Conversation: The conversation between human and AI assistant.
[|Human|] I have a 23 yr old son with severe cerebral palsy who is confined to wheelchair and can not communicate. He had a scan the other day of his organs and they found a 1.7cm gallstone. He can t tell us, is this very painful. He has been grinding his teeth last few day very badly and we can t figure out anything else.
[|AI|]  Hello and thank you for asking Chat Doctor. I have read your son medical history, and I am sorry to hear about his condition. Every doctor, when they see a patient, they need to talk with them, because this way we will be able to be more accurate about the possible diagnosis. Also, pain is the reason why most of the time, we get to the ER. Since your son cant communicate, It's impossible to say if his gallstone is effecting his liver, or if it's causing a cholecystitis (infection of the gallbladder). To be sure, we need to do some blood tests and a surgeon to visit your so. That is the only way that we can be sure for the condition of the gallbladder. The lab tests will show the white blood count (in cholecystitis they increase) the liver enzymes, pancreatic enzymes. Even an ultrasound of the gallbladder can give us a lot of information about its walls (thickening walls means infection most of the time)Meanwhile your son need to have a healthy diet. Products with low fat. Fresh vegetables and fruits, lean meat, poultry, and fish. If you have any other questions, please feel free to contact me. Wishing the best for your son, and good health. Chat Doctor.