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

### input:
I am a 40 year old female that has been experiencing high abdominal pains regularly for the past 14 years...since the birth of my first child. It began occasionally where the pains would present early in the morning around 4 and last for approximately 5-10 minutes. I would have them for a week or so and then they would go away for a few weeks. After several times I went to my doctor and was prescribed nexium. This did not resolve the issue. After a few years of the pains occuring more often I had an ultrasound and my gall bladder was removed. This pains intensified and began to occur much more often. Ive been told IBS, and sluggish colon and so on. My concern is that recently...and discovered by an allergist and now an immunologist that my liver enzymes are repeatedly coming back high...could the pain have been from the liver all this time? Also, the pain begins as a hunger pain and rapidly turns into intense pain that begins in the high front area but ends in the back.....so what is happening to the body when it experiences a hunger pain? And the pain only occurs now at 5-6 in the morning and again by 9-10 if I dont eat a breakfast.

### output:

Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You have got abdominal pain, since 14 years starting at 4 am lasts for 10 minutes. Occurring for few days and a gap of some days. Started after the birth of your 1st child. You have used medium, got gall bladder removed, but pain is increasing and of hunger with more frequency.  It also thought as I.B.S., and increased liver enzymes.  At first your pain could be due to reflux of urine into kidney due to retention, and relieved by voiding urine.  Liver enzymes increase, hunger type of pains, may be due secondary to gallbladder removal. (seen in some people only.)  I advise you to avoid spices, junk foods, and oily foods to avoid irritation to the stomach, and kidney.  Wishing for a quick and complete recovery.  Best wishes.