<s>[INST] I have dull pain in my left ear (inner and outer).  I have acidity reflux problem.  My gall bladder has been removed. Some fluid fell from my nose to throat resulting in accumulation of cough like thin in my throat.  For this, sometimes I gargle with Tantrum.  Two years back when I visited my doctor for this problem, he advised me to take zinetac, vozet and local application of neosporin-H.  Due to some non-specific changes reflected in my ECG, Cardiologist has prescribed me to take Metolar-25, Pantodac, Storvas-10 and Ecosporin-75. [/INST] Hi.thanks for posting query at Chat Doctor. Read your question thoroughly and understood your concern. Gall bladder primary role is to store "bile".when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion. After gall bladder is removed, bile is continuously being secreted in small intestine and may reflux into stomach. As a result, gastric inflammation may occur causing pain and discomfort. Moreover, high fat meal induces more bile secretion further affecting gastric mucosa.advise:NO or minimum fat intake/oily food NO junk food NO beverages ingest small meals OTC proton pump inhibitor (40 mg omeprazole, pantoprazole)to combat gastritis (after discussing with treating physician)hope to answer your concern wish you good and sound health. Regards Chat Doctor.  </s>