Conversation: The conversation between human and AI assistant.
[|Human|] I had a hida scan and my results was my gallbladder is functioning at 25%. I declined to go to a surgeon because I was informed a normal gallbladder functions at 35% or more. My thought was my ejection fraction was a high abnormal so I shouldn t immediately assume my gallbladder needs to be removed. I can go days/weeks without any attacks but when I have one they are severe. What is the pros/cons in waiting until the attacks are more frequent?
[|AI|]  Hi.noted history of gallbladder pathology. If it is secondary to gallstones and your symptoms are occurring frequently and increasing in severity, it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. What you have is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). The most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. Diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor.