Conversation: The conversation between human and AI assistant.
[|Human|] i had my gall bladder taken out during the christmas holidays of 2012 and i am having random episodes of the same symtoms i had before. I have a pain in my gall bladder area that will last for 5 or 6 seconds every two or three minutes which can last anywhere from 45 minutes to two hours. also alot of the time i become nausiated really bad and all i throw up is totally green which is bile and it stinks bad. it makes my throat and nose burn really bad. after throwing up- most of the time im not nausiated any more but the pain is still there for a little while. i thought i would be fine after i had my gall bladder out. what is going on?
[|AI|]  Hello! Thank you for the query. Quite often it happens that peptic ulcers pain is misdiagnosed and after finding gallstones, symptoms are thought to be from gallbladder. That is why some part of gall bladder surgeries does not give any improvement. Gallstones pain is located in the upper right abdomen and radiates to the back. Nausea and vomiting is present especially after fatty foods or fried foods. Peptic ulcers pain is more in the upper middle abdomen, and does not radiate to the back. It appears after 1-2 hours of the meal, nausea and vomiting is present. So if your symptoms are more like peptic ulcers, upper GI endoscopy should be performed. Other possible reason of your symptoms are stones present in the bile ducts. In such case, symptoms are very similar to gallstones symptoms. If your symptoms sounds more like gallstones, you should have abdominal ultrasound, blood work, liver tests (AST, ALT,GTP, AP), amylase and if stones will be confirmed, ERCP procedure should be a remedy. Hope this will help. Regards.