Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have gall stones and the other day (4days ago) I had extreme pain so I took some panedine forte for the pain and 2 panedine extra since then and I don t know if these are related I have been vomiting I have no desire for food (unusual) I am having difficulty breathing I feel clogged up yet the mucus is clear occasionally there is a hard bright green chunk in it I continuously have coughing fits and am panting after doing the smallest thing I have incredible back pain and I swap from being cold to hot and feel incredibly weak I also have headaches and pain in the back of my eyes when looking any direction but straight Just in case it s relevent I was assaulted a few weeks ago with a cricket bat I was hit in the head 3 times and had a 6cm gash stiched but that has now healed but the headaches started then however the other symptoms only occurred after the gall stone pain which went away within a few hrs then the onset of the other symptoms occurred
[|AI|]  Hi.noted history of gallstones and frequent occurrence of symptoms. An acute vs chronic attack of cholecystitis (inflammation of the gallbladder) secondary to cholelithiasis (gallstones) must be considered. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, liver function tests, alkaline phosphatase, complete blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Also, an elective (scheduled) surgery (vs emergent surgery) has better outcomes and fewer risks of developing post-operative complications. Anti-spasmodics may temporarily alleviate the pain. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor.