<s>[INST] i have suffered with bloating stomach for years and i get indigestion but the last 2 days have had a dull achie in the middle of my rib cage and on the right side of my upper back. have taken onzoprazole and paracetemol and it seems to have eased it. [/INST] Hi, Pain in the epigastrium is particular for pain originating from gall bladder, biliary ducts or duodenal ulcers. Pain in right side of sternum may be either a referred pain from diaphragm, pain from gallbladder or local right lung affection but since it gets relieved by antacids it appears to be more of gall bladder origin or referred from duodenal ulcers. Firstly, you need to have a upper abdomen ultrasound done, if inconclusive then a gastroendoscopy could be justifiable. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon </s>