<s>[INST] Sir, I have to much abdomen pain once in a year, from ultra sound result it suggest that echogenic sludge seen in gall bladder lumen-suggestive of micro calculi.please help me it will treat surgical or non surgical. If it is non surgical treatment please what medicine should i take. I am worried about this. thank you. [/INST] Hello, welcome to Chat Doctor thanks for the query if stones are not symptomatic then surgery can be postponed. If you are getting abdominal pain more frequently then go for an elective surgery medication are available like ursodeoxycholate are helpful. But it takes longer period for the stone to dissolve make dietary modification and consult your doctor for best possible treatment hope this information will be helpful to you take care </s>