<s>[INST] severe stomach pains in the upper right side under ripcage, had ulrasound done ,bloodwork etc, doctor thought it couldbe scartissue from a gallbladder surery 19 years ago but pancreas looked fine took antibiotics for 5 days and it feels like sandspurs raveling around and poking my insides ,also sometimes area feels warm to the touch what could that be? [/INST] HI.Thanks for your query, Read the history and understood your problem. You had gall bladder removal 19 years ago and in no way can create problems now. Your problem looks to be  Costo-Chondritis. :: This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Lasix to reduced the edema.This sort of a treatment helps all my patients. and should help you too. </s>