<s>[INST] hello i have a 13 yr old son had gallbladder out end of sept full of stones recovered fine then middle of nov started having pain on right side like gallbladder attack had endoscopy all good does have acid reflux medicated for this than had ercp done and clipped a spyncter ode? billy rubin 3.5 at that time middle dec fine for few weeks missed 27 days of school back to pain on right side billy rubin 3.3 now missing school again gave him medicine ursidiol to see if that would help made him sick dizzy stopped takig on fri now yesterday and today sick to stomach and dizzy side hurts what can i do im waiting to hear from dr they are at a loss??? thank you Nicke [/INST] Hi Nicke.Thanks for your query.Read the history about your son who is 13 years old and understood the problems.Hisotry gall bladder removal for multiple stones, reappearance of the similar pain with increased bilirubin more than 3 and ERCP and some procedure noted. This is must have been Sphicterotomy and removal of the common bile duct stones. Since the bilirubin is remaining high there is a chance of injury to the common bile duct or retained stones or cholangitis and so on. I would advise further investigations and getting to the final diagnosis. Full liver function tests along with kidney function tests, Amylase and Lipase.CT scan and MRCP of the abdomen to see in details the liver, bile ducts and most important to see any problem with the pancreas.Further treatment depends upon the final diagnosis and may be some surgical intervention if needed. </s>