The conversation between human and AI assistant.
[|Human|] Hi, I am getting extreme cramping/ charlie horse feeling in my right upper abdomen (feels like my liver contracting/ cramping) everytime I try and do sit-ups.  The pain is so bad that I have to stop working out and it feels as if an organ inside of me is tightening/ knotting up.  Its under my right rib cage area.  The pain only comes when I do sit-ups.  I am a 34 year old female.  Need to lose weight.  Enjoy a few glasses of wine 3-4 times throughout the week.  Worried that its my liver??
[|AI|]  Hello,1) if you experience this pain associated with exercise then probably it is muscular pain which you may sometimes feel due to vigorous exercise 2) if this pain occur spontaneously and associated with food intake then you might have stone in bile duct which block the bile duct and produce cramp like pain3) stone in bile ducts are mainly secondary to gall bladder stones of which small stone migrate into bile duct from gall bladder4) to rule out condition proceed evaluation with liver function test and USG abdomen. If size of bile duct is increased on USG abdomen (indirect indicator of bile duct obstruction) then you might require MRI with MRCP of abdomen.5) if USG abdomen couldn't find any abnormality the you should proceed with CT scan abdomen in case of persistent abdominal pain
