Hi, Thanks for posting in HCM. I understand your concern. Nausea, vomiting and abdominal pain are symptoms indicative that it is time for you to get the gall stone removed by means of surgery. It appears that the size may have grown bigger in size and could be causing compression of the neighbouring structures as well as contributing to the dysfunction of gall bladder. In case you do not undergo surgery, there are chances that you could land up in complications such as obstruction of bile duct. Kindly get clinically evaluated and consulting Surgeon promptly, so that management can be planned accordingly. Hope the information provided would be helpful. All the best.