I'm feeling really anxious about my uterine fibroids. I have two of them, measuring 2.8 cm and 2.7 cm, and I'm trying to avoid surgery at all costs. Is it possible to treat these with medication only?

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Elevated bilirubin levels and abdominal pain require attention. _Elevated Bilirubin Levels_ 1. _Mild elevation_: Your total bilirubin level is mildly elevated (1.71 mgdL). Direct bilirubin is within normal limits (0.32 mgdL), but indirect bilirubin is slightly elevated (1.39 mgdL). 2. _Possible causes_: Gilbert's syndrome, liver dysfunction, or hemolytic anemia might be contributing to the elevated bilirubin levels. _Abdominal Pain_ 1. _Location and timing_: Pain in the lower abdomen on the right side, especially after heavy meals, could indicate gallbladder or liver issues. 2. _Possible causes_: Gallstones, cholecystitis, or liver dysfunction might be causing the pain. _Next Steps_ 1. _Repeat liver function tests_: Schedule a follow-up test to monitor bilirubin levels and other liver enzymes. 2. _Ultrasound or imaging tests_: Consider undergoing an abdominal ultrasound or other imaging tests (e.g., CT or MRI) to evaluate the liver, gallbladder, and bile ducts. 3. _Gastroenterologist consultation_: Consult a gastroenterologist to discuss your symptoms, test results, and determine the best course of action. 4. _Dietary changes_: Avoid heavy meals, fatty foods, and alcohol to reduce liver and gallbladder strain. _Medications_ 1. _No immediate medication_: Wait for further test results and consultation with a gastroenterologist before starting any medications. _Worry Level_ 1. _Moderate concern_: While elevated bilirubin levels and abdominal pain require attention, they can often be managed with proper diagnosis and treatment. Please consult a gastroenterologist for personalized guidance and to determine the underlying cause of your symptoms.

Answered 21 days ago