instruction: hello doctor my friend is having a gall bladder stone we consulted few doctors some are saying the immediate operation is needed otherwise it will be cancerous and some are saying no immediate action is required she is having pain in her right side of the upper abdomen and also in the middle I am attaching her ultrasound report please tell me about her condition during this pandemic we are not able to go outside and consult the doctor
output: hello I can understand your concern about symptoms complex and ultrasound findings and whether surgery is the answer to your problem well first of all I want to clear that you do not have stones in the gallbladder they are concretions it is a medical term and they are called microlithiasis gall bladder stones less than my in size so the possibility of developing cholecystitis gall bladder inflammation is very low however this microlithiasis can cause pancreatitis inflammation of the pancreas which is a gland sitting over the back of the abdomen thirdly the pain can be secondary to the functional gall bladder problem where the gall bladder is naturally slow resulting in damping of bile yellow secretion produced by the liver and stored within gallbladder and production of small concretions such as in our case so I would ask you to get a few blood tests to confirm whether you have pain due to pancreatitis I also want that you should discuss to me in more detail about your pain as only proper history can give me a clue towards your problem whether gall bladder inflammation pancreatitis or functional gall bladder disorder even before any further testing since the ultrasound findings and your symptoms are not correlated very well there is no point in discussing the role of surgery but I just want to assure you that you probably need no surgery so do not worry about it I suggest you some tests please get it done then I would recommend you some lifestyle changes and a medical treatment that can help you resolve your minor stones within the gallbladder I hope this helps pancreatitis cholecystitis peptic ulcer disease functional gallbladder disorder gallbladder dyskinesia complete blood count serum amylase and lipase liver function tests ash thyearoid stimulating hormone start capsule esomeprazole 40 my half an hour before meals once daily for now follow up after investigation