Right-side twinges before my annual physical: what should I bring up?

2026-10-07 4008 views 8 posts

Honestly, i’m hoping for a little perspective from anyone who has navigated gallbladder worries while losing weight. I’m 16 weeks into this chapter, down 27 pounds, weekly average about 1.7. I track weight in a spreadsheet and log meals loosely.

Over the past ten days, I’ve had a few evenings with a dull ache under my right ribs after heavier meals, plus some queasiness. It has passed each time, and I already have my annual physical scheduled. I’m not asking anyone here to diagnose or advise on treatment.

I’m mainly wondering how to describe this clearly to my clinician without sounding either dramatic or dismissive. Did you keep a symptom log? Bring questions? Mention specific meals? I’d be grateful for gentle experience-sharing, not medical guidance. Thank you.

yo i feel this. i’m also a late-night gamer and tracked my right-side twinges in the same spreadsheet as weight + loose meals.

what helped me at my physical was bringing a dumb-simple log: time, what i ate, fat/spicy level, pain 0-10, and whether it moved to my back or shoulder. mine clustered after late heavy meals and sitting hunched for hours, not every meal.

the doc liked seeing the pattern instead of “sometimes it hurts.” i’d also note your weekly loss rate next to it since 1.7/wk is pretty quick. question: does yours change if you swap your usual late soda for water or eat earlier?

that timing clue was useful for me.

Hey, I’m 9 months in and had those same right-side twinges around month 4. What helped my doc was a tiny symptom log: time, meal size/fat content, how long the ache lasted, and whether it moved to my back or shoulder.

I kept it on a second tab in my weight spreadsheet. She said the pattern was way more useful than my vague “it hurts sometimes.” Also call your insurance before the visit—mine covered an ultrasound only after deductible, and the front desk gave me the exact code.

Have you noticed if it’s triggered by fat-heavy meals or just larger portions? That distinction might be worth bringing up.

Your spreadsheet is doing more for you than your gallbladder is. Add a column for fat grams per meal, not just calories — mine correlated with evening twinges way better than total intake did.

Also note whether the meal was late; I had a suspicious pattern where anything after 8pm and over ~20g fat lit me up. If the pain ever spreads to your back or shoulder, that's a different spreadsheet, call the doctor before the physical.

Otherwise: log it, show up, make them earn that copay.

I’m 14 months into my own empty-nester reset—long walks, trying to cook more fiber and less cream—and I had a similar right-side ache early on. What I’d bring to the physical is a simple pattern note: time of day, last 2–3 meals, activity before/after, sleep, and whether it changed with a bowel movement.

My doctor found it helpful to hear “dull, evenings, after sitting, not sharp.” Sharp follow-up: has anyone noticed theirs linked more to constipation or dehydration than to fat? That’s the piece I keep wondering about.

Congrats on 27 down — that spreadsheet habit is no small thing. One thing I added around month 4: a separate "body notes" tab, Date / time / what I'd eaten / how long it lasted.

Mine clustered on late dinners, not any specific food, which surprised me. Worth logging the timing of the twinge for the next few nights so you walk into that physical with actual specifics instead of "sometimes it aches." Docs tend to perk up when you hand them a pattern.

Question: do yours show up more on late-eating nights, or is it pretty random regardless of when dinner lands?

I’d bring the timing pattern, honestly. My right-side twinges were mostly on nights I ate the kids’ leftover pasta standing at the counter, then sat down to help with homework.

I started noting clock time plus whether it hit before or after I flopped on the couch. Also moved my snack drawer front to string cheese and grapes so I’m not grazing cold mac and cheese at 8pm.

Does yours happen more on late, chaotic dinner nights, or is it random? That’s the part I’d want my doc to hear.

Tbh not gallbladder-specific, but I had a weird right-rib ache during my last big loss, and what helped me tlk to my doc was notes, not conclusions. I added a tiny “symptom” row in my spreadsheet: time of ache, what I’d eaten in the 2 hours before, how fast, and whether I was hunched at my desk.

Mine clustered after rushed, late, heavier dinners. I still brought it up at my physical because it was new and lasted over a week.

Does yours radiate to your back or shoulder, or stay put? That detail might be worth jotting down before your appointment.