Question 1

Just had an ultrasound that showed multiple gallstones, biggest one is 8mm. Is there any ayurvedic medicine that can dissolve these stones so I don't need surgery? Really worried about going under the knife.

Accepted Answer

Ayurvedic herbs like bhumi amla and kalmegh are promoted but lack strong evidence. If gallstones are symptomatic, surgery remains the gold standard.

Question 2

I recently had some routine blood work, and my liver function test showed that my direct bilirubin is a bit high. My total bilirubin is at 1.0, direct bilirubin is 0.3, and indirect bilirubin is 0.7. The SGPT is 19.8, and SGOT is 22, and all the other liver enzymes came back normal. Should I be worried about my liver? The anxiety is really getting to me.

Accepted Answer

Based on the lab results, there is no indication of liver failure. The slight elevation in direct bilirubin could be benign and may not be cause for concern. However, if you are experiencing any symptoms or have ongoing concerns, I recommend following up with your doctor for further evaluation and reassurance.

Question 3

I'm a bit worried because I recently found out I have a 3.7mm gall bladder polyp. My doctor told me I don't need further investigations for now and just to check again in six months to see if it grows. But I'm curious about why it might be there in the first place. Should I be doing something more about this now or is it okay to wait?

Accepted Answer

Elevated ALT (SGPT) levels can be a concern.

ALT (SGPT) Levels:

Normal range: 0-40 UL (units per liter)
Your result: 107 UL

Possible Causes:

1. _Liver damage or inflammation_: Elevated ALT levels can indicate liver cell damage or inflammation.
2. _Fatty liver disease_: Non-alcoholic fatty liver disease (NAFLD) or alcoholic liver disease can cause elevated ALT levels.
3. _Medication side effects_: Certain medications, such as statins, antibiotics, or anti-seizure medications, can increase ALT levels.
4. _Other medical conditions_: Thyroid disorders, muscle damage, or other medical conditions can also contribute to elevated ALT levels.

Next Steps:

1. _Repeat the test_: To confirm the results, your doctor may recommend repeating the ALT test.
2. _Liver function tests (LFTs)_: Your doctor may order additional LFTs, such as AST (SGOT), bilirubin, or albumin, to assess liver function.
3. _Imaging tests_: Ultrasound or other imaging tests may be recommended to evaluate liver health.
4. _Consult a hepatologist or gastroenterologist_: If your doctor suspects liver damage or disease, they may refer you to a specialist for further evaluation and guidance.

Lifestyle Changes:

1. _Maintain a healthy weight_: If you're overweight or obese, losing weight can help reduce liver inflammation.
2. _Exercise regularly_: Regular physical activity can improve insulin sensitivity and reduce liver inflammation.
3. _Avoid excessive alcohol consumption_: Limit or avoid alcohol to reduce liver damage.
4. _Eat a balanced diet_: Focus on whole, nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

I've been dealing with chest pain and my doctor recommended an ultrasound of my whole abdomen. They found that my liver is enlarged, measuring 156 mm. Could you tell me what the normal size for a healthy human liver should be?

More Gastroenterology/GI medicine Health Queries

Just had an ultrasound that showed multiple gallstones, biggest one is 8mm. Is there any ayurvedic medicine that can dissolve these stones so I don't need surgery? Really worried about going under the knife.

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