Conversation: The conversation between human and AI assistant.
[|Human|] I have gallstone pain i am taking prescription painkillers i am hungry and cant afford to loose weight can i eat pistachios ? The pain made me cry earlier I have indegation constantly and wind but im not yellow shall iwait for my scan next thurs i can bear the pain if i contantly take painkillers
[|AI|]  Hi.noted history of gallstones with intake of medications. In early stages of gallstone formation, it is possible for the sludge or smaller stones to dissolve with the medication intake. But if It's already big and is numerous, the chance for it to dissolve is less, causing the symptoms to ensue despite medication intake. If the symptoms are bothersome, persistent, or increasing in frequency of occurrence, it is best to consult with a doctor with urgency, preferably a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, blood count, liver function tests, etc.) and management (medical and surgical) will be directed accordingly. Cholecystectomy (surgical removal of the gallbladder) is the definitive treatment, which could be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor.