answer:Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: Take care, your chest discomfort may be a symptom of ischemia.*Explanation: My opinion is that as long as your blood pressure is controlled , it is not preferred to change your medications . your complaint may be related to another condition . chest discomfort or pain especially with exertion plus or minus sweating and nausea are manifestations of ischemic heart disease, and that you should be aware of. I suggest my patients the following : general and local cardiac examination, electrocardiogram and echocardiography be needed.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age and smoking history.*Conclusion: I suggest you check with your general physician and do the investigations i suggested. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.

answer:HelloHomogeneous bright parenchymal echotexture may indicate fatty changes in liver.Fatty liver is due to deposition of fat within liver cells.Fat appears bright in sonography.Fatty liver is a reversible condition.It usually reverse with treatment of underlying cause.Fatty changes in liver may be due to many causes like obesity,sedentary life,hepatitis,altered lipid profile,metabolic disorder etc.Your father may need few investigations like routine hemogram,random blood sugar,lipid profile,liver and renal function test,Urine RE/ME.He should avoid fatty and fried food.Avoid saturated fat and take lot of fibers in diet.Urinary symptoms may be due to many causes like infection etc.He need proper evaluation by a urologist.Get well soon.Take CareDr.Indu Bhushan

answer:HelloIncreased SGPT may indicate liver injury and it may be due to methotrexate therapy.You may need dose adjustment of methotrexate.You may need tablet ursodeoxycholic acid tablet 300 mg twice daily for three months.Ursodeoxycholic helps in regeneration of liver cells.You may also need ultrasonography of abdomen to exclude other causes.Get well soon.Take CareDr.Indu Bhushan

answer:HelloYour findings suggests mildly enlarged liver and heterogeneous parenchymal echopattern may indicate liver parenchymal disease.It may be due to many causes like hepatitis,metabolic disorder etc.You may need routine hemogram,viral markers,random blood sugar,liver and renal function test,lipid profile,urine RE/ME.Liver biopsy may be needed after evaluation.You may need few medicines after evaluation.Get well soon.Take CareDr.Indu Bhushan

answer:hello thank you for posting your query i HCM.higher values of GGT,AST,ALT are suggestive of liver cell pathology , seen in conditions like fatty liver, hepatitis, cirrhosis, drug induced toxicity.these levels can be brought down by a healthy and balanced diet and regular physical activity. avoid alcohol and quit from smoking. have complex carbohydrates like oats, brown rice, brown bread., high proteins like egg white, sprouts, soy beans, all kinds pulses, more vegetables, more fruits, low fatty foods. Plenty of water minimum 3 litres per day. Go for cardio exercises like brisk walking, running, swimming for 45 min a day,6 times a week, add strength training to it 4 times a week. Keep blood sugar levels under control if you have diabetes. Avoid junk foods, deep fried foods, white rice, white sugar.

answer:HelloSome cases of small gall bladder calculus may respond to udiliv.Udiliv contains ursodeoxycholic acid and it is advised in many cases.It is used to treat gallstones as an alternative to surgery.It acts by breaking down the cholesterol that has formed into stones within the gallbladder.If findings persists in follow up ultrasound then I suggest for definitive treatment of gall bladder stones.Definitive treatment is surgical removal of gall bladder.Get well soon.Take CareDr.Indu Bhushan