Conversation: The conversation between human and AI assistant.
[|Human|] I have been having pain, particularly at night in my lower back right at the level of the rib cage. go on now for 3 weeks it seems to be raidiating through the ribs I have had a urine test. it was negative. I also had a ct scan and there were no significant findings. Any ides what it might be?
[|AI|]  Healthier can be 2 probabilities in your case1. Acid peptic disease2. Gall bladder pathology Acid peptic disease may only sometimes present with pain abdomen. Other symptoms like nausea, bloating, post food fullness, vomiting may or may be not there. It requires upper Gastrointestinal endoscopy for confirmation. It is not normally picked up by X-ray, CT scan or MRI. Gall bladder pathology is less likely, as it would have been picked up by CT scan. I normally do ultrasound scan on empty stomach to know the gall bladder its full in fasting state and followed by repeat scan after having fatty meal-normally the gall bladder should have contracted after food. Lack of contractility would warrant further workup. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.