Why Gallbladder Pain Radiates to the Right Shoulder

Gallbladder pain often radiates to the right shoulder, a phenomenon known as referred pain. This occurs because the gallbladder and the diaphragm share similar nerve pathways through the phrenic nerve. When the gallbladder becomes inflamed, especially during acute cholecystitis, the irritation can spread to the nearby diaphragm, which in turn causes pain to be felt in the right shoulder or shoulder blade area.

While the primary location of pain is usually in the upper right abdomen or middle upper abdomen, patients may also experience a range of gastrointestinal symptoms such as nausea, vomiting, bloating, aversion to fatty foods, indigestion, and even diarrhea. These symptoms can often complicate the initial diagnosis and delay treatment.

During a physical examination, doctors may detect a positive Murphy's sign, which is a key indicator of gallbladder inflammation. To confirm the diagnosis, imaging tests like abdominal ultrasound or CT scan of the liver and bile ducts are typically performed. Blood tests, including a complete blood count (CBC), are also crucial in identifying signs of infection or inflammation.

If gallbladder disease is confirmed, laparoscopic surgery is often recommended as the most effective treatment option. This minimally invasive procedure allows for quicker recovery and reduces the risk of complications compared to traditional open surgery.

Understanding the patterns of gallbladder pain and its associated symptoms can help patients seek timely medical care and improve overall outcomes.