What Tests Are Required for Cholecystitis?

Physical Examination
The initial step in diagnosing cholecystitis involves a thorough physical examination. Doctors will ask about the patient's medical history and assess for symptoms such as tenderness, rebound tenderness in the right upper quadrant of the abdomen, and a positive Murphy's sign. These clinical indicators can strongly suggest acute gallbladder inflammation.

Complete Blood Count (CBC)
A common laboratory test is the complete blood count (CBC), which helps detect elevated levels of white blood cells and neutrophils—signs of infection or inflammation. This is a crucial marker in identifying an acute episode of cholecystitis.

Abdominal Ultrasound
An abdominal ultrasound is often recommended to visualize the gallbladder. This imaging test can reveal gallbladder swelling, thickening of the gallbladder wall, and the presence of fluid around the gallbladder—all of which are indicative of inflammation. It is a non-invasive and effective diagnostic tool.

Liver Function Tests
In addition to imaging, liver function tests may be performed. These tests help rule out other conditions that could be causing similar symptoms, such as liver-related diseases or bile duct obstruction.

Potential Treatment for Acute Cholecystitis
If acute cholecystitis is confirmed, immediate treatment may include intravenous antibiotics and fluids to manage infection and inflammation. In many cases, emergency laparoscopic cholecystectomy—removal of the gallbladder—is considered to prevent complications and provide long-term relief. This minimally invasive procedure typically leads to a faster recovery and improved patient outcomes.