<s>[INST] I had 4 episodes of attack (heavy pain in middle of the chest and right side of the chest that radiates to the back). I have gallstones (confirmed through ultrasound). 3/4 attacks happened around evening/night (4 hours after dinner) . But I don t have tenderness /pain when I touch the gall bladder area. 1 week after my recent attack , I m having stabbing pain in the left side of my chest. I also have nausea, loss of appetite, diarrhea, joint pain in the leg area, dull body pain, headache and fatigue. Are my symptoms due to gallstones or is there any possibility of IBS/gastritis ? [/INST] Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. Presence of gall stone may cause the pain that is resemblance to cardiac pain it is advisable to remove the gall bladder, and to rule out the angina or ischemic pain EKG is the best option, abdomen pain have numbers of causes including IBS and gastritis and other, clinical history investigations finding can differentiate them. Hope I have answered your query, let me know for further assistance. </s>