I am hoping all of your expertise leads you in a different direction than the doctors I have seen! I really want an answer to this pain! Here is my case study for you: I am 49 and I started with digestive issues about 20 years ago. The doctors didn’t know what the issue was but severe left side pain led to having my appendix removed. The about ten years ago my pain and nausea were unbearable again, and I went though dietary elimination diet work which helped for awhile. Then due to lower abdominal pain at times that related to my menstrual cycle, I had a complete hysterectomy which revealed that I had polycystic ovaries and a uterus that was folded in half and pressing on my uterus. I seemed better for a while but at least the pain in my lower abdomen was gone. Five years ago I again underwent all of the tests for my pain and nausea and even though all of the tests were negative, except the HIDA scan, so again to the surgeon and they removed my gall bladder. The surgeon stated that my gallbladder was probably my issue for the last 20 years because my gall bladder was pure white and shriveled (full of scar tissue). She said that the problem was my duct because it was too small to get bile through so all my gall bladder could do was squeeze but not release the bile. Two years ago I was hit in a car accident and broke ribs which seemed to spark my digestive problems again. Now today they are far worse than they have been in the past. My major complaint is intense pain in my upper left quadrant that is sometimes a dull ache in my back. I have a sharp pain in my upper right quadrant that doesn’t seem related to anything. The left pain is more common at night and after I eat, especially if I eat too much (more than 1/4 cup). I went through the elimination diet again and I haven’t eaten gluten, yeast, lemon, lime, sugar or artificial sweeteners and I do not eat much dairy any more. I went from 120 in September to 100 today and I am 5’6″. My blood work shows a slightly low WBC count and my ultrasound and my CT scan were unremarkable. My urinalysis was normal. I have a GI appointment in a week and I am hoping you all can give me some ideas to have them look for. The nausea is now most of my waking day, which is new, but the pain is not gone. I was taking Norco and stool softeners (for all of the constipation pain) and now the doctor wants me to try Reglan. Some ideas: could it be stomach not releasing food, pancreatic duct problems or pancreatitis, intestinal problems, stomach cancer??? Please help. I really want to eliminate my pain instead of more food, but I will do anything!