• Female
• 45 Years
• 14/08/2025

I have a 56 mm gall bladder stone can it be treated without surgery or is surgery the only option? What are the risks if I don't get it removed?

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I've been feeling a hard lump in my upper stomach and having trouble passing stool, only going a little at a time. My weight has gone up, my stomach feels bloated, and my face looks puffy. What could be causing this? I had surgery to remove my womb two years ago could that be related to these stomach issues?

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I'm a bit worried because both my direct bilirubin and total bilirubin levels are high according to my blood tests. I took some medication for about 5 days, and everything seemed normal again. But then I had one beer at a friend's party, and now both bilirubin levels are elevated again. Also, I've been getting a light fever in the evening or at night. What could be causing this, and should I be concerned?

Elevated direct and total bilirubin levels, which normalized with medication but increased again after consuming alcohol, may indicate liver dysfunction or sensitivity, and the recent onset of low-grade evening fevers could suggest an underlying infection or inflammation; consider consulting a hepatologist or gastroenterologist for a comprehensive evaluation, including liver function tests, imaging studies, and potentially a liver biopsy, to determine the underlying cause and develop an appropriate treatment plan.

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I'm having some trouble with gastric issues and I'm trying to figure out if itopride is a safe option. Also, are the modes of action for itopride and levosulpride the same or are there some differences I should be aware of?

itopride is primarily used for gastrointestinal motility issues and has fewer neurological side effects. Levosulpiride is also used for gastrointestinal issues but can affect mood and has stronger sedative effects at higher doses due to its impact on dopamine and serotonin.Both drugs block dopamine D2 receptors, but Itopride also has cholinergic effects, stimulating acetylcholine release to aid digestion. This may make Itopride somewhat more specific for treating GI conditions. Levosulpiride, in addition to its prokinetic effects, has a neuropsychiatric effect, which makes it more effective for treating conditions like anxiety or depression at higher doses

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.