Gallbladder pain usually strikes in the upper right of your abdomen, often after eating a fatty meal. The most common cause is gallstones - small deposits that block bile flow and trigger sharp pain, bloating, or nausea. Other causes include inflammation or bile duct issues.
Treatment depends on the cause. Mild cases may be managed with diet or medication, but many gallbladder problems are treated by removing the gallbladder. Most people recover well and live normally without it.
Gallbladder pain refers to discomfort felt in your upper right abdomen, often caused by gallstones or inflammation. The pain may be sharp, sudden, or cramping, and can spread to your back or shoulder. It’s commonly triggered after eating fatty foods and may be accompanied by nausea or tenderness.
If you’re experiencing persistent upper abdominal pain, visit our abdominal pain page to learn more and explore treatment options.
Your gallbladder is a small, pear-shaped organ located in the upper right part of your abdomen, just beneath your liver. Its main job is to store and release bile - a digestive fluid made by your liver that helps break down fats and absorb fat-soluble vitamins.
When you eat, your gallbladder contracts and sends bile, through a network of tubes, called the biliary tract, to your small intestine. If these ducts become blocked, often by gallstones, you may feel pain or discomfort in your abdomen.
A gallbladder attack happens when a gallstone blocks the flow of bile, causing it to build up and trigger inflammation. This leads to sudden pain in your upper right abdomen, just below your ribs - answering the common question, “Where is the pain with a gallbladder attack?” The pain may also radiate to your back or right shoulder.
Attacks often follow fatty or heavy meals, especially in the evening. If symptoms are severe or persistent, you should seek medical care.
You may be wondering - what does gallbladder pain feel like? Gallbladder pain is different to other stomach pain.
Gallbladder pain may feel:
Gallbladder pain is most often felt in your upper right abdomen, just below your ribs.
It may also spread to your mid-abdomen, chest, or cause referred pain where discomfort radiates to your back or right shoulder blade. Gallbladder pain location in females may be felt in areas like the shoulder, back, or chest as women may be more prone than men to experiencing referred pain.
Gallbladder pain typically lasts from a few minutes to a few hours. Most episodes resolve within 1 to 5 hours, but some may be shorter or longer depending on the cause.
If your pain is severe, persistent or accompanied by symptoms such as fever or jaundice, it may signal a more serious condition like cholecystitis (gallbladder inflammation) or bile duct blockage. Seek medical attention if your pain lasts longer than 8 hours, it is so intense that you can't find a position to relieve it, or if you develop a fever or jaundice.
There are several causes of gallbladder pain. Here are the most common causes:
Gallstones are the leading cause of gallbladder pain. These are hard, stone-like particles that form in your gallbladder when substances in bile, such as cholesterol or bilirubin, harden over time.
Gallstones can be as small as a grain of sand or as large as a golf ball. You may have one large stone, many small ones, or a mix of sizes. Gallstones are more common in women, people over 40, and those with a family history or certain health conditions like diabetes or liver disease.
Most people with gallstones don’t have symptoms, but when a stone blocks the bile ducts, it can trigger a painful episode called a gallbladder attack (biliary colic).
Bile duct stones (choledocholithiasis) are gallstones that move from your gallbladder into your common bile duct. When they block this duct, bile backs up - causing pain, infection, and sometimes serious conditions like pancreatitis or jaundice. These stones are less common but more dangerous than gallbladder stones. Symptoms include upper abdominal pain, fever, and yellowing of your skin or eyes.
Gallbladder inflammation (cholecystitis) happens when a gallstone blocks your cystic duct, trapping bile inside your gallbladder. This buildup increases pressure and can lead to infection which can result in sharp, persistent pain in your upper right abdomen, often spreading to your shoulder. Other symptoms may include fever, nausea, and jaundice.
Gallbladder disease includes conditions like gallstones, inflammation (cholecystitis), poor bile flow (biliary dyskinesia), and bile duct infections (cholangitis). Causes range from blockages to autoimmune disorders.
Symptoms may include:
Gallbladder polyps are abnormal growths in the lining of your gallbladder. Most are harmless and cause no symptoms. However, some polyps, especially inflammatory types, can trigger chronic inflammation, leading to pain or discomfort in your upper right abdomen. Rarely, polyps may grow or become cancerous (about 5% risk).
Though rare, gallbladder cancer and bile duct cancer (cholangiocarcinoma) can cause pain in your upper abdomen, often described as aching or sharp. This pain may result from:
Other symptoms include:
These cancers are often diagnosed late, so persistent or unusual gallbladder pain should be checked by a doctor.
If you’re wondering how to ease gallbladder attack pain, home remedies may offer relief, whilst avoiding fatty foods can help prevent future attacks.
Medical treatment is often needed for gallbladder pain but the following home remedies may offer temporary relief:
These remedies may soothe mild symptoms, but they won’t treat the underlying cause. If pain is severe, persistent, or accompanied by fever or jaundice, seek medical care.
Treatment depends on the cause and severity of your symptoms. Your healthcare provider will assess whether the pain is due to gallstones, inflammation, infection, or another issue. Gallstones that don’t cause symptoms usually don’t need treatment. But once you’ve had one gallbladder attack, more are likely to follow.
Common options include:
An ERCP (Endoscopic Retrograde Cholangiopancreatography) is a minimally invasive procedure used to look for gall bladder problems and take biopsies. It can also be used to remove gallstones, and place stents. A tube-like tool called an endoscope is passed through your digestive system to your gallbladder, pancreas and bile ducts.
If symptoms are frequent or complications arise, gallbladder removal surgery (cholecystectomy) is often recommended. You can live a normal life without your gallbladder. Once it’s removed, bile from your liver flows directly into your duodenum (the first part of your intestine) through the hepatic and common bile ducts, rather than being stored in your gallbladder.
Gallbladder pain can be serious. Call your doctor or go to A&E if you have:
These may signal infection or a blocked bile duct. You’ll likely need blood tests and an ultrasound or CT scan to confirm the cause.
To lower your risk:
Healthy habits help to keep your bile flowing and reduce your chances of gallbladder issues.
Ramsay Health Care offers expert diagnosis and treatment for gallbladder pain, including fast access to consultations and minimally invasive surgery (laparoscopic cholecystectomy). Their hospitals feature:
If you’re struggling with gallbladder pain, we can help you find relief and get back to living well.
You can relieve pain of gallbladder stones using warm compresses, eating low-fat meals, staying hydrated, and taking mild pain relievers. Seek medical care if pain is severe or recurring.
Gallbladder attacks are often triggered by:
Yes. It often flares suddenly, lasts for hours, then subsides - especially after eating.
Ulcers, acid reflux, pancreatitis, kidney stones, and even heart issues can feel similar to gallbladder pain.
Sharp, steady pain in your upper right abdomen, often with nausea, fever, or shoulder pain.
Sudden pain after fatty meals, bloating, nausea, and discomfort under the ribs.
Water, lemon water, herbal teas (peppermint, turmeric), and beet juice may help. Avoid sugary or fatty drinks.
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Abdominal pain is a common problem but could be a sign of an underlying condition. Learn what the common causes are and how abdominal pain can be treated with Ramsay Health Care
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