<s>[INST] RUQ pain two months. HIDA scan reproduced all sxs of RUQ pain radiating into shoulder and neck but fraction was 63%. Upper and colonoscopy normal only showing some gastritis. Awaiting biopsy. Also have nausea and some bloat or reflux. Most sxs are during the night but have gotten sxs during the day too. 47 yr female normal weight eat no fried foods dairy low fat low sugar diet. Also pain and nausea with exercise. What could this be [/INST] Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would also advise you for an ultrasound of the abdomen in addition to the tests already done to rule out gall stone disease. Further a serum amylase and lipase would be worthwhile to rule out chances of any pancreatitis. Till then, I would advise you with some anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. </s>