species. Inflammation can spread to the outer covering of the gallbladder and
Media depictions of body shape body shape and a higher level of disordered eating one year later. Adolescent girls are the most strongly affected demographic; "More and more 12-year-old girls are going on diets because they believe what you weigh determines your worth," Cutler observed. "When all you see is a body type that only two percent of the population has, it's difficult to remember what's real and what's reasonable to expect of yourself and everyone else." Put simply, the beauty ideal in American culture is: thin. "Large populations of 'average' girls do not demonstrate clinically diagnosable eating disorders—pathologies that the culture marks as extreme