### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been having a lot of pain in my stomach and back and bloating at the same time after I eat. I have had this since July. I got Lyme disease the end of June and took medicine for that for 10 days and my stomach has been hurting ever since. It starts within 15 minutes after I eat. The pain sometime goes in my right side and sometimes in my left side. When I lay down on my left side some of the pain goes away. I had scope down my throat in August. I have had 2 CT scans. The second CT scan showed a thickening in my stomach. I have been on Prilosec 40 mg 2 times a day, Maalox before meals and Nortriptyline 10 mg at night and nothing seems to help and the scope test showed nothing. I have been seeing a GI doctor but she doesn t seem t know what could be happening. I have no gallbladder, that was removed 15 years ago. I have lost weigh because I can t eat that much. I ate 1 french fry today and within 5 minutes my pain was really bad and has been that way for 4 hours now. Please do you have any suggestions what it could be.

### output:

Hi, thank you for posting at Chat Doctor Forum. Your problem is known like postcholecystectomy syn Chat Doctor.  To solve your problem you need to initiate the following precautions:1. Complete blood test(CBC), sediment blood test and biochemical test.2.  Esophagogastroduodenoscopy for examination of the stomach, duodenum and duodenal papilla. The above procedure can be followed by intravenous cholangiographic, this gives you detailed information. To relieve pain use Tuscan Plus that is combined with butylscopolamine and Megamole. As for the food you should eliminate coffee, milk, spicy foods, animal fat and egg yolk. You should contact an abdominal surgeon and gastrohepatologist, to respect the precautions that are mentioned above. I hope, I helped you.