<s>[INST] Have a gradual pain in center of abdomin for fours weeks. Pain in back and now three days ago testicular pain. Stool sample normal but told that all blood work points to gallstones. Pain in abdomin is a level 8 this evening. I am 38 years old 220 lbs and 5 11. What could this be and what can I ask of my PCP to get some answers and relief? [/INST] Hi. Thanks for your query and an elucidated history. The reason of the pain in the center of the abdomen and the back can be related to the Gastric Ulcer / Cancer or pancreatitis. Pain in the testicle may be unrelated to the pain in abdomen and may be due to orchids or so. No blood tests are suggestive of gall stones. Ask PCP the following:Get an ultrasonography. Upper GI Endoscopy and Colonoscopy, Blood: Liver function tests, amylase, lipase, CT scan to confirm the diagnosis. The treatment will depend upon the diagnosis, hence getting a right diagnosis is of utmost importance. </s>