### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello Dr. is the removal of gall bladder necessary to cure the patient from gall stones and how the fatty lever disease is related with gallstone . I have been diagnosed with gallstones and fatty lever. I also have scalp psoriasis and nail pits.My IT Software job involves shift working including night shifts. thankyou a lot!! MShakeel

### output:

Hello, Shake, If you have been diagnosed to have gallstones, especially, multiple, then removal of gallbladder is the definitive treatment as a cure. You can live without a gallbladder which is essentially a storage organ. Bile is produced in the liver and carried to the gallbladder. It releases the bile periodically after meals to help with digestion. Even after the gallbladder is removed, bile now comes into the intestine directly and helps with digestion. In some people, there could be diarrhea from bile irritation on the lining of the intestine, but his is temporary and gets better with time. As for recuperation, it is faster since the surgery is done through laparoscope, and it is same day in and out surgery. As for as fatty liver is concerned, it depends on the grades. Grade 0-1 or even Grade-2, is completely reversible with proper diet, weight control, sugar control and lipid control. You should consider taking Super B-Complex Vitamin daily, along with 1000 mg. Of Vital and 800 i.u. of Vitae daily. These will help. If you have not had complete liver tests, get it to see how the enzyme levels are. If they are normal, you don't have to worry. I wish you well.