Hello. I am a 42 year old caucasian woman with no history of illness. There is no history of illness with my parents either. My weight is what it has always been 130-135 depending on time of month. My menstruation is like clockwork and always has been. I smoke. Last April I experienced a urinary track infection -- the first time I had ever had anything warranting a visit to the doc since bearing children. I was prescribed anti-biotic and it cleared up fine. The symptoms were unusual smelling urine and mild flank pain. Tests concluded UTI. However two months later, beginning in June-July, I would notice that flank pain(discomfort) again,middle upper right back region intermittent at most. It started to increase and I also noticed a dull pain(again, discomfort) below my right rib. About a month ago, I started experiencing pain to the right shoulder. This is real pain. It now comes and goes and I can discern no pattern between what I eat and when the discomfort occurs, however I almost always notice the flank pain first thing in the morning. I never have pain at night or during sleep hours. My diet is not what it should be. I usually drink coffee every morning and my job is physically laborous, I clean homes and use every muscle in my body lifting furniture and vacuums etc.. I tend to eat once a day- dinner, and admittedly don't drink nearly enough water. My urine is darker, but not so dark that I am concerned, just not what it is when I force myself to drink lots of water.I have no fever or nasusea, no yellow eyes or stool, stool is quite normal and regular. I don't feel as strong as I used to be, but then I'm not 30 either. I eat pretty well, although probably not enough fruits and veggies. I eat no fast food.I thought at first kideny stone, but sort of changed my mind on that because I have no accute pain. Then I considered possibly gallstones because there will be a week or two when I have no pain at all. I am now worried that it may be pancreatic in nature,I don't know. Besides this discomfort which deoes not keep me down in any way, I feel fine, although completed depressed out over the election results, but that's another matter. I have no health insurance and pay by cash when I need to go tot he doctor, which so far has been the one time described above for the UTI. I guess my question is could it be that I have pancreatic cancer or some such thing?I mean, how likely is that disease given my predisposition because I smoke? Or could this be common symptoms of gall stones? I know you will say go see a doctor, but without medical insurance, well, you know. The ER is the only option I have and I would probably want to help them pinpoint the problem as much as I can. I have three children to raise on my own -- I definitely need to be well here. Any light you can shed would be most appreciated, please and thank you.