hi. noted history of cholecystectomy and recurrence of the same symptoms prior to surgery, cardiopulmonary causes ruled-out. it is best if you do a follow-up consult with your surgeon, for physical examination and clinical evaluation. first, recurrence of stones somewhere along your hepaticopancreaticobiliary tree area (where your gallbladder was previously attached) must be ruled-out, along with tumor/lesions, muscular strain, that could cause the same symptoms. diagnostics (such as ultrasound, ERCP, scout film of the abdomen, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. low fat diet is also recommended. hope this helps. good day!! ~dr.kaye