When the gallbladder wall is inflamed and fibrosis occurs, the gallbladder is contracted, which is known as chronic non-stone cholecystitis. To see if there is intestinal disharmony and poor digestion, attention should be paid to checking the liver function. Infection and obstruction due to stones in the gallbladder or in the neck of the gallbladder. Such a condition may be related to gallbladder duct syndrome, gallbladder inflammatory stones, colonic hepatic flexural adhesion syndrome, and post cholecystectomy syndrome, gallbladder ascariasis, acute cholecystitis, stone cholecystitis carcinoid tumor, and other causes of the disease, to see if there is an abnormal fever. How to check chronic non-stone cholecystitis? 1, medical history questions Stones in the gallbladder generally do not produce the symptoms of biliary colic, called resting stones, there can be vague pain in the right upper abdomen, acid reflux, belching, abdominal distension and other symptoms of indigestion, obvious after ingestion of fatty food, if accompanied by infection, there can be symptoms of acute cholecystitis. The stones in the gallbladder duct may manifest as biliary colic, with sudden onset of persistent pain in the right upper abdomen, worsening in paroxysms, spreading to the back of the shoulder, accompanied by nausea and vomiting. See acute and chronic cholecystitis for details on the key points of consultation. 2. Physical examination: There may be no positive signs of intra-biliary stones, but in a few cases, the gallbladder may be palpated when the stones are too large. In case of intracholedochal cystic duct stones, right upper abdominal pressure pain, Murphy’s sign is positive, enlarged gallbladder can be palpated in the right upper abdomen with pressure pain, and signs of acute peritonitis such as whole abdominal pressure pain, rebound pain and muscle tension can be present in case of gallbladder perforation. Some patients may have jaundice. 3.Laboratory examination If gallbladder perforation occurs, the abdominal plain film may show free gas under the septum.