Is Medication Necessary for Asymptomatic Cholecystitis?

Asymptomatic cholecystitis typically does not require medication. In clinical practice, patients who do not exhibit symptoms are often advised to undergo observation rather than take medication. Some individuals may discover they have cholecystitis incidentally during an ultrasound examination. In such cases, administering medication or undergoing treatment generally offers no relief, as there are no symptoms to alleviate.

Medication does not alter the ultrasound findings in asymptomatic cases. Patients may take medication for a period and then undergo a follow-up ultrasound, only to receive the same diagnosis. Therefore, for those with simple, symptom-free cholecystitis, no special medical intervention is usually necessary. Regular monitoring and follow-up are typically sufficient.

However, if the ultrasound reveals additional concerns such as gallstones, cystic polyps, or thickened gallbladder walls, further evaluation is necessary. Particularly if the stone or polyp is larger than 1 cm, or if conditions like gallbladder adenomyomatosis are present, surgical removal of the gallbladder may be recommended. These findings suggest a higher risk of complications, and a proactive approach may be warranted to prevent future health issues.