apollo
  • male
  • 40 Years
  • 14/08/2025

I've been having pain when passing stool for the past month and using sucral ano ointment but it's not helping much. There's no blood but I'm worried - are there other medications I can try or is surgery my only option now?

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I've been a bit worried since I recently had some blood work done. My total bilirubin was 1.77, so I took Livopill for 10 days, and my repeated test showed total bilirubin at 1.62, with DB at 0.63 and IDB at 0.99. The other results were total protein 7.6, serum albumin 4.9, globulin 2.7, AG ratio 1.8, SGOT 24, SGPT 25, alkaline phosphatase 92, GGTP 12, and my HBsAg was 0.24. Now, I've been told to take Ensules Plus for a month, but I feel this discomfort or pain just below my right rib. Should I be thinking about taking any other medication or is the pain something to worry about? Feeling a bit unsure about all this.

Your liver function tests show mild bilirubin elevation and normal liver enzymes, and the HbsAg result suggests you're not infected with hepatitis B; considering your symptoms and test results, consult your doctor about adding a liver protective supplement like silymarin or ursodeoxycholic acid to Ensules Plus, and for the rib pain, consider adding an antacid or acid reducer like omeprazole or ranitidine to alleviate discomfort, but only under medical guidance.

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I'm really concerned because I've been experiencing constant stomach irritation and this urge to go to the bathroom repeatedly, but it only results in passing a bit of mucus. This has been going on for the past two years, and I've noticed some slight weight loss over time. All my medical reports have come back normal, my hemoglobin levels are at 14, and CRP is at 1. There aren't any other issues with my body, but there's just a lot of acid in my stomach. I'm not sure what's going on, and I could really use some guidance on how to handle this. What should I do?

try eating several small meals instead of three large ones whenever you can...Avoid foods that irritate your stomach, especially those that are spicy, acidic, fried or fatty... avoid coffee,tea etc... Avoid stress,consider calming activities, such as meditation, yoga etc...sleep with head raised position and have dinner at least 2 hours before sleep..take over pantaprazole 40 mg twice daily before food with above for 15 days....Consult nearest gastroenterologist

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Doctor 1Doctor 2

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I've just gotten my LFT and Lipid profile test results, and I'm kind of worried because the numbers seem high. My total bilirubin is at 2.1 mgdl, direct bilirubin is 0.5 mgdl, and the indirect bilirubin is 1.6 mgdl. Can you help me understand what these high values mean? Should I be concerned?

Based on these results, you may benefit from taking Ursodeoxycholic acid to help lower your bilirubin levels.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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