@abopp2022 I'm not a doctor and don't know your medical history but, the panic attacks could be because you feel awful and you're scared not knowing what's wrong. Again, it could be gallbladder and there are specific tests for it. I would hate for a doctor to chalk this up as a panic attack so do concentrate on the physical symptoms. No, you shouldn't have to exclude it from the symptoms list but, reality is that you don't want an improper diagnosis. You'll need to deal with anxiety obviously and most people with either acute or chronic illness develop anxiety from the fear of the unknown or fear of the next attack. It's good you had blood work and urine analysis to rule out infection. And you'll have the sonogram. It's easier said than done but, try to focus on the fact that you'll get the sonogram and that other tests exist to get to the root of the problem. I know when you're sick that it's hard to focus but, you're at the beginning of trying to figure out the cause. That means someone is likely to run a test to nail a diagnosis.