Quick history- gastric bypass (with gall bladder removal) aug 2005. Severe abdominal pain started in august 2007, treated for ulcer, had ERCP & spincterotomy (liver-pancreas) still in excrutiating pain. Had open exploratory abd with no problems found. Surgeon told me to go to methodone clinic to deal with "pain medicine problem" (had two Rx written after both open adb surgeries) Surgeon referred me to GI for another scope. Was told "you will live with this pain the rest of your life just like your migraines, most likely scar tissue pain from the bypass" (pain did not start until 2 years later) Saw another GI at Beth Israel in boston - no problems - told again it could be scar tissue pain. Pain has increased triplefold in last two weeks. PCP has me on pain medicine (2 x 5mg percoset q4h) I get about 5 to 6 hours of relief a day. seeing a 3rd GI for another scope next week. Had a CAT scan (normal) Could my surgical metal be pressing on a nerve? Could this be scar tissue pain - pain is no severe (directly under the zyphoid tip and all the way thru to the back - hard to breathe (had chest & back x-rays - all normal) pain is stabbing and only relieved by pushing on the middle of my back. I have researched every possible cause (Peutz-jeghers syndome, celiac sprue, chron's disease, pancreatic duct blockage, nerve damage, lactose or gluten allergy, acute imtermittent porpyria) Any ideas? Should I insist on an MRI or HIDA scan? Please, any help would be greatly appreciated.