10 Symptoms That Could Mean You’re Having a Gallbladder Attack

Gallbladder attacks can happen suddenly — often without warning — and the symptoms can range from uncomfortable to alarming. For many people, the pain starts under the ribs or in the upper right side of the abdomen, and may come on after eating. Others feel bloated, nauseous, or chilled, with no idea what’s wrong. What makes gallbladder problems so tricky is that the signs can mimic everything from indigestion to heartburn, and the severity can vary dramatically between individuals.

The gallbladder is a small organ located near the liver that helps your body digest fats. When it becomes inflamed or blocked — often due to gallstones — it can trigger a painful episode known as a gallbladder attack. Some people have only one attack in their lifetime. Others may experience recurring flare-ups that eventually lead to gallbladder removal.

While not all upper abdominal pain is related to the gallbladder, recognizing the signs of an attack can help you decide whether to seek medical attention. In some cases, untreated gallbladder issues can lead to serious complications, including infection or damage to nearby organs.

Below are 10 of the most common symptoms associated with gallbladder attacks. Understanding these signals may help you get the right care, avoid future complications, and better advocate for your health.

1. Abdominal Pain: The Primary Warning Sign

A typical warning sign associated with a gallbladder attack is severe abdominal pain or biliary colic. An intensifying pain in the upper portion of the abdomen below the breastbone, often on the right side, may indicate a gallbladder attack. The pain typically occurs in the right upper quadrant of the abdomen and may radiate to the right shoulder blade or between the shoulder blades. Pain can last between one to five hours. It remains constant regardless of urinating or passing gas. The intake of fatty foods often triggers the pain, which can occur at any time, even while sleeping. Episodes of biliary colic may be infrequent. After one painful attack, it may be another few months before another occurs. A common blood test can establish the presence of increased liver enzymes, which may indicate a blockage.