<s>[INST] i have been having pain in my lower right side for almost a year.. I have had my gall bladder removed, my pancreas has been checked. I have had ct scan after ct scan they can not find out what is wrong. I cannot keep anything down, and the pain can last for days and days and then stop for months and then returns without notice.. I need help frustrated and depressed. please help [/INST] Hi, I am sorry for the situation you are in. The pain you are having in your lower right side might be related to:- intrahepatic biliary pathways' sludge (choledocus sludge)- appendicitisIntrahepatic biliary pathways should be further evaluated to exclude sludge or stones. ERCP is advised. Complete blood work and further consultation with general surgeon is needed to exclude appendicitis. Depending on your gender, urogenital problems (e.g. Urinary tract infection, ovaries/prostate, etc.) should be ruled out too. All the best! Chat Doctor.  </s>