Conversation: The conversation between human and AI assistant.
[|Human|] I had my gallbladder removed in the beginning of August due to 6 weeks of extremely severe pain and finally a test showing that my gallbladder wasn t functioning. After the initial week or so of healing, I hadn t felt so amazing in years. However, twice in the last week, I ve had terrible pains and nausea resembling the pain before I had my gallbladder removed. What can I do to fix this?
[|AI|]  Hello! Thank you for the query. Please note that gallstones and peptic ulcer can sometimes give similar symptoms. Found in ultrasound stones direct the treatment for its removal. However, even if the gallstones are present, do not have to give pain. The source of pain can be stomach. That is why some patients, after gallbladder removal, still have same pain. The other possibility is that the stone has been left in the bile ducts. It gives exactly same pain as gallstones (upper right pain radiating to the back). I suggest you to visit your doctor again. Abdominal ultrasound, blood work and liver tests (AST, ALT,GTP, AP) should be done at first. If GGTP will be elevated or stones in the bile ducts, ERCP procedure will help with your pains. If no stones, gastrostomy should be next. Hope this will help. Regards.