- Male
- 31 Years
- 29/01/2025
I've just found out that my bilirubin levels, including total, direct, and indirect, are all high, and my homocysteine levels are elevated too. Should I be worried about this, and what could it mean for my health? What steps should I take, or what lifestyle changes might help manage these levels better?
Answered by 1 Apollo Doctors
Bilirubin count total, direct, indirect are high. Homocysteine level is high. High bilirubin levels can indicate liver or bile duct issues. You can take Ursodiol 300mg to help lower bilirubin levels. For high homocysteine levels, you can take Folic Acid 1mg along with Vitamin B6 25mg and Vitamin B12 1000mcg to help lower homocysteine levels. Make sure to follow the dosage instructions provided on the medication packaging.
Dr. Mubarak Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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View allMy dad is 70 and has gallstones plus bile duct stones seen on MRI and CT He also has jaundice with high bilirubin and alkaline phosphatase The report says his CBD is dilated to 20mm with two stones - one near the ampulla and another 17mm stone in the distal CBD Can he just get an ERCP to remove the bile duct stones or does his gallbladder need to come out too What determines whether gallbladder removal is necessary in cases like this
ERCP can often remove CBD stones; gallbladder removal may still be needed later to prevent recurrence and depends on age, symptoms, and health.
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I'm really worried because I've been having black vomiting and stomach pain. Could these symptoms mean I might have stomach cancer, and does it affect my ability to digest food? What should I do?
Methotrexate) as it can affect liver function. With a history of gallbladder surgery and HCV detection, your liver health is a concern. Although RNA quantification is negative, your doctor will assess the risks and benefits. Methotrexate can cause liver toxicity, so monitoring is crucial. Your doctor may recommend alternative treatments or adjust the dosage. Regular liver function tests will be necessary.
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I've been dealing with gallstones and came across a couple of alternative treatments extracorporeal shock wave lithotripsy ESWL and methyl tertiary butyl ether MTBE. Are these actually effective compared to gallbladder surgery? I'm a bit worried about going under the knife and wanted to know if these options are safe or worth considering.
While extracorporeal shock wave lithotripsy (ESWL) and methyl tert-butyl ether (MTBE) are sometimes considered for gallstones, gallbladder surgery (cholecystectomy) is generally the preferred and most effective treatment for symptomatic gallstones. ESWL and MTBE have limited use and are often not recommended for long-term management due to the high likelihood of stone recurrence.
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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.