Conversation: The conversation between human and AI assistant.
[|Human|] Ive been having pain in the upper right portion of my abdomen just under my rib cage. Ive had blood tests done and an ultra sound to rule out gallstones however the pain is still there. My ER doctor recommended a HIDA scan and said it may have something to do with the placement of my gallbladder. Im looking for another opinion on what it might be. I havent had any fever, have had some nausea  and vomiting.
[|AI|]  Hello! Thank you for the query. Before HIDE scan gastrostomy would be a good idea. Upper right abdominal pain along with nausea and vomiting can be also caused by peptic ulcer. Such pain does not radiate to the back (gallstones pain radiates to the back). It starts after a meal. It is usually dull and does not go away after painkillers. Pancreas inflammation can also give similar to gallstones pain. Stone in bile ducts can appear in the same way as well. I suggest you to consider gastrostomy if peptic ulcer seems possible. Hope this will help. Regards.