My doctor called me tonight with the results of an abdominal ultrasound I had last week to double-check on my liver. He was returning my call, not initiating a call because of an emergency. I think if I hadn't called him, I might not have heard anything about the result at all--the old "no news is good news" approach to medical communication. My doctor ordered the ultrasound after routine blood tests showed sudden *extremely* high ALT and AST levels. However, since I'd never had more than slightly elevated liver tests before, and since a follow-up test was more consistent with my usual results, he believes the high test results were probably a lab mistake. Nevertheless, he ordered the ultrasound to be sure. Well, my liver *is* okay. However, the ultrasound showed that I have a gallstone (I think he said just one) and a cyst in my right kidney. He didn't seem to think that either was much to worry about as long as I don't have any symptoms. After I got off the phone, I started searching the Internet and read about some of the symptoms of gallstones. Now I'm getting a little nervous. One of the symptoms described was moderate to severe pain in the upper abdomen under the ribs and sometimes radiating into the back, lasting up to 30 minutes (sometimes more). That description sounds a lot like several episodes I've had in the last few years where at first, I thought I might be having a heart attack, except that the pain was mostly on the right side, not the left. (The fact that my pain was on the right side worries me even more, since what I read suggests that gallstone pain would be on the right side.) Before this, I had just about concluded that the pain was related to my GERD, but now I'm concerned that it might be related to the gallstone. I already have fibromyalgia, multiple sclerosis, GERD and related problems. I also take a lot of medication and food supplements, many of which may have side effects that can mimic other conditions. I don't need another health problem to worry about; so if the gallstone I have is *not* responsible for the chest pain episodes I've had, I don't want to undergo unnecessary surgery. But I also don't want to ignore the gallstone explanation if that's the most likely reason for the chest pain. (It was *very painful and pretty scary.) I have some but not all of the high-risk factors for gallstones. I'm a 60-year-old woman of high-normal weight (BMI of about 24). I know that women 60 and older are especially susceptible to gallstones, as are obese people. But my weight is in the high-normal range for my height. Lack of exercise also appears to be a risk factor. I can't do many types of exercise, but I do yoga breathing and stretching exercises twice daily, take a weekly yoga class and am receiving occasional physical therapy for sciatica and low-back pain. I have lost 10-12 pounds in the past year. Although I still eat some fatty foods, I've been eating more healthy foods for the past year. I haven't had any problems with nausea, vomiting or diarrhea (which have been listed as gallstone symptoms), and I haven't had jaundice. I probably will call my doctor back and remind him of the chest pain I've had to ask about a possible connection with the gallstone finding. But I'm so confused about how all of my conditions, medications, etc., may be interacting. I thought maybe some of the wonderful people on this list might be able to offer some insights. I looked at some past messages about gallstones, but they didn't seem to deal with the question of how different conditions and/or medications might be involved, either as a precipitating/sustaining factor or as another explanation for the symptoms I've had. Thanks in advance for any thoughts you are willing and able to share. --Laura R.M.