hi. noted history of gallbladder sludge associated with abdominal pain especially after food intake. if your attacks are becoming more frequent, it is best if you consult with a doctor, preferably a general surgeon, for complete physical examination and clinical evaluation. diagnostics (such as ultrasound, blood exams, etc) will be recommended as needed. management (medical and surgical) will be directed accordingly. definitive treatment for gallbladder sludge is cholecystecomy or surgical removal of your gallbladder along with the sludge. it could be done laparoscopically (goldstandard) or thru open technique. in your case, it is better to have it done as an elective or scheduled cholecystectomy (not as an emergent case but with urgency in terms of management), for lesser complications and better post-operative course. low fat diet is also recommended. hope this helps. good day!! ~dr.kaye