Gallbladder inflammation has the following symptoms

Written by Si Li Li
Gastroenterology
Updated on February 03, 2025
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Cholecystitis is divided into acute cholecystitis and chronic cholecystitis. The symptoms of acute cholecystitis manifest as sudden severe pain in the upper right abdomen, which can also radiate to the right shoulder and back, and is the most typical symptom of acute cholecystitis. These symptoms generally occur after consuming a large amount of fat, at night, or after a full meal. It may also be accompanied by moderate fever, severe chills, nausea, vomiting, loss of appetite, and other gastrointestinal symptoms. Chronic cholecystitis generally has atypical symptoms; it often causes pain in the upper right abdomen after a full meal or consuming greasy foods. The intensity of pain varies among individuals, and it can sometimes radiate to the right shoulder and back. Fever and chills are rarely present in chronic cholecystitis.

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Written by Si Li Li
Gastroenterology
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Where is the pain located for cholecystitis?

The pain from cholecystitis typically presents as noticeable abdominal pain. Generally, a clear projection point in the abdomen is in the upper right quadrant, below the edge of the rib cage, which corresponds to the projection point of the gallbladder. This is a typical site of pain during a cholecystitis attack. Additionally, some people may experience pain and discomfort in the right back, which characterizes radiating pain. During an attack of cholecystitis, this radiating pain can extend to the right back area. A very small number of people might experience chest tightness, nausea, and even vomiting, all of which are accompanying symptoms of cholecystitis.

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Written by Zhang Tao
Hepatobiliary Surgery
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The difference between acute cholecystitis and chronic cholecystitis

Chronic cholecystitis clinically manifests as recurrent dull pain in the upper abdomen and biliary colic, which the patient can quickly relieve on their own; acute cholecystitis involves more severe pain that cannot be relieved without intervention, and is usually accompanied by fever, nausea, and vomiting. In chronic cholecystitis, pressing on the right upper abdomen elicits no special reaction; in acute cholecystitis, pressing on the right upper abdomen causes obvious pain, known as a positive Murphy's sign. Acute cholecystitis is accompanied by a significant increase in white blood cells, and an ultrasound can reveal a marked enlargement and thickening of the gallbladder wall; chronic cholecystitis does not show these specific characteristics.

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Written by Zhang Jun Jun
Endocrinology
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Which department should I go to for cholecystitis?

Firstly, it is necessary to determine the cause of the cholecystitis. The most common type of cholecystitis is caused by gallstones. If the cholecystitis is an acute episode caused by gallstones, leading to pain, nausea, vomiting, or even high fever, surgical intervention is usually indicated. It is generally recommended to consult with departments such as general surgery or hepatobiliary surgery, as emergency surgery may be needed. The second scenario involves cases where cholecystitis is detected during routine physical examinations without symptoms. Ultrasound may show gallstones or gallbladder polyps. In symptom-free situations, it is possible to consult general departments like gastroenterology, and regular follow-ups and checks of inflammation indicators, as well as abdominal ultrasonography, can be performed to monitor the dynamic changes of the cholecystitis. The third scenario pertains to cholecystitis where new techniques such as MRCP are available. With this technology, gallstones can be removed under endoscopic guidance. Generally, these procedures are performed in the gastroenterology department. Thus, for acute cholecystitis with choledocholithiasis and concurrent biliary pancreatitis, it may be treated with endoscopic techniques under gastroenterology, avoiding the need for traditional or minimally invasive surgery. Therefore, patients with cholecystitis may visit either the hepatobiliary surgery or gastroenterology departments.

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Written by Si Li Li
Gastroenterology
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What is good to drink for cholecystitis?

Cholecystitis is a common and frequently occurring disease in surgery, mainly caused by various reasons, resulting in an inflammatory reaction in the gallbladder. Normally, traditional Chinese herbs like dandelion or lysimachia can be used for making tea. These herbs are known for their heat-clearing, detoxifying, and anti-inflammatory properties, and they have very minimal side effects, providing certain therapeutic effects on the disease. In addition to drinking herb-infused water, dietary adjustments are also necessary. For instance, it is advisable to eat less fatty, rich, and greasy foods, as well as to avoid spicy, fried, and irritating foods. Drinking more water and eating more vegetables is also recommended.

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Written by Zhang Tao
Hepatobiliary Surgery
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Can you drink alcohol with acute cholecystitis?

Acute cholecystitis, clinically divided into calculous cholecystitis and acalculous cholecystitis, is closely related to diet regardless of the type. Therefore, patients with acute cholecystitis should not consume alcohol, as drinking can lead to another attack of acute cholecystitis. Most episodes of acute cholecystitis are directly related to diet and excessive drinking, so not only during an acute attack but also in everyday life, it is important to avoid greasy, fried foods, spicy and irritating foods, and excessive alcohol consumption, in order to prevent stimulating the swelling of the gallbladder mucosa and triggering an attack of acute cholecystitis.