Conversation: The conversation between human and AI assistant.
[|Human|] My wife, 35, is currently having sharp pains in her lower right abdomen . She said the initial pain started around 11:30 at night and has progressed ever since. The pain seems to come and go with stabbing like sensations during the most severe times. It does not appear to be sensitive to touch. She cannot get comfortable and says the pain appears to go across the middle of her abdomen when she sits up. She had an ovarian cyst removed 5 or 6 years ago, but has not had any issues since. Thanks for your time.
[|AI|]  Hello, Greetings from Chat Doctor .com I have gone through the case scenario of your wife and I do believe we need to rule out gall bladder pathology primarily for her though any pathology from intestine, liver, pancreas and heart may present in this fashion. I do believe she has to undergo an ultrasonography of the upper abdomen (please take a note-- the interpretation of the exam will depend exclusively on her preparation) to see if there is gall stones, sludge or muscle of gall bladder. Women in late thirties who are over weight and sometimes who are not over weight too can land up at the Emergency with pain in right abdomen either radiating to upper abdomen or the lower abdomen due to gall stones. Surgery is the treatment of choice for gall stones. Long term patients with gall stone may suffer from gall bladder carcinoma, so please do get an appointment with her physician at the earliest. Hope my information is useful to you. Take Care.