<s>[INST] Hi. I have had recurrent bouts of stomach cramps for a year, and having had an ultrasound scan, have now been told that my gall bladder is shrunken, and needs to be removed. I am a 50 year old male, in generally good health, am not overweight, and do not eat meat. I have not been given a reason for my shrunken gall bladder. Can you help please ? Dave [/INST] Hi.noted ultrasound report associated with abdominal cramps. Shrunken or contracted gallbladders are usually secondary to chronic diseases. In your case, you might have a chronic cholecystitis with cholelithiasis (chronic gallstone disease) causing your contracted or "shrunken" gallbladder associated with stomach cramps. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics that may be recommended are complete blood count, liver function tests, alkaline phosphatase and bilirubin. Management (medical and surgical removal of the gallbladder) will be directed accordingly. Low fat low salt diet is also recommended. Hope this helps. Good day!!~ Chat Doctor.  </s>