Conversation: The conversation between human and AI assistant.
[|Human|] my friend is suffering from C.A .gall bladder and that too of 4th stage .Suffering from acute jaundice .Billirubin value is 16 and value of alkaline phosphate is 800 .Doctor recommended him ursodeoxycholic acid & Silymarin tablets .What is your opinion ?
[|AI|]  You are suffering from stage 4 gall bladder cancer. Since your bilirubin level is high that is 16 no chemotherapy can be given now. First u have to reduce your bilirubin level my doing metallic stenting as there may be common bile duct obstruction by the tumor. If this fails then a procedure called percutaneous transhepatic biliary Chat Doctor. When bilirubin becomes less than 3 then palliative chemotherapy in the form of cisplatin and gemcitabine can be tried to control the tumor. Intent of treatment is palliation of symptoms and not cure. Regards