<s>[INST] I have severe adbominal pain that starts on the right side than it goes up the abdomine and makes my chest hurt than my back is in pain. I can hardly move when I have these pains. I have had bile duct reconstruction surgery and no one can figure out what is wrong with me. [/INST] Hi.Read your query and understood your problems.With the history of bile duct reconstruction surgery I would advise you the following investigations to get the correct diagnosis. ..-ERCP -MRCP and MRI of the spine too. Such pains can be due to bile duct colic. Other causes can he Sensory system problem related to the spinal cord. The treatment would be according to the findings. May need stenting if there is a bile duct stricture or so. </s>