Conversation: The conversation between human and AI assistant.
[|Human|] I have belly pain and bloating. The pain came on suddenly aboutv5-6 hours ago in the middle of my abdomen. I can t get comfortable whether I sit, stand, or lay down. The pain ebbs and flows from sharp to moderate. I had my gallbladder removed a year ago, so it s not gallstones.
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. The intensity of your pain specially with a history of gall stone disease in the past calls for an urgent ultrasound of abdomen to rule out any stone in the common bile duct. Also, the state of pancreas would have to be assessed specially if you consume alcoholic beverages. If I were your doctor, I would have preferred first a physical examination of your abdomen, followed by an ultrasound of abdomen, and blood tests like complete blood count, a serum amylase, a serum lipase, and a liver function test. Also, I would suggest you not to eat from outside if you do. Till then, I would advise you for a proton pump inhibitor along with a probiotic, and an anti-spasmodic Chat Doctor.  Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.