### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Last Friday, after eating some cookie dough with a lot of butter and ginger, I began having trapped air and pain in my right shoulder blade. I was burping a lot. It got progressively worse to the point of being unbearable. I would writhe in pain on the floor if I had to get up and walk, since being upright would cause it to worsen greatly. My right upper arm began to ache,and it feels dull and heavy down to the fingers. The pain in the shoulder blade is sharp, stabbing , burning and is in the right scapula and middle of back,more to the right though. I did a olive oil and lemon juice gall bladder cleanse last night, after discontinuing all solid foods, just drinking fresh juices. I passed a handful of gallstones today at 12:30, the largest being the size of a quarter, all others small. The pain has lessoned and I am able to sit and type and bear it, but it is still great. I have NO pain in my front upper abdomen quad. just right area between neck and shoulder, scapula, back, and right arm.

### output:

Hello, thegeeksmom, I am really puzzled by your description of passing gallstones. This is not true gallstones showing up in the stool. Some sort of chemical reaction between olive oil and lemon juice, forms oily balls colored green by bile and comes out in the stool and floats. Real gallstones sink in the water. This liver cleansing and gallbladder cleansing is a quackery. What you probably had been an acute dilatation of the stomach due to excess gas from the butter and cookie dough. Ginger facilitates some digestive process and hence the beeps. When the stomach is quite distended, that causes pressure on the nerve endings and that is the reason for shoulder pain (Pressure on the diaphragm) and the back pain. I am sure, when once the stomach empties, and you expel all the gas, you should feel better. I suggest that you get an upper GI x-rays and also a sonogram of the gallbladder to see if you have real gallstones. Try to stay away from fatty and greasy foods. I wish you well.