<s>[INST] I just had my gallbladder removed about a week ago now. I also had a liver biopsy bc of some other medical problems I have (Wilsons Disease). I am still having severe pains behind my ribs. I shouldbe over this surgery by now. Its not soreness, it's actual sharp pains and my dr said it was from a bowel obstruction. I am now cleaned out and still having the same pains. They are bad enough that pain meds barely touch it. What do I need to do? Is there a specific test or even question that I could ask my dr that would help them find the problem instead of writing it off as soreness? I know my body and have had stomach surgeries before and this is not soreness. It is different. Please help. [/INST] thank you for posting query.post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain.need further evaluation.advice:- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct- also get a complete blood cell count(CBC) test- avoid OILY food altogether- you may need to take nexium/pantocid 40mg OR famotidine 40mg once daily before breakfast for 8 weeks- avoid eating stomach full and mouth full- avoid spicy food wish you good health.further queries are welcomed.wish you good health.regards,Dr Tayyab Malik </s>