How to Diagnose Cholecystitis

Cholecystitis, or inflammation of the gallbladder, can be diagnosed through a combination of symptom evaluation, medical history review, and diagnostic tests. Below is a detailed breakdown of the diagnostic process.

1. Reviewing Medical History

The first step in diagnosing cholecystitis involves taking a thorough medical history. Doctors will look for risk factors such as obesity, high cholesterol, diabetes, and a diet high in fats and cholesterol. Additionally, patients are asked about any recurring discomfort or pain in the upper right abdomen, which is a common symptom of gallbladder issues.

2. Physical Examination

During a physical exam, the physician will perform abdominal palpation to check for tenderness in the upper right quadrant, where the gallbladder is located. This area may be sensitive, especially during an acute episode of cholecystitis. Other signs such as bloating or indigestion may also be evaluated during this stage.

3. Imaging and Diagnostic Tests

Imaging tests play a crucial role in confirming a diagnosis. Ultrasound is typically the first-line imaging method used, as it is non-invasive and highly effective in detecting gallbladder abnormalities. It can reveal gallbladder wall thickening, the presence of gallstones, and any irregularities such as a rough or inflamed gallbladder lining. In some cases, additional imaging like a CT scan or HIDA scan may be recommended for further evaluation.

By combining these methods—medical history, physical examination, and imaging—healthcare providers can accurately diagnose cholecystitis and recommend appropriate treatment options. If you suspect you may have gallbladder issues, it's important to consult a healthcare professional for proper assessment and care.