Had adominal ultrasound and discovered gall stones. have had no gall bladder pain. what should i do?

Avoid fatty food/sx: Avoid fatty fried foods but contact surgeon for possible excision to prevent emergency excision later.

Gallstones: Sounds like you have 'assymptomatic gallstones' studies show that you are not more likely to have biliary symptoms or complications and you really don't have to do anything.

Gallstones: The answer depends on why the abdominal ultrasound was done in the first place. If your gallstones cause pain or pancreatitis or elevation of your liver enzymes, then consider an elective cholecystectomy. Some gallstones pass without you even knowing, while others can cause acute cholecystitis and pancreatitis. If the walls of the gallbladder are thickened , consider removing it.

Silent gallstones: The answer is "no." you do not need to do anything about gallstones that are causing no problems. You just need to be aware of what the typical symptoms of gall bladder inflammation from obstruction by the gallstones are like in order to recognize the situation in which your gallstones progress from being silent (asymptomatic) to symptomatic. There is no harm in waiting.

Nothing: Gallstones are common. Removal of the gallbladder is only necessary if the stones are causing symptoms.