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question:Hello...i am suffering from indigestion , acidity for last couple of days. During my consultation with a family doctor he recommended me for ultrasound.I have fatty inflammation of liver (grade-1).He has given me hepexa M for a month.Kindly tell me is it sufficient or i have to go for other diagonis as well

answer:Thank you for posting your query.Fatty Liver disease diagnosed.strict follow the advice (take hepaxa drug) and recheck liver enzymes and lipid profile after 8 weeks:you should also:- abstinence from "Alcohol" completely and strictly - fat free diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports) BUT walking 30 to 40minutes everyday is adviced and encouraged - use lemon juice (lemonade) once in a day- decrease weight if obese or overweight-recheck liver enzymes after 8 weeks.wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik

question:I had my gall bladder removed 10 days ago, and recovery has been slow. Today, I am having some pain in the right side, and in my shoulder blade area, and I think there is blood in my stools. Some stools have "black" through them, and some I can see red on them, along with some mucus. I have battled breast cancer and won, but am taking femara on a regular basis. Could this be a more serious sign or is it normal to have blood on and possibly in the stools after gall bladder removal. It was done with the 4 small incisions.

answer:It's indeed a danger sign, it's fresh blood mixed with old one which is black... You need to consult your surgeon as soon as possible.. Endoscopy may be required to know the location of bleeding.

question:My mother in law (54+) was detected to have liver cirrhosis four years ago when she was being operated gall stones. the operations could not be done. Six months ago she had an attack of acute pancreatitis. Doctors have advised removal of gallstones. Can it be done at CMC Vellore and if yes, whom should we contact.

answer:It's a case of pancreatitis induced by gall stones, fairly common in females. It has to be operated, that's the only solution.. You can call them directly from their number given on their website

question:my father is having chronic liver disease for past 15 yrs.........now sgot gets elevated upto 80 sgpt 55 billirubin(t)2.0.........he is also having diabetes from 6 mnths back........non alcoholic non smoker........pls give ur valuable advice........and which fruit is more safe...........

answer:For diabetes he first needs dietary modification.. Get a diabetic diet chart and follow it.. Liver enzymes are not that bad, so need to worry about that for now, avoid alcohol intake, do regular exercise for 30 minutes daily, reduce weight and in fruits only Papaya is much safe...

question:Hello Doctor, i had a LFT done last week showing the values of SGOT and SGPT high. SGOT-76 and SGPT- 131,(all other values are in the normal range) i have been diagonised with galbladder stones 4 years ago and since then i used to take one PAN-D tablets daily in the morning. i drink alcohol but not regularly. from last week i am taking UDLIV tablets too. also i feel a bulge at the liver area, what are the precuations which i should take

answer:Avoid taking alcohol, avoid fatty foods as much as possible... They will cause bloating, also avoid non veg and high protein diet... You can take pantocid 40 mg for gastritis... Consult surgeon for cholecystectomy...

question:my father is a liver cherosis patient recently he had an internal bleeding and he had to get a couple of viens stitched by endoscopy.i want to know what stage he is at .he also get fever every couple of days 102.the dr gave him some antibiotic injections for 6 days now .pls inform mehis stage .is it true that there is more chances that it has gone in portal vien

answer:Hi thanks for contacting HCM....Noted your father having cirrhosis and history of variceal bleed....So he has chronic liver disease with portal vein hypertension...For exact grading biopsy needed....But let me know you care has to be taken to avoid further complication...If needed here beta blocker might prescribed for portal hypertension.Low salt diet taken....High protein diet useful.TIPSS like invasive shunt procedure helpful in reducing portal hypertension....If condition worsen ultimate treatment is liver transplantation...Early in morning take grined spinach and carrot juice....One tsp crushed papaiya seed with lemon juice helpful...If behavioural abnormality , tremor , sleep disturbance and variceal bleed occur immediately directly consult gastroentetologist....Take care.Dr.Parth

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