Brief Answer:
Conservative management, IBS suspicion

Detailed Answer:
Thank you for asking

Pain abdomen and pain in right upper quadrant has thousands of etiologies and biliary colic is one of them. It may or may not be associated with stomach inflammation or ulcer and or pancreas involvement. Diarrhea is least an association with biliary colic. Irritable bowel syndrome may also cause that. Simple infections of genital tracts like PID may also cause it.

If they diagnosed you with a biliary colic they sent you home to try conservative therapy. With painkillers and anti spasmodics. Try ant acids too. Use fibre in diet and drink plenty of water. Eat soft and easily digestible and avoid fats. Get assessed for any intolerance like gluten or lactose and see if it helps.

Lets try conservative management for a while and if it does not respond bowel assessment will be done like endoscopy and GI monitoring to sort out any functional issues like IBS.

I am giving you a long list of etiologies which may cuase such pain just to make you know how versatile this pain can be and how difficult it gets some time to sort out the cause. Here is the list.

NEUROLOGIC BASIS OF ABDOMINAL PAIN
Localization of pain
Referred pain
Extra-abdominal causes of abdominal pain

UPPER ABDOMINAL PAIN SYNDROMES
Biliary disease
Acute pancreatitis
Dyspepsia
Hiatus hernia
Pneumonia
Myocardial infarction
Splenic abscess or infarction

LOWER ABDOMINAL PAIN SYNDROMES
Appendicitis
Diverticular disease
Kidney stones
Bladder distension
Pelvic pain

DIFFUSE ABDOMINAL PAIN SYNDROMES
Mesenteric ischemia and infarction
Ruptured aneurysm
Peritonitis
Intestinal obstruction

ABDOMINAL PAIN IN SPECIAL POPULATIONS
Women
- Pelvic inflammatory disease
- Adnexal pathology
- Endometriosis
- Ectopic pregnancy
- Endometritis
- Leiomyomas
Older adults
HIV infection
Hemophilia
Sickle cell disease
Chronic opioid users
High-dose glucocorticoids

RARE CAUSES OF ABDOMINAL PAIN
Celiac artery compression syndrome
Painful rib syndrome
Wandering spleen syndrome
Abdominal wall pain
Abdominal migraine
Mesenteric lymphadenitis
Eosinophilic gastroenteritis
Epiploic appendagitis
Abdominal compartment syndrome
Fitz-Hugh-Curtis syndrome
Familial Mediterranean fever
Hereditary angioedema
Other

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

May the odds be ever in your favour.

Regards
Khan

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Brief Answer:
Lets hope for the best

Detailed Answer:
Thank you for getting back to me

Its good to know you are following strict dietary protocols. If Hida scans come up clean then other etiologies will be sorted out. Autoimmune work up for ANA and Anti DsDNA , anti mitochondrial Antibodies etc would be advised too as such vague presentations normal other wise creates autoimmune suspicion.

And decompressed gallbladder is needed one and is achieved with stenting and different procedures and is normal state of a healthy gallbladder. Distended one is bad and needs to be decompressed, yours is already decompressed.

Heart rate needs to be addressed too. Atenolol might be causing these symptoms indirectly though.

There would be no harm in doing prophylactic cholecystectomy using minimal invasion if need be. It would be wise.

Take care
Khan

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