It is usually described as sharp right upper quadrant pain that radiates to the right shoulder, or less commonly, retrosternal.[3] Nausea and vomiting can be associated with biliary colic. Individuals may also present with pain that is induced following a fatty meal and the symptom of indigestion. The pain often lasts longer than 30 minutes, up to a few hours.[3] Patients usually have normal vital signs with biliary colic whereas patients with cholecystitis are usually febrile and more ill appearing.