Question: Good evening. I am writing to get some input regarding my current issue. I will attempt to give you a complete background: female, age 44........... 5'5", 157# .PMH: hypothyroid, depression, anxiety, GERD, ovarian teratoma w/salingoopherectomy on L 2 years ago.....R kidney stone (4mm) dx'd at same time as teratoma and sponataneously passed. Cholecystectomy at age 21 (1990). Meds: BCP, levothyroxine .125mg, Wellbutrin XL 150mg, PRN Zantac, new on propanolol 10-20mg TID PRN anxiety, new Fibercon and probiotic. CURRENT: starting just before Christmas, an intermittent pain ("2"/10) just distal to the middle of my right rib cage (front) which was relieved with passing gas in either direction, also w/loose stools. 1 week ago, pain to R flank---similar to pain felt w/kidney stone w/a mild ache (before the kidney stone really started to pass). Began diarrhea in the morning with lots of "gurgling" in epigastric area across upper abd. Pain under ribs occurs only 1-2 times per day and doesn't seem to correlate with eating. Flank pain resolved. Do have pain in the rib area/flank area only if bending to Right side or stretching to the left. Saw DO 12/31/13 with a "watchful wait" approach and to call on Thrs/Friday with update. Vitals were WNL/afebrile Gave her this basic information and still does not have an idea. Ordered fibercon and probiotic and scheduled CT for 1/17/14 (if I wanted), and to cancel if symptoms resolve by then. UA on 12/31 showed increased ketones d/t not eating/drinking much; otherwise, unremarkable. CBC in October all WNL. Thank you for your time and any insight. Also, family hx: dad with diverticulosis/diverticulitis, aunt w/crohns, mother died 4 years ago w/lung cancer (smoker) with mets to brain

Thank you for your response. My anxiety issues certainly don't help things, so I am thankful that it sounds like this is likely a benign issue and will increase taking the ranitidine tablets to twice a day.