<s>[INST] gall bladder i have had these pains since i was pregnant. i think its my gall bladder im not sure.. its a pain under my rib cage and my upper back. i take tums and it doesnt help at all. hurts when i inhale and usually lasts 5 hours at night. it got to where i threwup lastnight.. i had to sleep in crawling position.. os it my gall bladder? [/INST] HiIt well could be your gallbladder and you need an upper abdominal ultrasound to check for gallstonesIt could also be peptic ulcer disorder so I would also do an upper endoscopy </s>