Conversation: The conversation between human and AI assistant.
[|Human|] I have had gallstones before removed from my bile duct. I am having the same pain now plus I have been throwing up blood in the last four days. I dont think they are connected but could they be. I have had two stones removed from the bile duct in the last five years. Its the same pain, especially after I have something to eat and its getting worse. What should I do?
[|AI|]  Hi.noted history of pain after surgery and hematemesis (vomiting of blood). How long has it been since your operation? Are there any other associated signs/symptoms such as nausea, vomiting, jaundice (yellowing of the skin, eyes, oral mucosa)? Your hematemesis might be a separate entity and not related to your previous surgery. For confirmation, it is best if you do a follow-up consult with your surgeon or a gastroenterologist, for complete physical examination and clinical evaluation. Diagnostics (such as endoscopy, ct-scan, blood examinations, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.