I have, sore in middle upper abdomen to the right side under my rib cage, always wake at night and sweat of pain. been feeling this but worse before they took out my gall bladder in 2008, before the surgery all test came out normal and now 70 % of the sym

Pain : Pain in this area is very tricky since there are many organ systems in the epigastric area and right upper quadrant of the abdomen. - stomach - problems such as gastroesophageal reflux, gastritis, and stomach ulcers can cause pain in these areas - usually worse with eating and worse while laying down - pancreas - pancreatitis, pancreatic stones/blockages can cause epigastric pain, sometimes radiating to the back - liver/gallbladder - hepatitis, gall stones or gall bladder disease can cause pain in the right upper quadrant - intestinal - duodenal ulcers, infections and constipation can cause pain there because the colon loops up into that area - kidney - kidney stones or infections can cause pain in the right upper quadrant, though many people feel it in their backs. - gyne - ovarian pain from a cyst or even an infection from a sexually transmitted disease can cause pain in the right upper quadrant. And all those are just a few of the things that could be going on. So, your best option is to be seen by a doctor and examined to determine the cause of your pain. If your doctor is not sure what is causing your pain, you might benefit from speaking with a specialist. Reasons to go to the er are: - high fever - bloody stool - bright green or bloody vomit - severe or worsening pain - difficulty breathing.

Dr Hoepfner agreed

SOD: Sphincter of oddi dysfunction. That is the muscle controls the duct which empties bile from the liver into the intestine. If the gallbladder was removed for biliary dyskinesia, dysfunction of gallbladder, and it is not resolved than that is likely what you have. See a gastroenterologist for treatment.

Dr Chuu agreed