Seven years ago, I started having trouble—severe pain in the right upper quadrant and
epigastric region that radiates to the back and
right shoulder; accompanied with alternating constipation and diarrhea, nausea, and fatigue. There is no noticeable jaundice, no elevated enzymes, amylase, or lipase from multiple tests. In the beginning, this was associated with eating greasy or fatty foods. After an ultrasound during an ER visit, they found a problem with my gallbladder.