gallbladder and anal problems

  I have been with a pain in the upper right side of my abdomen, it comes in waves and sometimes goes to my back for almost 4 weaks. But I is not affected when I eat something fatty ( I understand that gallbladder problems pain aggreviate when you eat something fatty ).
  I woud like to know if you think it is a gallbladder problem or something else.
  I had an anal fissure surgery on february and a month ago I had an anal papilla removed (it was inflamed). I would like to know that if I have a gallbadder problem, does it has something to do with my two surgeries I had.
  Thanks for answering my questions!
Dear Maria,
Biliary colic (pain secondary to gallstones) is most often pain located in the middle or right side of the upper abdomen lasting for at least 30 minutes after eating which tends to increase in intensity and then slowly subside. A dull ache can persist for 24-48 hours. It can be associated with nausea and vomiting and can radiate to the back. Although eating foods with high fat content can sometimes bring on an attack of biliary pain this is not often the case. Furthermore, even if one has the classic symptoms of biliary pain, the pain may be associated with another cause of abdominal pain such as gastroesophageal reflux, peptic ulcer disease, irritable bowel syndrome, non-ulcer dyspepsia or pancreatitis. In many patients it is very hard to clinically distinguish the cause of abdominal pain. A physician usually has to order additional tests in order to establish the diagnosis. A transabdominal ultrasound will image gallstones in a majority of cases. However, you should keep in mind that just because gallstones are present on the ultrasound, it does not guarantee that gallstones are causing your pain. An upper GI series or an upper endoscopy will help exclude other causes of abdominal pain.
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