Chronic Cholecystitis Symptoms and Treatment Options

Chronic cholecystitis is a condition characterized by long-term inflammation of the gallbladder. The most common symptoms include recurring pain or discomfort in the upper right or middle abdomen, especially after consuming fatty or greasy foods. These episodes may be accompanied by bloating, indigestion, and frequent belching. Managing this condition often involves a combination of medication and dietary adjustments.

One of the primary treatment approaches involves the use of herbal or traditional medications that support bile flow and reduce inflammation. Commonly prescribed herbal remedies include compounds like Dan Ning tablets, bile-promoting and anti-inflammatory tablets, and other similar formulations designed to support gallbladder function.

In terms of Western medicine, doctors often recommend ursodeoxycholic acid, a bile acid that helps thin the bile and improve its flow, thereby reducing symptoms of inflammation. In addition, because bacterial growth can occur within the inflamed gallbladder, antibiotics or anti-inflammatory drugs may be prescribed alongside bile-promoting medications. Cephalosporin-based antibiotics are often used to eliminate bacterial infection, which can enhance the effectiveness of bile flow treatments.

However, in some cases where conservative treatments fail, and the gallbladder wall continues to thicken beyond 5mm despite medication, surgical intervention may be necessary. Long-term inflammation can lead to serious complications such as bile duct obstruction, gallbladder perforation, and in rare cases, an increased risk of cancer.

In summary, the best approach for managing chronic cholecystitis is a combination of bile-stimulating medications, anti-inflammatory support, and lifestyle changes such as avoiding spicy or irritating foods. When these methods are effective, patients can experience long-term relief. However, if symptoms persist and the gallbladder wall continues to show signs of severe inflammation, surgical removal of the gallbladder may be the most appropriate solution.