<s>[INST] for the pst  6 days  i have been haing  upper  abdome  distress ...  i have had gall bladder  surgery  2 yrs  ago ..in the past  2  yrs  when i get these bouts  .. i go to  emerg  they run cardiograms  xrays ,blood work ,all comes back normal  ...im stressing out  over this  as im  scared every time it happens  im having a heart  attack  wht is it  ? [/INST] Hi. Thanks for your query, read and understood your problems. You are getting bouts of pain in the upper abdomen within the last 2 years particularly after the gall bladder surgery. This is great news that cardiac problems are ruled out by the tests every time in the emergency Room. This means that we have to find a local cause in the abdomen itself. I would suggest the following:Get Ct scan and MRCP for the hepato-biliary- pancreatic system. Also go for upper GI Endoscopy to rule out Gastric ulcer. Cancer. Colonoscopy for the possible problem of the colon in this area. If required a diagnostic Laparoscopy may help to see or rule out the intestinal adhesion due to bands or kinking or so and can be tackled at the same time. This way a final diagnosis and treatment plan can be done to get you permanent results. </s>