I have been diagnosed sle 19+ years. I ve had severe upper quadrant pain for 7 days with spasm like pains centralized just under my lower ribs, but it now radiates to back and across stomach to belly button. Blood work slightly elevated for pancreas but nothing to explain this. I have tried advil, tylenol, Zanaflex, aleve, rolaids, nexium and changed to non fat clear liquid diet, nothing has helped.