instruction: hello doctor my mother is suffering from painful uterine fibroid she has also been diagnosed with hepatitis please advice us regarding the operation for this uterine fibroid
output: hi we are here to help you the presence of multiple uterine fibroid causing pain or symptom warrants surgery to remove them presence of hepatitis will not hinder from surgery however following investigations should be performed before surgery she should receive vitamin 10 my injection once a day for three days prior to surgery and avoid taking painkiller revert back after the tests to an internal medicine physician online