Treatment Options for Chronic Cholecystitis: Can Medication Help?

Chronic cholecystitis refers to long-term inflammation of the gallbladder, often linked to underlying issues such as gallstones or polyps. These conditions can impair the gallbladder's ability to contract and release bile properly, leading to bile stagnation and recurrent episodes of inflammation. Common symptoms include pain in the upper right abdomen, referred pain, a positive Murphy's sign, and sometimes fever.

While medication may help manage symptoms, it cannot fully cure the condition. Some patients may experience relief after taking certain herbal or anti-inflammatory medications like Shudan Capsules or Xiaoyan Lidan Tablets for 1–2 days. These medications may reduce inflammation and alleviate discomfort temporarily.

However, medications alone cannot resolve the structural problems that cause chronic cholecystitis. Without addressing the root cause—typically through surgical removal of the gallbladder—symptoms are likely to return. This is because ongoing bile retention continues to promote inflammation and complications.

In conclusion, drug therapy can provide short-term symptom relief but is not a permanent solution. For long-term management and prevention of recurring episodes, surgical removal of the affected gallbladder (cholecystectomy) is usually recommended. Once the gallbladder is removed, symptoms typically subside, and patients no longer require ongoing medication for this condition.