<s>[INST] hello I have had pain on and off high up in my abdomen left side especially if I curl up in chair or sitting.  Feel queasy with it.  Its a dull pain but I have to undo anything around my waist to ease it. It can give me back pain.  If I press on area I cant find the exact pain area seems deeper inside.  Im 70 yrs old female and have had the achy pain for over 30 yrs!  Its just more constant now.  I do suffer relux but dont feel this is connected .  Feels worse after eating.Thanking you Joan [/INST] HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. There may be various reasons for pain. You need investigations like routine hologram, RBS,LFT, Lipid profile, urine RE/ME, Ultrasound of abdomen, upper GI endoscopy, CT Scan can be done if needed. Investigations will exclude many conditions. Better you consult your surgeon. Get well soon. Take Care Chat Doctor.  </s>