Symptoms of Cholecystitis
Jan 09, 2020
Source: Cainiu Health
Dr. Pan Guozheng
Introduction
Acute cholecystitis symptoms:
1. Dull pain in the right upper quadrant, often described as a stabbing sensation, with recurrent episodes;
2. Fever—typically persistent low-grade fever, though some patients may develop high fever.
Chronic cholecystitis symptoms:
1. Dull pain in the right upper quadrant, particularly exacerbated by changes in body position or consumption of fatty foods;
2. Dyspepsia, manifesting as belching, nausea, and abdominal distension.
Cholecystitis is a relatively common condition with a high incidence rate. Based on its clinical manifestations and disease course, it is classified into two types: acute and chronic—often coexisting with cholelithiasis (gallstones). Symptoms of acute and chronic cholecystitis differ significantly. So, what are the specific symptoms of cholecystitis? The following section addresses this question.
Symptoms of Acute Cholecystitis
1. Dull pain in the right upper quadrant (RUQ)
Acute cholecystitis commonly presents with dull, uncomfortable pain in the right upper abdomen. This pain is often described as sharp or stabbing and tends to recur—particularly after changes in body position or consumption of fatty foods. If left untreated, the condition may progress, leading to referred pain that radiates—sometimes extending to the right shoulder.
2. Fever
Fever is another hallmark symptom of acute cholecystitis. Most patients experience persistent low-grade fever; however, some may develop high fever—with temperatures exceeding 39°C. In severe cases, patients may exhibit neuropsychiatric symptoms such as delirium or confusion, along with chills and rigors. Nausea and vomiting are also frequently observed.
Symptoms of Chronic Cholecystitis
1. Dull pain in the right upper quadrant (RUQ)
Dull RUQ pain is the most common symptom of chronic cholecystitis—especially triggered by positional changes or ingestion of fatty meals. It typically manifests as intermittent discomfort or dull ache in the right upper abdomen; less commonly, it presents as colicky pain that may radiate to the back. Episodes usually resolve spontaneously within several hours.
2. Dyspepsia
Dyspepsia is a frequent manifestation of chronic cholecystitis—often termed “biliary dyspepsia.” Typical symptoms include belching, nausea, abdominal bloating, and acid reflux. Some patients may also experience a burning sensation in the epigastric region, though body temperature remains generally unaffected.
In summary, acute cholecystitis is characterized by RUQ dull pain and fever, whereas chronic cholecystitis primarily presents with RUQ dull pain and dyspepsia—including belching, nausea, and abdominal bloating. We hope this information proves helpful.
