The stomach and gallbladder are both in the upper abdomen, the stomach is mainly in the middle-upper abdomen, and the gallbladder is mainly in the right upper abdomen, how to distinguish between gastric disease and cholecystitis. From the point of view of clinical manifestations, gastric disease will have reflux, heartburn, epigastric discomfort, epigastric distension, hiccups and so on these clinical changes; cholecystitis will appear if you eat a full meal or greasy diet, there is a distension of the right upper abdomen, nausea, this pain may involve the right side of the upper limbs or the pain radiating to the right back. Clinical symptoms of gastric disease and cholecystitis, sometimes it is difficult to distinguish, such as the patient is not mainly pain, but only upper abdominal discomfort, or flatulence, hiccups, the main symptom, it is difficult to distinguish between gastric disease and cholecystitis, the simple way is to do abdominal ultrasound, ultrasound for gallbladder examination is very specific, you can see whether there is a cholecystitis and whether there are gallbladder stones and polyps, if ultrasound to distinguish the difference between If the ultrasound differentiates between the two, then gastroscopy can be used to further clarify what the nature of the gastric disease is.