Conversation: The conversation between human and AI assistant.
[|Human|] My daughter has a slight elevations of billirubin and has had bloating , vomiting , dry heaving, has tried to stay away from dairy products - just a continual ache in her abdomen - blood tests turned out ok, except for slight elevation in billirubin - sched. for hytiscan (sp) for gallbladder this week. Ultrasound showed gallbladder possibly folded over? Under stress, excercises (lost 15 lbs. past year) (25 yrs. old - good health otherwise. Uses tanning bed - any correlation?
[|AI|]  Hello, dbundenthal, Abdominal bloating, vomiting could be suggestive of gallbladder problems. The fact that your daughter lost 15 lbs. makes me think she might have developed small gallstones or even cholesterol crystals (Cholesterolosis)or sand like stones with inflammation. Especially if the weight loss is rapid, the incidence of gallbladder problems more. Folded over gallbladder may mean a contracted gallbladder from chronic inflammation. I am glad she is having the scan which would confirm if there is cholecystitis. Slight elevation of bilirubin will go along with this, although we need to know the totalBilirubin, Direct Bilirubin and Indirect Bilirubin levels. If gallbladder related, the direct bilirubin fraction will be high. If the indirect is high that may indicate a different problem such as hemolysis or destruction of red blood cells from some other problem. I don't think tanning bed has anything to do with this. I wish her well.