(1) The chief clinical manifestation is frequent recurrence of pain in the epigastrium, usually on the right or in the middle, radiating to the right infrascapular region. The pain usually attacks at night or after heavy meals. During the intermission of attacks, there may be stuffiness and discomfort sensation in the right epigastrium accompanied by burning sensation in the stomach, nausea, belching, acid regurgitation and impaired appetite, which are usually aggravated by intake of greasy food.
(2) The chief physical signs are tenderness in the right epigastrium and positive Murphy's sign. A cystic mass is palpable in the right epigastrium.
(3) Cholesterol crystal, sediment of calcium bilirubinate and a large number of white blood cells, especially bile-stained pus cells can be found in the bile by duodenal biliary drainage examination. Pathogens may be found in the bacterial culture of the bile. Continue to read TCM Treatment Evaluation for
Cholecystitis.
(4) Ultrasonography B is helpful in detecting the size of gallbladder, the thickness of gallbladder wall and the existence of gallstone.
