Can Gallstones Cause Underarm Pain and Back Discomfort? - Gastroenterology and Hepatology

More Info

---

Gallstones, or cholelithiasis, are solid particles that form in the gallbladder, and they can lead to a variety of symptoms and complications. While the most common symptoms associated with gallstones include right upper abdominal pain, nausea, and vomiting, patients often wonder if other areas of discomfort, such as underarm pain or back discomfort, could be related to gallstones.

In your case, the presence of gallstones and the symptoms you describe—specifically the underarm pain and discomfort radiating to the back—could potentially be linked, but it is essential to consider other factors as well. Gallstones primarily cause pain in the upper right quadrant of the abdomen, especially after fatty meals, due to the gallbladder's contraction and the obstruction of bile flow. However, referred pain can occur, where pain is felt in areas other than the source of the problem. This is often due to shared nerve pathways.

The pain you are experiencing in your underarm and back could be due to several reasons:
1. Referred Pain: As mentioned, pain from the gallbladder can sometimes be felt in the back or shoulder area. This is due to the way the body processes pain signals. The diaphragm, which is innervated by the phrenic nerve, shares nerve roots with the shoulder and upper back, which can lead to referred pain in these areas.

2. Musculoskeletal Issues: The discomfort in your underarm and back could also be due to musculoskeletal issues. Strain or tension in the muscles of the upper back or chest can lead to pain that radiates to the underarm area. If you have been experiencing stress or have changed your physical activity levels, this could contribute to muscle strain.

3. Lymphatic Concerns: The sensation of a "long strip-like lump" in your underarm could indicate swollen lymph nodes, which can occur due to infections, inflammation, or other underlying conditions. If there is an infection or inflammation in the body, the lymphatic system may react, leading to swollen lymph nodes and discomfort.

4. Gastroesophageal Reflux Disease (GERD): Since you mentioned having gastroesophageal reflux disease, it is also possible that your symptoms could be related to this condition. GERD can cause chest pain that may radiate to the back and could potentially be perceived as discomfort in the underarm area.

Given these possibilities, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the gallbladder and surrounding structures, as well as a physical examination to evaluate the lymph nodes and musculoskeletal system.
In summary, while gallstones can cause a variety of symptoms, the specific pain you are experiencing in your underarm and back may not be directly caused by the gallstones themselves. It is essential to consider other potential causes and seek medical advice to determine the appropriate course of action. If you notice any worsening symptoms, such as fever, significant swelling, or persistent pain, it is advisable to seek medical attention promptly.