Where Does Biliary Pain Occur?

The gallbladder is located beneath the liver in the upper right quadrant of the abdomen. When inflamed, patients typically experience pain in this area. In mild cases, individuals may feel a dull or mild ache in the upper right abdomen. However, in more severe cases, a condition known as biliary colic can occur. This type of pain is intense and usually localized in the upper right abdomen, often radiating to the right shoulder or back.

Some patients may not feel direct abdominal pain but instead experience a sensation of heaviness in the right shoulder. In such cases, an ultrasound is crucial for diagnosing gallbladder issues. Additionally, some individuals may mistake gallbladder pain for stomach discomfort or general upper abdominal pain. After undergoing gastroscopy and receiving treatment from a gastroenterologist without noticeable improvement, patients should consider the possibility of gallbladder disease and consult a specialist for further evaluation using abdominal ultrasound.

While gallbladder-related pain typically occurs in the upper right abdomen, it can sometimes present differently. For example, some patients may experience symptoms resembling angina or chest discomfort. Certain individuals with gallstones might feel upper right abdominal pain alongside shortness of breath or chest tightness. In such cases, an electrocardiogram (ECG) should be performed to rule out the possibility of a heart attack.

Gallbladder disease can present with a wide variety of symptoms, varying significantly from person to person. It is essential not to ignore any unusual discomfort and to seek medical attention promptly. Although right upper quadrant pain is common in cholecystitis, it can also mimic cardiac symptoms. Therefore, it's important for medical professionals to differentiate between gallbladder pain and heart-related chest pain to ensure accurate diagnosis and timely treatment.