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 04/07/2025