<s>[INST] For the last week, I have had gas and bloating. I have taken anti-acid tablets and that has helped somewhat. But last night I had ABD pain that it kept me awake. I am diabetic and have stage 4 kidney disease and the pain was not in the kidney area but around the stomach area. This is the first time for the ABD pain. [/INST] hi,thank-you for providing the brief history of you.As the pain can be a referred pain as well due to kidney or may be due to gastritis. On a safer side I will advice you to undergo a clinical examination and also the ultrasonography of the abdomen which can help understand plan the medical management.Regards Jay Indravadan Patel </s>