<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello Dr. Ghosh, I am kobby. About 6 years ago a had my spleen removed. After sometime, I have been feeling intermitent pains in my upper right abdomain, just below my ribs, with frequent bloating , belching as well as pains in my shoulder muscles. I often have flatulence with foul smell as well.Most often it seems to get worse after eating. Thank you.  <response>: Hello isdontwi pain Myalgic associated with Sore Throat, Diarrhea vomiting with Rigor-need urgent treatment. Advice-Vaccination against Pneumonia, Hemophilia Influence, Meningitis. Simple pain -non-specific frequent bloating, belching flatulence with foul smelling-due to constipation, amoebic colitis aerophobia Advice-correct condition, colitis prevent air during swallowing. Hope you will enjoy positive health. Thank you. 