<prompt> An otherwise normal female patient presents with symptoms of flatulent dyspepsia. She was staed on proton pump inhibitors, which controlled her symptoms. The next step in management of this condition should beImmediate laparoscopic cholecystectomyLaparotomy after 1 or 2 monthsWait and watchERCP  <response>: Flatulent Dyspepsia Flatulent dyspepsia is usually described as symptom of gallstone disease. However, flatulent dyspepsiabin an otherwise normal female, that responds to PPI is more likely to result from reflux or peptic ulcer diseaserather than gallstone disease and does not require surgical management or invasive investigations for gallbladder disease Patients with these symptoms should be observed Wait and watch or investigated by endoscopy to exclude reflux or peptic ulcer disease Ref: Sabiston 20th edition Pgno :1497 