Hello, I am a 33 year old, female with poor health since the age of 2. I have never been pregnant and have not had a menstrual cycle in over a year, which has happened other times as well. My question is what could cause pain in the top, middle part of my middle section? I do have gastroperesis, diabetes, rheumatoid arthritis (began as Juvenile Reumatoid Arthritis at age 2), collagenous colitis, and many other diseases and ailments. I also have a pain pump that was surgically implanted in May of 2013. It resides in the upper, right side of my middle section. The problem area is aggravated when I put pressure on it and immediately turns red. For a little under a year I have been having severe bloating and distension. I am confined to a wheelchair so exercising has been very difficult for weight loss especially. For the most part it consists of massage therapy, stretching, and assisted movement. Lastly I am on over 15 medications. Any ideas would be greatly appreciated, I know it is difficult when you don t have all the facts.