<s>[INST] I had my gall bladder out about 18 years ago. For the past week, I would swear that it never happened. I am experiencing the same pain as I did when my gall bladder was still in me. Could it be my liver? What else could it be. [/INST] Hi, This looks to me like so-called postcholecystectomy syn Chat Doctor.  Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced-fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn </s>