Pressure Under Ribs After Gallbladder Surgery (UK): Causes, Fixes, and Red Flags
Author context: I lost 6 stone on GLP-1 (Mounjaro) and had emergency NHS gallbladder surgery in February 2026. Post-op chest/upper stomach pain is one of the most panic-inducing symptoms because it overlaps with everything from trapped wind to reflux to “do I need A&E right now?”
Important: This is lived experience + educational info, not medical advice. If you have severe chest pain, breathlessness, fainting, sweating, jaw/arm pain, coughing blood, severe abdominal pain, fever, jaundice, or persistent vomiting, seek urgent medical care.
Short answer: Chest pain after gallbladder removal is often gas pain from laparoscopy, reflux, or muscle/nerve irritation during healing. It is not always dangerous — but chest pain has serious overlaps, so you need a quick way to separate “common recovery” from “red flags.” This guide gives you that.
Start here: If you’re dealing with gallbladder symptoms (or recovery after removal) and want the full UK guide — symptoms, red flags, A&E triggers, surgery, recovery, diet and GLP-1 context — use the mega hub below.
GLP-1, Gallstones & Gallbladder Removal (UK): Mega FAQ Guide →
Quick navigation:
Cluster fuel (read these after):
Red flags: when chest/upper abdominal pain needs urgent help
Call 999 / go to A&E urgently if you have chest pain with:
- Breathlessness, fainting, sweating, or feeling “impending doom”
- Jaw/left arm pain, crushing pressure, or pain that is not settling
- Coughing blood or sudden severe shortness of breath
- New one-sided leg swelling/pain (possible clot) plus breathlessness
Call NHS 111 (or urgent assessment) if pain comes with:
- Fever/chills
- Severe/worsening abdominal pain
- Persistent vomiting or inability to keep fluids down
- Jaundice (yellow eyes/skin), dark urine, pale stools
- Black stools or blood in vomit/stool
Official UK baseline guidance for post-op complications:
Most common (non-scary) causes of chest/upper rib pain after gallbladder removal
1) Gas pain from laparoscopy (trapped wind)
During laparoscopic surgery, gas is used to inflate the abdomen. Some of that gas can irritate the diaphragm and refer pain to the chest and shoulder. It’s uncomfortable and can feel sharp, but it usually improves over days as you move and the gas absorbs.
2) Reflux / heartburn
Reflux can present as burning chest pain, sour/bitter taste, and symptoms that worsen after eating or lying down.
3) Muscle pain from healing and posture changes
After surgery you often move differently, tense your core, sit awkwardly, and protect the wounds. That can create upper rib and chest wall pain that feels worrying but is musculoskeletal.
4) Constipation and bloating
Painkillers and lower movement can cause constipation. Bloating can push pressure upward and feel like chest tightness.
Gas pain: what it feels like (and what helps)
Gas pain often feels like:
- sharp pains under the ribs or in the chest
- shoulder tip pain
- worse when you take a deep breath
- improves with movement/walking and time
What helps gas pain:
- short gentle walks (little and often)
- upright posture after meals
- warm drinks and warmth on the area (if allowed)
- avoid huge meals and fizzy drinks early on
Reflux pain: what it feels like (and what helps)
Reflux pain often feels like:
- burning behind the breastbone
- acid/bitter taste in mouth
- worse after meals and when lying down
- burping and throat irritation
What actually helps reflux (7-day plan) →
What to do today (simple plan)
Step 1: Run the “pattern test”
- If it improves with walking/movement and time → more likely gas/muscle
- If it worsens after meals or lying down → more likely reflux
- If it’s severe, worsening, or paired with red flags → get assessed
Step 2: Stabilise meals for 48 hours
Even when the pain feels “chesty,” the trigger can still be digestive overload. Use small meals: lean protein + gentle carbs + cooked veg.
Step 3: Hydration (especially if appetite is low)
Dehydration can amplify nausea and make everything feel worse. If you’ve had loose stools or low intake, electrolytes can be a practical support.
Step 4: If pain is linked to food/fat, use the ladder
If pain spikes after a richer meal, don’t swing to “zero fat forever.” Drop down a step and rebuild tolerance gradually.
My surgery diary (authority proof)
If you want the real timeline and how quickly symptoms can escalate, this is my diary video.
People Also Ask
- Is chest pain normal after gallbladder surgery? It can be, especially from trapped wind (laparoscopy gas) or reflux. Red flags matter more than the pain alone.
- How long does trapped wind pain last after laparoscopic surgery? Many improve over a few days, sometimes up to a couple of weeks, and movement often helps.
- Can reflux feel like chest pain after cholecystectomy? Yes. Burning behind the breastbone and symptoms worse after meals/lying down fit reflux patterns.
- When should I go to A&E with chest pain after surgery? If chest pain comes with breathlessness, fainting, sweating, jaw/arm pain, coughing blood, or severe worsening symptoms.
FAQs
1) Why do I have chest pain after gallbladder removal?
Common causes include trapped wind from laparoscopy, reflux, muscle pain from healing, and bloating/constipation. Chest pain still needs red-flag screening because serious causes exist.
2) What does trapped wind pain feel like?
It can feel sharp under the ribs, in the chest, or in the shoulder tip. It often worsens with deep breaths and improves with movement and time.
3) How do I know if it’s reflux?
Reflux pain often burns behind the breastbone and worsens after meals or lying down, often with sour/bitter taste and burping.
4) What should I do at home first?
If no red flags: gentle walking, smaller meals, avoid fizzy drinks and big meals, stay upright after eating, and use your safe foods baseline for 48 hours.
5) When should I call NHS 111?
If symptoms are persistent or worrying — especially with fever, severe pain, persistent vomiting, jaundice, dark urine, pale stools, black stools or bleeding.
Disclaimer: This article shares lived experience and educational context. It does not replace professional medical advice. If you suspect a medical emergency, seek urgent care immediately.
