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

### input:
I have been having pain (most of the time its dull and achy, sometimes its sharp, lasting seconds to minutes) in the upper right quadrant of my belly (where the gallbladder is) since January 2010. I have been to my PCP, GI specialist, and ER a number of times. Ive had a hida-scan, ultrasound, CAT scan, MRI, x-ray series, upper endoscopy, blood, urine, and stool tests. All came back normal (the upper endoscopy showed some acid reflux damage and a hiatal hernia). No one can seem to figure out what is causing the pain. Food, exercise, time of day, or anything else seems to be a trigger. I can still feel pain after taking Vicodin. It just comes and goes. What else can be done?

### output:

Hi! Good morning. I am Chat Doctor answering your query. Most of the investigations are already done. I would advise you for a routine stool test for ova and cyst and treat it if positive. Also, I would advise you to avoid food from outside to prevent any intestinal infections creeping in, and also to avoid smoking and ingestion of any alcoholic beverages if you do. Many times the entity called gluten sensitivity is not thought of, and so you could talk to your doctor on this and get yourself investigated on his advice. Also, Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and a regular routine exercises like morning walk depending on your medical fitness might prove to be helpful. Till then, you could go for a proton pump inhibitor, and an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor