I note that your wife had ascites a year ago and I presume that it was due to tuberculosis as the treatment she received was for the condition. Cholelithiasis means gallstones and for this you need her to consult a surgeon for necessary surgery, especially when there is more than one gallstone. Splenomegaly means enlargement of the spleen, which needs investigations as it is usually associated with certain forms of anaemia and I note that she has received blood transfusion for the same. For this you need her to consult a haematologist for investigations and appropriate treatment.