Some patients with gallstones may experience pain below the xiphoid process, in the right upper abdomen or in the back if they have complications such as cholecystitis. In the early stage of stone occurrence, patients may have no obvious symptoms or only upper abdominal discomfort; if the stone causes bile duct obstruction, recurrent abdominal pain and jaundice may occur; if it causes secondary cholangitis, the typical Charcot triad, i.e., abdominal pain, chills and high fever, and jaundice, may occur. Typically, abdominal pain can occur below the xiphoid process or in the right upper abdomen, chest and back, and the nature of the pain tends to be colicky, presenting as paroxysmal episodes or paroxysmal intensification of persistent pain. The pain may also radiate to the right shoulder or back, causing nausea and vomiting. If you feel unwell, seek medical attention.