instruction: hi doctor my mother is 59 years old she has gallstone and she was supposed to have cholecystectomy but was postponed due to quarantine last month was the supposed schedule and that time the size of the stone in her gall bladder was am now she is experiencing increased pain on her right shoulder I would like to know if there is something she can do for the pain or should she have her gall bladder removed
output: hello I will help you with your problem gall stone surgery is not emergency surgery it should be done in an emergency if there is gall bladder perforation or malignancy in your case the stone size is large and with the age of the patient malignancy is ruled out I will advise to go for it computed tomography scan if possible if not at least us ultrasound abdomen should be done if everything is normal and only stones are there then you can wait for some time consult in an emergency if she developed jaundice any time for pain she may take any regular pain killers avoid fatty diet and get back to me after investigations