Hello Lesley! Normally gall bladder Infections present with epigastric pain and are referred to tips of the shoulders, and cholestrols rise too but as you said pain is intermittent so it is more like a chronic history. then you said perspiration with anticipation of heart attack? how old are you ? above 40? i am suspecting 2 things 1) more likely it looks like chronic cholecystitis ( your gall bladder) 2) inferior heart MI also presents this way so here is what we gonna do -Do an ECG to rule out cardiac involvement, followed by echo and MR scan of the heart if required if that area is clear - then we need to clear hepatobiliary suspicion. to do that i advise -U/S abdomen and pelvis -serum amylase, lipase, amylase to lipase ratio, urinary amylase, plain xray abdomen Ap view followed by a CT scan if required, serum calcium ( both ionized and total) HBsAg and HCV. Mean while trea yourself for symptoms -get Proton pump inhibitord like omeprazole etc 40 mg once a day an hour before the meal or 3 hours after it -Take some antispasmodics like Spasfon -use less fatty meals -lose weight -Get a broad spectrum antibiotic if you have a fever i am sure you will have your problem fixed with it Good luck and get well soon :) Regards Doctor Shafi Ullah Khan My Patient is my family