Question 1

Hey, so I've got some bilirubin levels here, and I'm a bit confused about what they mean. My Bilirubin Total is 1.95, Bilirubin Direct is 0.57, and Bilirubin Indirect is 1.38. I'm not sure if these numbers are something I should be worried about. Could you let me know which type of doctor I should talk to about this?

Accepted Answer

Consult with a Gastroenterologist or Hepatologist: This will help determine the underlying cause of your elevated bilirubin levels.
Further Testing: The doctor might suggest tests such as liver function tests, ultrasound, or CT scans of the liver and biliary system to investigate the source of the issue.
Lifestyle Adjustments: Depending on the cause, your doctor may recommend dietary changes, avoiding alcohol, or medication.
If you experience symptoms such as yellowing of the skin or eyes (jaundice), dark urine, abdominal pain, or fatigue, be sure to mention these when you consult your doctor.

Question 2

I've had painful anal fissures and piles for the last six months and it's really bothering me. Can you suggest some treatment options that don't involve surgery? I'm worried about the discomfort and want to know what else might help.

Accepted Answer

Anal fissures often heal within a few weeks with appropriate home treatment. Take steps to keep the stool soft, such as increasing your intake of fiber and fluids. Soak in warm water for 10 to 20 minutes several times a day, especially after bowel movements. This can help relax the sphincter and promote healing

Question 3

I recently had an LFT done and I'm a bit concerned about the results. My AST (SGOT) is at 174 UL, my ALT (SGPT) at 296 UL, and GGTP at 46 UL, although all other LFT results are normal. Can you help me understand what might be causing these elevated levels and suggest what kind of treatment I should consider? Also, would a general physician be enough for this, or should I see a liver specialist?

Accepted Answer

consult Nephrologist

I have a 2.7 cm gallstone and really don't want to get surgery are there any medicines that can dissolve it or other options I could try

While a 2.7 cm gallstone is significant, it's not always immediately life-threatening or require surgery. Several non-surgical options exist, including medications that can dissolve certain types of stones, as well as alternative therapies or lifestyle adjustments

More Gastroenterology/GI medicine Health Queries

I've had painful anal fissures and piles for the last six months and it's really bothering me. Can you suggest some treatment options that don't involve surgery? I'm worried about the discomfort and want to know what else might help.

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