Usually, patients with cholecystitis tend to have epigastric pain episodes and other digestive symptoms after eating fatty foods or having a full meal. persistent right upper abdominal dull pain or right scapular going pain, and also indigestion symptoms such as heartburn, nausea, belching, and acid reflux. In contrast, patients with gastric disease tend to have epigastric pain episodes on an empty stomach or when hungry, and the pain can be relieved after eating. Doctor’s tip: Sometimes because the manifestation of chronic cholecystitis can be similar to chronic gastritis and other gastric diseases or both, so clinically, professional doctors often need to determine through detailed medical history, necessary physical examination, abdominal ultrasound and gastroscopy, etc.