What should I do if I have high bilirubin and a stomachache?

Patient's question:

Doctor:
I felt uncomfortable in my stomach two days ago (suddenly), then after eating dinner at night, I took some Domperidone, and ended up vomiting at 3:00 AM. The next morning, I went to the hospital, and the doctor asked me to get a blood test. However, since I had eaten, the test results were 8600 (I’ve had some urinary issues recently, which were diagnosed as prostatitis, and I’m taking Andriol tablets). The doctor said there was some inflammation and that my throat was inflamed, so I was given penicillin and Qingkailing. The next morning, I got tested for HIV-2 and liver function, and the results showed HBeAg positive (I’ve had this before). My ALT was 51, which is 11 points higher, direct bilirubin was 9.2, which is 2.3 points higher, but total bilirubin was normal. I was given penicillin for two more days.

Doctor's answer:

Your condition may be hepatocellular jaundice. If it is primarily due to conjugated bilirubin, it could be caused by gallstones or intrahepatic bile duct stones.
Hello, regarding the slightly rough texture of the gallbladder wall, it mainly depends on whether you have symptoms of cholecystitis, such as right upper abdominal pain. If you do, you can take medications like Chenweihe (Cholic Acid Tablets) or Danshu Jiaonang (Cholac Capsules). If you don’t have symptoms, medication may not be necessary.
As everyone knows, prostatitis can cause significant harm to patients, so it’s important to seek treatment as soon as possible. In daily life, pay attention to dietary issues and avoid irritant foods. Maintain a balanced diet. Additionally, regular follow-up visits may be necessary when needed.

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