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question:My husband has had trouble (ATTACKS) for over a year now. He had test ran a few months ago and his gall bladder was functioning at 21%. He chose to watch his fat intake and spices over gall bladder surgery. This has helped but now he has started having attacks again. He says it gets real hard at the center of his stomach at the top. He doubles over in pain. It has recently lasted for about 30 minutes. There is no gall stones. Do you think his gall bladder should be removed?
answer:Hi,You have given insufficient history. Age? Stool habits? Pain and eating habits? There is no question of gall bladder removal stones. Secondly, pain may properly be investigated by a gastroenterologist. Wish the patient good and sound health.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Tayyab Malik
question:Hello, my husband has an enlarged liver with inflamed tissue and many, many fatty cysts. His gall bladder was removed and was very diseased. His body had walled it off. He also recently had a biopsy of his prostate and that tissue is inflamed. He has a lot of digestive trouble too. His SED rate is 3 times the normal rate. Any ideas?
answer:Hi,Alcohol ingestion and obesity are common causes of fatty liver disease.Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese- "recheck liver enzymes after 12 to 24 weeks" and/or ultrasound.Any further questions are welcome. Hope I have answered your concern. Wish you good health.Regards,Dr. Tayyab Malik
question:I am currently resident in UK and my brother is living in Pakistan. He is suffering from severe jaundice for over a month now.He has lost 7 Kg weight as well. He did some drug abuse in the past like used different brain stimulant drugs without telling any one. Now he is suffering from jaundice and level of bilirubin has increased up to 17 and its increasing day by day.Now it is 20His liver has enlarged by 2 cm as well when doctors in Pakistan did the ultrasound. Doctors also say that he is suffering from hepatitis A. Now I am quite worried because of that. I just want your suggestion on this condition like if he will recover and what are the risks. What your knowledge and experience suggests you if he will recover or not. Please i really need you help and suggestion regarding that. And if further tests need to be carried out. Anything that could help improve his condition. Any medicine, any diet he should follow.
answer:Hi,There are many causes of liver enlargement and treatment depends on exact cause. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case medical evaluation is required. Also if there is infectious disease or billiary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment.I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
question:I had a blood test for life insurance. Everything on the test came back good except my SGOT and SGPT. SGOT is 160 u/l and SGPT is 138 u/l. Tested negative for hep b and hep c. I'm 29 and in good physical conditon. Not over weight or obese. Don't drink more than once every other week. What could be the problem?
answer:Hi,SGOT and ALT are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done. Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
question:My father has a tear in his aorta with the liver damaging... WWW.WWWW.WW say he is to weak to have op...hes 63 they are just keeping his blood pressure low...wot are the survival chances for him doing this...should they operate even if hes not been eating and weak...?
answer:Hi,If this is aortic rupture then the only chance for him would be surgical procedure. Unfortunately, if surgery cane be performed, death is inevitable.I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein
question:Hi, my sis-in-law had gallstones as well as an 8 mm stone in bile duct and told to do ERCP and cholecystectomy. What are the best places in Delhi for the surgery. Cost is the major priority for me, so can u suggest any institute that does the surgery in a package system as usually hospitals do admit and later on charge and keep charging. Please advice. Thank you in advance.
answer:Hi,Cholecystectomy is routine procedure which can be performed by any abdominal surgeon in any centre so you should not loo for some specific one. You can also wait and see if symptoms will improve on conservative therapy such as lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein