<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have had gallstones before removed from my bile duct. I am having the same pain now plus I have been throwing up blood in the last four days. I dont think they are connected but could they be. I have had two stones removed from the bile duct in the last five years. Its the same pain, especially after I have something to eat and its getting worse. What should I do?  <response>: Hi.noted history of pain after surgery and hematemesis vomiting of blood. How long has it been since your operation? Are there any other associated signssymptoms such as nausea, vomiting, jaundice yellowing of the skin, eyes, oral mucosa? Your hematemesis might be a separate entity and not related to your previous surgery. For confirmation, it is best if you do a follow-up consult with your surgeon or a gastroenterologist, for complete physical examination and clinical evaluation. Diagnostics such as endoscopy, ct-scan, blood examinations, etc. and management medical andor surgical if indications are found will be directed accordingly. Hope this helps. Good day!! Chat Doctor. 