The conversation between human and AI assistant.
[|Human|] I have had a pain on the right upper abdomen with fizzing..I have no gallbladder or append. I have had a colonoscopy that was neg except for  polyp near the illiocum? I wake up in the morning with a very uncomfortable feeling on the side. The pain will at times radiate around the back . I see a chirpractor also who thinks it is IBS as well. I have had these sx. for the past 9 months or so. I have a hx of IBS.Thanks
[|AI|]  Hi ! Good evening. I am Chat Doctor answering your query. Although it requires a clinical examination of your abdomen, from your history it seems that possibly the pain could be due to a calculus in the common bile duct or there could be some kind of pancreatic inflammation. IBS would be the last diagnosis I would consider for this kind of pain. If I were your doctor, after a physical examination of your abdomen I would advise you for an ultrasound of whole abdomen with special attention to the biliary tract and the pancreas. In addition, I would also get done a few of the blood tests like a CBC, a serum amylase and lipase, an LFT and KFT to aid in the diagnosis and management. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
