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

### input:
Starting at a little after 12am on wensday i started having alot of pain in the upper right quadrant of my abdemion right below my ribs so i went to the emergency room and they did all kinds of test and everything came back normal, then thursday evening i was still in alot of pain so again they ran test and again everything was normal, and yet i was still hurting saturday afternoon and so i returned to the emergency room and again they couldnt find anything and then saturday evening evening about 6pm i started having excruiting pain in the same area, very slight swelling and a faint bruise and pain in my upper right back just below my shoulder. Since then i have been in severe pain with every breath i take and any type of movement at all. I have taken some loratab and they have not helped my pain at all do u have any sugestions of anything that might help it at all, i will try anything and everything to get some relief, also i was wondering if you had any sugestions of what it could be or what is causing it?

### output:

Hi. Read your history, noted your symptoms and findings at a later date, reports and understood your problem. The pain in the right upper abdomen with all normal tests done repeatedly, but developing the slight swelling and a faint bruise in upper right back is suggestive of the following:Lung or a pleura pathology on the right lower side. Or Upper part of the liver inflammation or problem bellow the right diaphragm. Or gall bladder stones with inflammation. (ultrasonography not mentioned by you. I would further advise you the following investigations. First to go for an X-ray of the chest to see for the lung and / or pleura pathologyUltrasonography for the pathology of liver, pancreas, gall bladder and pleura on the same side. Routine investigations of the blood, including that for liver function tests. The treatment will necessarily be dependent upon the findings of the reports and to follow for an appropriate treatment. I hope this answer helps you to get an early diagnosis and treatment.