instruction: my boyfriend has extreme pain when he breathes in his upper right abdominal area this is the third time this month and it started at around am last night and he went to the hospital last night at 1am they told him they could not find anything on the rays or blood work he woke up this morning and his pain is still extreme can you offer any insight please
output: hello dear I welcome you to icliniq I feel very sorry for his pain the causes of severe pain in upper part of the abdomen are gall bladder stones common bile duct stones within the bile duct which drain bile a yellow secretion from gall bladder to small bowel peptic ulcers within stomach and or small bowel pancreatitis inflammation of the pancreas a gland over the back of our abdomen I think he already been advised some medications for that but I just write here in case they are not given cap esomprazole 40 my now and half hour before meals cap tramodol 100 my now it may or may not be ot in case not available give him cap celecoxib 100 my now do not give any other painkillers because they may worsen pain of peptic ulcers if present spy gaviscon 15 my now and half hour after meals for times in a day if you want to provide more information about his pain I may suggest some investigations to rule out above possibilites I hope the medicines will help him to control his pain take care and have a good day peptic ulcer disease gall stones cod stones pancreatitis intusscception volvulus serum amylase ultrasound abdomen follow to discuss and provide more information