hi. it is best if you consult with a general surgeon and schedule for clearance if needed be, for cholecystectomy (gallbladder surgery - laparoscopic or open). it is not an emergency, but there must be a sense of urgency. from your description of gallbladder distention and frequent occurrence of pain, the only definitive treatment is surgery. anti-spasmodic medication only offer temporary relief of pain. with the increasing severity of your symptoms, you do not want an elective surgery to be an emergent one, as difficulty of the case and outcome might ensue. diagnostics and management (medical and surgical) will be directed accordingly. hope this helps. good day!! ~dr.kaye