Brief Answer:
Unlikely to be directly from stress...

Detailed Answer:
Hi,

I am sorry if my brief answer is confusion. Let me explain it here.

The pain that you describe on the shoulder can be a referred pain when you also have right upper abdomen pain. Therefore I would think of right sided organ pain irritating right phrenic nerve to cause referred pain over the shoulder. I understand your gall bladder was removed. But some patients have come back with similar pains. The causes may be stones within common bile duct, gastritis/ulcers and hyperacidity.

Since this pain is recurring in nature, I would treat you antacids and proton pump inhibitors +/- panadol and see if you feel better. If not an ultrasound scan and endoscopy may be needed.

Stress and anxiety are considered as a cause in many chronic pain. However without evaluating further, I would not point it as the direct cause of such pain.

In a nutshell, if you have not consulted your treating surgeon, it would be worthwhile to plan the visit now.

Hope this helped. Let me know if you need clarifications.

Regards

---

Brief Answer:
Common bile duct stones...

Detailed Answer:
Hi,

In most cases gall bladder removal prevents stone formation. However in a small subset group of people stones are formed within the common bile duct (which is not removed) leading to pain. This is not common occurrence though.
Similarly such pain can be experienced if there is some fluid accumulation within the peritoneal cavity. I would look forward for ultrasound scan and endoscopy to confirm the causes.

A proton pump inhibitor is a drug that's is very effective in controlling acid secretions which can be a cause of right under rib pain.

Without an opportunity to physically examine you, it would be difficult to arrive at a cause. Therefore if you are in acute pain, I recommend you see a doctor and discuss about these options.
Alternatively try the drugs and see if you feel better. We can plan the next course of treatment based on your response to those medicines.

Regards

---

Brief Answer:
Crampy pain needs to be addressed..

Detailed Answer:
Hi,

If you will call the right under rib pain as crampy in nature, then you should check about the stones with the doctor. Nevertheless, stones in the common bile duct after gall bladder removal are not very common.

At this point of time, the effects of stressor cannot be ignored completely. So until you see your surgeons, manage those stressors adequately. Transcedental meditation and yoga are effective methods to keep yourself stress free.

Hope this helped you. Write back for clarifications.

Regards

---