<s>[INST] Last Thursday I had my gallbladder removed. I have had no pain until today. I sat through computer training from 8:00 till about 3:30 and felt fine. But I started to feel really weak and went back to my room for the final two sessions. I laid down for a minute and started to feel really uncomfortable. I began having pain right behind my ribs on my right side. I have a cough and the pain is extending to my lower adomen on my right side. Could this just be the gas they used during surgery. Was expecting to hurt at my shoulder blade but thought it would be sooner. Maybe have slight pain at my right shoulder blade but maybe thats from sitting up all day. No fever. More discomfort than pain. I am a 59 year old woman. Would appreciate your thoughts. Thanks [/INST] hi,thank-you for providing the brief history of you.As you had a gallbladder surgery, post surgery there will be weakness of The muscles. Which needs attention . Also, when you are coughing getting a pain in the back is also an indication of the muscle weakness. Having a pain in the shoulder blades can be due to abnormal posture related to trapezitis.I will recommend you to undergo physical therapy and take a proper Clinical assessment which will help plan the physical therapy protocol and strengthen the muscles.As post surgery it is common to have muscle weakness and change of posture as well. Along with physical therapy you should respond well.In my clinical practice patients will be recommended to physical therapy as it will help improve the strength and joint stability as well.RegardsJay Indravadan Patel </s>