Conversation: The conversation between human and AI assistant.
[|Human|] My daughter had gall bladder removal over two weeks ago and is continuing to get the same severe pain lower quadrant radiating to shoulder and back. Her doctor told me that when they pushed contrast through the common bile duct twice, it would not go through. The next morning he did blood tests and all normal. I took her to the er just last Sunday and all was normal. Her doctor says there is nothing that can be done. What can we do? Her insurance co. will not allow for a second opinion.
[|AI|]  Hi.noted history of recent cholecystectomy and note of contrast not passing through the CBD area. It is possible that there is an obstruction there, somewhere along her hepaticobiliary tree area, possibly a retained stone or a tumor lesion. It is best if you do a follow-up consult with your doctor, preferably gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ERCP/MRCP, ultrasound, bilirubin, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.