<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Ive been to both the hospital and the doctors numerous times, I have what appears to be spasms in my right side back under my ribs Ultrasound and Liver tests normal, no gallstones, liver was ok and pancreas appeared ok too. The hospital think I have a duodenal ulcer which I take 60 mg of Lanzoprasole for which I stopped recently and within 36 hrs the burning was back. I have right side abdominal pain and upper abdominal pain stretching to the right with spasms at times. I have excessive wind burping mainly and am having problems with the toilet sometimes constipation sometimes diarrhea. However I dont get diarrhea much 3 occasions since last october. My bloods are all normal  <response>: HI. Undergone through the history you have provided, albeit a complex one. The ultrasound is normal. You are taking Lansoprazole- burning pain- constipation- Spams sometimes... Right sided . I would advise such a patient to undergo upper and lower GI endoscopies to see what is exactly the problem. A proper diagnosis can lead to a proper treatment. Repeat ultrasonography as sometimes one would miss a few things due to less obvious pathology to be undertaken in ultrasonography and may become obvious now. I would advise you to take a laxative, high fiber diet, Tablet Risperidone 10 my 8 hourly, avoid all such food and beverages that increase the problem. Sometimes a good soap water enema helps a lot as the large bowel is cleared, the intestinal habits normalize faster and better. 