<s>[INST] hello doctor. a few days after my Gallbladder removal i had some pain from surgery area.. after i had bm it went away. but a few days after that i got some bad burning sensation going up my chest . it wasn t bad in the start but now it comes and goes, it hurts at times and doesnt let me sleep also. what is this pain? and how can i make it go away ? ty [/INST] Hello! Thank you for the query. In some cases the gallstones symptoms and peptic ulcer symptoms/acid reflux are very similar. That is why after gallstones removal, sometimes the patient still has abdominal pain. It is because the main reason of his pain was not gallstones but peptic ulcers. This has probably happened at your case. The other possible reason is the stone left inside your biliary tract. Chest burning always should be checked with heart condition. Especially if the pain radiates to the left shoulder or jaw. You should have heart ECG, abdominal ultrasound, liver tests (AST, ALT,GTP), amylase, bilirubin and if no findings in these tests, upper GI endoscopy should be performed. Hope this will help. Regards. </s>