Patient: Multiple strong echogenic clusters of varying size are seen in the gallbladder, one of which is 7/8 in size. The posterior acoustic shadow can move with body position. A: If severe pulmonary heart disease can be ruled out and it is clear that the fever is due to gallbladder stones, then an age of 80 years alone does not constitute a contraindication to surgery. Laparoscopic surgery can be considered if the general condition of the patient is acceptable or if the general condition is improved after appropriate treatment. Patient: What are the more effective medicines to take? A: All herbal medicines do not actually have much effect on cholecystitis, there is a psychological effect. Of course there are bacterial infections and the use of antibiotics is useful. All these are temporary effects and the ultimate solution is surgery.