Acute cholecystitis

Also called Gallbladder inflammation

Acute cholecystitis is a sudden inflammation of the gallbladder, the small organ under the liver that stores bile. Most cases happen when a gallstone blocks the gallbladder outlet. It causes severe pain and is treated in hospital.

Last updated Nov 9, 2026

What it is

Treatment usually starts with fluids, pain relief and sometimes antibiotics. Many people then have their gallbladder removed, often by keyhole surgery, either during the same stay or a few weeks later.

People live normally without a gallbladder.

Common signs

  • Sudden, sharp pain in the upper right part of the belly, sometimes spreading to the right shoulder
  • Pain that is worse when breathing in deeply
  • Fever, feeling sick or being sick
  • Sometimes yellowing of the skin or eyes

How it is usually diagnosed

  • An abdominal ultrasound
  • Blood tests for infection and liver function
  • Sometimes a CT or MRI scan

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Ultrasound and other scan reports
  • Blood test results from the episode
  • The hospital discharge letter
  • Operation notes and any histology (tissue) report after gallbladder removal

Questions to ask your doctor

  • Will I need my gallbladder removed, and when?
  • What should I do if the pain comes back before the operation?
  • Do I need to change what I eat afterwards?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Severe pain in the upper belly that does not go away
  • A high temperature with shivering
  • Yellow skin or eyes with fever and pain

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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