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

### input:
Hello, I am 46 yr. old female. Type 2 Diabetes, CAD w/6 stents, GERD and, IBS Total Hysterectomy and GB removal about 20 and 22 yrs ago. In 2011 following quite sometime of abdominal symptoms I had a Endoscopy which showed a small stone in my small bile duct. ECRP was preformed with no stone found. The Dr. saw that there was scar tissue which had narrowed the duct and while trying to widen it, he perforated my bowel causing all kinds of problems beginning with a 10 stay in the hospital. Since this has happened I have been getting very sharp, cramping, upper middle abdominal pain that takes my breath away and double me over. They only last about 30-45 sec and come and go with no rhyme or reason. I have had a Hida Scan, Gastroperesis test another Endoscopy w/biopsies all normal. I am at the end of my rope.I know there is something the Dr.s are missing. PLEASE HELP ME!

### output:

Hi. Thanks for your query and an elucidated history. The cause of your sudden severe pain in an upper abdomen following the complication of ERCP is most probably: Intestinal obstruction due to stricture formation. The peritonitis or the injury to the bowel or the adhesion or kinking can cause this problem. I would advise you the following:X-ray of the abdomen in the standing position. Enteroclysis with barium under direct fluoroscopy control. Once the diagnosis is found a surgical correction will help you the most ... and you may be asymptomatic forever.