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

### input:
I am having pain in my upper abdomen that had been getting worse for 3 days. I had my gull bladder out in May of last year, so I know this is not the issue. The pain is located right below my right ribcage and to the right and it feels like it is deep not just under the skin like a bruise. I have PVCs and they are acting up today a lot. I have had a lot of soft bowel movements over the last couple of days. More than normal for someone who does not have their gull bladder. I dont think I am running a fever. The pain seems to get better if I lay down in the fetal position or if I lean foward while sitting up. I have had elevated AST levels during my last 2 blood screenings. I think they were 57 or 67. What do you think

### output:

Hi. Thanks for your query. Thanks again for a good history of the pain, the relieving factors and explanation of the loose motions - the bowel movements. The most probable cause looks to be enteritis without fever and this can occur in many incidences that the infection is not severe enough to cause fever or the gram negative - a type of bacteria do not cause fever. The pain explains this. I would advise you the following:Get the blood tests : CBC, Tidal for typhoid, Blood culture and sensitivity if you have not been started on antibiotic. Tests of retests of stool, culture and sensitivityUltrasonographyThis will give us an idea. Get started with the most proper antibiotics and metronidazole, probiotic and so on I hope you will get the results in 3 days, continue the treatment till you are cured. Avoid all foods and beverages which cause such problems. Use boiled and cooled water.