Conversation: The conversation between human and AI assistant.
[|Human|] Hello my name is Crystal and i have been having pains in my stomach in the middle where my ribs are and it can really hurt and right before i almost fell asleep it felt like somebody shoved something there and it got stuck then i rolled on my back and i was fine i have a little pain on the left but more on the right can feel sharp i had my gull bladder taken out a year ago and my heart rates sometimes as if its pounding almost out of my chest and it really only seems to bother me a lot when i lay down most of the day im fine can someone help me???
[|AI|]  Hi Crystal. Thanks for your query. Read the history and understood the problems. You have a typical history of severe pain in the abdomen where the ribs are. As if somebody shoved something, and it got stuck there, got alright when you rolled back. Pain is more on the right side where your gall bladder was and has been removed 1 year back. The probable cause of sudden and such a severe pain can be due to Volumes of the Stomachache duct stonesIntestinal obstruction. I would advise you the following:The only specific investigations which can help you are:Barium studies for the stomach in head-low position to see for stomach volumes. Upper GI endoscopy can helpColonoscopy and CT scan of the abdomen are done to rule out other probable causes. If volumes of the stomach, simple stitch to fix the stomach to the anterior abdominal wall can help you the best and on permanent basis. Rest of the treatment depends upon other probable diagnosis if made.