Conversation: The conversation between human and AI assistant.
[|Human|] I ve had pancreatitis before and they took out my gallbladder , just the other night I had a severe attack and I couldn t even take my self to the Er, emsa had to come and get me, I m also getting pain in my left side of my chest on into my shoulder blade, they did a ct scan and blood tests and nothing came back, they released me with unknown abdominal pain , I go to a specialist Thursday, any ideas what s happening? I m getting real tired of these pains!!!
[|AI|]  Hello! Thank you for the query. Upper abdominal pain and left chest pain radiating to your shoulder blade can be caused by heart problem. And this should be ruled out at first. To do that, heart ECG and heart enzymes should be checked. It is also possible that there is a stone in your bile ducts, and it is causing your pain. Usually gallstones are invisible in the CT, that is why abdominal ultrasound should be done. Do not know what blood tests were performed, but you should have GGTP and AP checked (usually elevated with bile ducts stones). Upper GI endoscopy should be also done to rule out peptic ulcer. If no findings in ultrasound and blood tests, ERCP procedure should be also considered (to contrast pancreas ducts and bile ducts). Hope this will help. Regards.