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

### input:
Hi, I m a female aged 29. About 6 weeks ago I got a really intense pain that comes in waves at the top of my stomach. The pain is so bad and on the same pain scale as contractions, only higher up between my ribs. Within the 6 weeks I ve had this pain on 3 seperate occasions and each time it s been followed by dirrahrea. It usually lasts about 2 days. 4 weeks ago I took a really sharp pain in behind my rib on my right side that went up into my right shoulder. The pain came on me very quickly and I couldn t lie down or take deep breaths as the pain was so bad, I was so worried I went to a&e, on arrival I had a high temp, pulse over 100 and low blood pressure. Doctor did an X-ray whicChatDoctore back clear, and done a ct scan as they suspected PE, this also came back clear. They told me my bloods came back that I had infection somewhere but they just didn t know where and sent me home with antibiotics. 4 days later I went back as I didn t feel 1 bit better, done another X-ray which was clear, more bloods and tested my liver this time as they were thinkin maybe gallbladder, al bloods came back clear, my liver slightly elevated but nothing to worry about , I think it came back 41 and doc said its usually 36, only bloods still showed infection, but doctor was baffled as to where the infection was. I got sent home with stronger anti biotics, I started to feel a bit better within 2 days but I still kept the pain for about 2 weeks after. Since all this I have been to my own GP, she redone my bloods , all came back clear accept my liver ggt which was slightly raised but not raised enough to do anything about. I ve got an US appointment in a couple of weeks, I m really hoping I can get to the bottom of all this, have you any ideas ? Do you think both these symptoms could b related? Any feedback would be gratly appreciated, many thanks!

### output:

You had episodes of severe pain at lower two ribs at right side probably rt Hyperion Chat Doctor. Your CT thorax was normal, and blood investigation showed infection i.e. raised total count, X-ray was normal. I wonder y abdominal CT wasn't done.  This kind of pain can be due to respiratory, CVS, GIT, ( cholecystitis, cholelithiasis, pancreatitis, colitis, diverticulitis, PUD)etc.... pathology. As CT thorax was normal respiratory pathology can be rule out. Blood investigation dint showed any pathology.  As you are going for ultrasound whole abdomen it will show other pathologies. If it shows normal study then you can go for CT Aldo.n last ECG Only after your physicians advise. Thanks n regards 