<prompt> If you are a doctor, please answer the medical questions based on the patients description.55 yr old female. I have been having pain in the upper right abdominal area under and below ribs also to the back - 4 days now. The pain is worse when I burp or hiccup diaphragm spasms?. Deep breaths also are difficult. Pain sometimes radiates or refers to the collar bone area.  <response>: Welcome to Chat Doctor .1. Before treatment one should evaluate the cause.2. The possibilities in your case are cholelithiasis cholecystitis, pancreatic pathology.3. Lung pathology also can not be ruled out.4. A X-ray chest PA and Ultrasound abdomen pelvis will help to come to a conclusion.5. Initially for a day you can try a painkiller - Taking in terms of musculoskeletal pain. If its not resolving then make an appointment to get investigations doneHope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. 