Hernia vs Gallstone Pain: How to Tell the Difference

Gallstone pain (biliary colic): right upper abdomen or epigastric, starts 30-60 minutes after fatty meal, lasts 1-5 hours, radiates to right shoulder blade, constant intense pressure, with nausea — not relieved by antacids. Hernia pain: at the hernia site (groin, umbilicus, or scar), triggered by straining/lifting/coughing, associated with visible/palpable bulge — strangulated hernia (irreducible lump + severe pain) is an emergency. Acid reflux/GERD: burning sensation behind breastbone, after meals or lying down, sour taste, relieved by antacids — unlike gallstone pain. IBS: lower abdominal cramping, associated with bowel habit changes, relieved by passing stool. Appendicitis: starts around navel then moves to right lower abdomen, gradual onset over 12-24 hours, with fever and loss of appetite. Abdominal ultrasound and urine analysis quickly clarify the diagnosis.