Brief Answer:
Presently surgery is not mandatory

Detailed Answer:
Hello. Thanks for putting your query in HCM.

I can understand your concerns.

I have gone through the reports you have uploaded

Ultrasound abdomen do suggest multiple stones in gallbladder however the wall thickness is normaal that suggest that there is no cholecystitis- one thing

There is no history of jaundice or fever

Heartburns and upper abdominal pain can be due to dyspepsia or acid peptic disease along with reflux

So keeping above points in mind, if you had been my patient I would have suggested you not to go for cholecystectomy at least presently.

Continue with above medicines which have been prescribed to you and may take antispasmodic like drotavarine tablet on sos basis that is whenever pain is there

Few more tips:
1.Avoid fatty meals
2. Don’t lie down soon after meals for at least two hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight or obese do weight reduction with dieting and exercise
6. Instead of Nexprofast take Nexpro-l once in a day before breakfast. It contains levosulpiride which is a prokinetic agent that is more useful in reflux disease

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

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Brief Answer:
No need of cholecystectomy at present

Detailed Answer:
Welcome back

I have gone through the reports you have attached

This repeat ultrasound abdomen is showing almost the same findings that is gallbladder stones without thickened wall which again suggest thatthere is no cholecystitis. So there is no need of undergoing cholecystectomy presently at least.

Reflux symptoms like heartburns and acidity are very common during pregnancy and soon after pregnancy. Nice to hear that it has resolved spontaneously

Continue with the medicines advised earlier and get well soon. Wish you a good health

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