It actually depends if you have acute or chronic gall bladder disease.
Chronic cholecystitis (biliary colic)
This is a chronic inflammation of the gall bladder and causes:
* sporadic pains in the middle of the upper abdomen, or just below the ribs on the right side.
* pain which becomes worse over an hour and then stays the same.
* the pain may spread to the right shoulder or between the shoulder blades.
* the pain can be accompanied by nausea and vomiting and sometimes excessive wind.
* the attack can last from a few minutes to two to three hours before getting better.
* the frequency and severity of attacks is very variable.
* attacks can be triggered by eating fatty foods such as chocolate, cheese or pastry.
* it can be difficult to distinguish the pain from other diseases, such as: gastric ulcer, back problems, heart pains, pneumonia and kidney stones.Acute cholecystitis (acute inflammation or infection of the gall bladder)
This condition results in:
* persistent pain and a temperature lasting more than 12 hours.
* pain and tenderness under the ribs on the right side.
* the pain is made worse by movement or coughing.
* patients with acute cholecystitis may not always have gallstones but usually do.
* the condition must be treated by a doctor and usually requires admission to hospital.
* the treatment consists of a course of antibiotics but if this is not effective emergency surgery may be required to remove the gall bladder.
If you have any other questions please let me know
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