How to Treat Chronic Cholecystitis

Chronic cholecystitis often requires a combination of medical management and lifestyle adjustments to control symptoms and prevent complications. Common symptoms include bloating, belching, and mild abdominal pain—especially in the upper right quadrant, which may radiate to the right shoulder or back. These symptoms are typically triggered by fatty meals and can also be accompanied by diarrhea.

For symptom relief, doctors often prescribe bile-stimulating medications such as anti-inflammatory and cholagogue tablets or bile-regulating pills. Additionally, digestive aids like pancreatin or other enzyme supplements may be recommended to improve digestion and reduce discomfort.

In cases where the condition flares up acutely, ultrasound imaging may reveal gallbladder wall thickening or edema. In such situations, antibiotic therapy is often necessary to manage infection and inflammation. It's important to monitor the progression of chronic cholecystitis, as long-term inflammation can lead to structural changes in the gallbladder, including wall thickening and shrinkage.

When there's a suspicion of gallbladder cancer or precancerous changes, surgical removal of the gallbladder may be advised. This is especially true for patients with severe gallbladder atrophy or persistent, significant symptoms. Early detection and intervention are crucial in preventing the development of more serious complications, including malignancy. Decisions regarding surgery should be made in consultation with a specialist, based on imaging results and overall health status.