Question 1

My wife's recent USG showed a gallstone the biggest one is 6.7mm. She doesn't have any pain, but she's lost a lot of weight, down to 56 kg over the last 6 months. Does she need surgery, or will medicine be enough? Also, could the stone be causing her weight loss, and how can she regain the weight she's lost?

Accepted Answer

A 6.7 mm gallstone without pain rarely needs surgery; weight loss is unlikely from the stone‚Äîfocus on nutrition and rule out other causes.

Question 2

I've been doing annual medical tests and noticed that my Bilirubin levels are always high. Aside from that, everything else seems fine. My recent test results showed a Total Bilirubin of 2.57, with 0.63 Direct and 1.94 Indirect. Also, my 25OH Vitamin D Total is really low at 8.99 ngml, while the normal range is 30-100 ngml. Is this something to worry about? Do I need to make any changes? I already practice yoga for about 10 hours a week. What do you think?

Accepted Answer

May be you have congenital hyperbiliubinemia.
Vitamin D supplementation is required

Question 3

I'm really worried because my histopathological report for a tuberculosis ultrasound-guided biopsy came back negative, but my CT scan shows I have enlarged lymph nodes and tuberculosis. I've been on anti-tuberculosis treatment for over three months, but I'm not seeing any improvement. My abdominal pain is getting worse, especially in the upper abdomen. Could it be something else? The biopsy was negative for cancer, and Buscopan injections don't relieve the pain at all. Only Tramadol helps. What could be causing such severe pain, and are there any tests that could help figure this out? Someone mentioned a capsule endoscopy - could that be useful?

Accepted Answer

Vist Gastroenterologist for appropriate management

I've recently found out I've got gallstones that are 23 mm and my CBD is at 5.2 mm. I'm having some pain on the right side of my abdomen, both in the front and back. Could you tell me what might be going on and what I should do next? I'm a bit worried and would really appreciate your advice.

refer to surgeon surgery is the only option

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