What could be causing my severe abdominal pain 1. am 34 year old man with severe pain for 2 months (10 on scale of 1 to 10) sent home several times by management 2. tests have ruled out appendicitis, kidney stones, including stuck kidney stones, hernia 3

Unfortunately : Unfortunately the description of your symptoms does not allow me to provide a very educated suggestion as to the cause of your problems. In particular, the causes for abdominal pain can be quite diverse, ranging from an "internal organ" problem, such as gallbladder, intestine, pancreas, urological, to musculoskeletal, such as a hernia, to neurological, such as a pinched nerve or neuralgia due to infection. You have indicated that kidney stones, appendicitis and hernias have been ruled out, but other causes could include: enteritis, colitis, pancreatitis, gastritis, motility problems with the intestine, diverticulitis in order to provide a more logical path to working out the cause of your pain, one would want to know about the nature of your pain (characterize it, sharp, dull, constant, crampy, associated with eating, change with movement, referred pain), and associated symptoms, such as the presence or absence of nausea, vomiting, diarrhea, distention, weight loss, other medical history, including reason for gallbladder removal, evidence of alcohol abuse i would imagine that you have gone thru a host of tests, probably including mri, ct scans, and possibly endoscopy and/or colonoscopy. I see that you have had a h. Pylori breath test for evidence of gastritis (not sure if you are having heartburn and indigestion). You did not provide liver function tests, tests for pancreatitis, urine tests. In the end, you primary care physician should feel free to liberally utilize specialists to assist.

Abdominal pain: Hard to say without knowing more details. You should see either a gastroenterologist or a surgeon. Might need a ct scan, endoscopy (upper and lower), etc.