Abdominal Pain-IBD, Adhesions, mystery diagnosis?

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My elderly mother has been experiencing severe upper abdominal pain for about a year. She describes the pain as pressure right under her ribs in the area near her stomach and its a pulling sensation. The pain usually results in her being restricted to lying down in bed and it occurs about every other day. She states that it is correlated with eating and primarily starts at night. My mother has changed her diet to a low fat diet but this does not seem to help.

The first doctor she went to found that she had gall stones and they removed her gall bladder last year. Unfortunately, the pain has worsened. She recently had bloodwork and a CT performed which came back normal and recently endoscopy and ultrasound were performed and it found no abnormalities. My mom has become increasingly pessimistic as all the lab results are coming back normal. In addition, the doctors seem to imply that the issue is due to her weight. My mother has a very high pain tolerance and I feel that this cannot be due to her weight. While she is slightly overweight, I do not feel her weight could be the cause of the pain she is describing.

My mother does have a history of adhesions as she has had several abdominal surgeries in the past and actually has had to do exploratory surgery to remove adhesions. Based on what I have read, it appears adhesions cannot be diagnosed with CT/ultrasound. We have discussed other causes, such as IBD, but we are still not certain what is causing her pain. Any assistance or advice would be appreciated.

Thank you

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