Conversation: The conversation between human and AI assistant.
[|Human|] continuous abdominal painI have recently been discharged from hospital with no real answer as to why im experiencing severe pain in my upper abdomen that goes into my back. my first ultrasound showed signs of a thickened gall bladder but my second was clear so they sent me home with tramadol and anti sickness drugs. had this pain on and off for about 4 years but never this bad. I cant seem to eat without pain.
[|AI|]  HI. Thanks for your query. You have a classical pain-Pain in the upper abdomen and referred to the back. Classically this represents a few diseases:-Gastric ulcer on the posterior wall of the stomach-pancreatitis-Gall bladder disease, particularly the sludge in gall bladder can pass into the pancreatic ducts to cause pancreatitis. As also gall bladder disease can cause stomach ulcers. I would suggest such a patient to undergo following investigations ASAP (as an emergency)>-Blood study particularly the serum amylase and lipase-Urgent MRCP-Mri investigation of the liver, gall bladder and pancreas.-Upper GI endoscopy. Get readmitted to the hospital for further management.