You should see your doctor immediately, preferably a gastroenterologist or surgeon, as a bile duct stone can cause a serious infection or jaundice, especially with your heart and kidney problems. Your doctor will need to carefully assess whether an endoscopic procedure is safe for you or if medicines are more suitable. Do not delay medical care, particularly if you develop pain, fever, jaundice, or vomiting.

A 5 mm stone in the CBD (common bile duct) usually needs removal by a procedure such as endoscopy rather than medicines alone, so you should see a gastroenterologist or a specialist surgeon. Your doctor may prescribe medications for pain, infection prevention, and liver support. For fatty liver, the most effective approach is a healthy diet, regular exercise, and avoiding alcohol to reduce liver fat. Please consult your doctor for a personalised treatment plan.