Conversation: The conversation between human and AI assistant.
[|Human|] Ive woken on two occasions 3 weeks apart with excruciating ripping pain, in the upper right abdomen, immediately beneath the rib cage, very difficult and limiting movement after this, improves slowly over days - still very sensitive to touch (even wearing a bra).  Just had ultrasound and sonograph cleared Liver and Gall Bladder - any other thoughts?
[|AI|]  Hi and welcome to Chat Doctor. It may indicate some other liver disease such as hepatitis or liver cyst as well as some pancreatic issue. Also it may be temporary bile duct obstruction by stone which may have pass so undetectable by ultrasound. But yours symptoms by my opinion is more like neuromuscular pain, so it may be intercostal pinched nerve or pulled muscle. Take painkiller in next several days together with muscle relaxants, and I am sure you'll feel better soon. Wish you good health. Regards