23 cleanses is quite a lot and if you were not getting any debris and it wasn't making you feel any better you probably only need a maintenance programme until you figure out what might be going on.
I have read that Gallstones usually cause abdomen pain in the centre of the abdomen between the ribs. Usually the pain is a steady discomfort which gradually increases over 30 to 60 minutes, remains constant for another hour and then gradual subsides. Pain can radiate to other parts of the abdomen, to the back, and to the scapula or tip of the right shoulder.
Ultrasound of the gallbladder is considered a very sensitive and specific test for gallbladder stones. If ultrasound of the gallbladder is normal, the likelihood of having Gallstones is very small.
Have you carried out parasite cleanses as some parasites move from the gut into bile duct and gall bladder but the pain is not constant. When you flushed in the past did you notice "red tomato skinsĒ being expelled?
Sometimes if the biliary system has not been exercised fully stale bile and sludge can build up in the gall bladder. This can cause localised infection via bacteria that builds up in the bile and cholesterol. The same can be true for liver and biliary duct stones. If you flush tomorrow it could take a few days for any inflammation to subside.
Note: Biliary duct stones and liver stones have only a 50% chance of being detected by ultra-sound.
Did the hospital say anything about biliary sludge or having difficulty seeing into the gall bladder?
Do you eat a regular fatty meal without carbohydrate like eggs and mayonnaise to move the gall bladder?
What other symptoms do you have?
If you go ahead with the flush tomorrow you should consider using a non-Epson salt recipe in case it's your kidneys playing up.