Conversation: The conversation between human and AI assistant.
[|Human|] approx. 1 and 1/2 years ago I had acute pancreatis and they removed my gallbladder because I had gallstones stuck in my bile duct. Recently I have been very very sick to my stomach daily. The last few days I have been having extreme pain in my left upper abdomom, kind of to the left of my stomach always in the same spot. Should I be thinking this is pancreastitis again? Even though they removed my gall bladder? My identical twin has had pancreas divisum and has been urgently hospitalized many times and ercp s which caused more damage.
[|AI|]  Hello Left upper abdominal pain may be due to many causes like left renal or spleen problem, musculoskeletal reasons, left pleural effusion etc. You need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, chest X-ray (PA view), Ultrasound of abdomen. Ultrasound of abdomen is important, and it can exclude many conditions. It can also assess pancreas well. Treatment depend upon findings. Get well soon. Take Care Chat Doctor.