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question:Good morning doctor,I am really very disturbed with jaundice and typhoid,I have continue jaundice from last 4-5 years. It is not go to up and nor down it s average is 2.2, 2.4, 1.8, 1.0, 0.8, 0.2, 0.4 Last day I tested my blood and the report was typhoid 1:160 , jaundice 1.4 mg/dl (direct-0.8 mg/dl, indirect-0.6 mg/dl)Yesterday I was feeling too tired and ask to doctor near by us, he applied 3 injections ( H.V.I. 10 ml, Dexasone 2ml, Aciloc 2ml) through a glucose bottle.Doctors, were these injections good for my health? Suggest me plz
answer:Hi, I saw your reports. Your bilirubin level is normal to slightly above the normal values. Why are you getting your bilirubin levels repeatedly? Are you symptomatic that means do you have any jaundice, itchiness over your body, increased tiredness, any blood vomiting or blood in stools, bruises over your body or dark urine? What are your main symptoms?Sometimes, bilirubin level can be slightly high due to enzyme deficiency in our body which controls our bilirubin and nothing can be done in this case. It is called Gilbert syndrome. As far as your treatment is concerned which you received from a doctor, it indicates that you received a multivitamin injection, a steroid and anti acid injection and there was no need for these things.One thing I would like to ask from you is, how is your mood? Is it high or low? Get your liver function tests done, full liver function tests (S. Bilirubin / total and direct, SGOT / SGPT, S. AlkPo4, S. GGT, S.Albumin, PTI / INR) and get Ultrasound abdomen done.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parvinder Singh, Gastroenterologist, Surgical
question:Thanx Doc, my daughter,24yr old was diagnosed with primarybiliarycirrhosis 6mths ago. She is presently on a list for liver transplant, when the timing is right. At present, she is waiting for a biopsy and as each week goes she is becoming more extremely tired and worn out. I am interested in finding out what could she add to her diet or healthfoods to help her through this very tiring wait. Thank you, Fiona
answer:HiEat lots of fruits and vegetables. If you can, go for five servings every day.Opt for moderate amounts of lean meats. The recommended amounts will vary.Go for unsaturated fats like Omega 3fattyacids, extra virgin olive oil, nuts and fatty fish like salmon.Choose whole grains and complex carbohydrates. Whether it’s cereal, crackers, breads or rice, always choose the whole grain variety.Coffee and Tea should be limited to once a day.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
question:hi dear doctor i was taken into hospital for 10 days i had been drinking an awful lot i have now not drunk for 21 days i am on steroids, vit b, lactulose, spironolacton and ensure plus, also i was quite jaundiced mostly in my eyes which is now going, although in the morning they look almost white then by the afternoon a sand lightly yellow again?, im al so on 40mg librium could this harm my liver more? they also gave me ensure plus, have had lots of blood tests done and are all coming down the one that produces the bilbrubin was 258 when i went in is now down to 98 could i have liver dease im so scared im never going to drink again.thank you
answer:HiLibrium is metabolised in the liver and chronic use can cause Blood bilirubin increase, hepatic dysfunction, jaundice and transaminase increase. Although most cases of liver problems heal when the individual stops using the drug. Liver damage is more likely to become permanent if the individual had pre-existing liver damage, including from alcohol abuse.Kindly avoid alcohol consumption and monitor liver function test while using the drug.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
question:1 year old child presented with facial puffiness,abdominal distension,edema feet ,hepatosplenomegaly,pallor , no devlopmental delay,anthropometry was with in normal range,hb electrophorosis normal,Renal ,hepatic parameteras in normal range ,Hb 8,chest x ray normal,2d Echo normal,the child was oterwise normal,no cherry redspot
answer:Hello, Regarding your question, the treatment depends on the exact cause. As you mentioned renal and hepatic parameters are normal your child should be evaluated for other possible causes especially infections. I would recommend doing hid Echocardiography and screening for infections. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Wajahat Baig, Internal Medicine Specialist
question:I am a 63 yr old woman. My doctor has been checking my LFT s for a few months since only my ALT went up to 43 after two months of taking more tylenol then I usually take but not even considered a lot. After staying off Tylenol and alcohol for 3 wks, we retested and my ALT was down to 40 but she recommended a liver ultrasound. Results today show mild fatty liver. I am normal BMI and all other testing on blood for other causes is negative. All of my blood tests were normal in Feb, 2018. I also take 4mg of Testoterone daily and Fosomax 70mg once a week. Have started Fosomax in March, 2018, Testosterone taking for over a year. Should I have a liver biopsy considering there is not a logical reason for a fatty liver? I usually drink 7 drinks a week but am willing to cut back or stop. My doc wants to recheck blood in three months and said I can drink my 7 drinks a week. Thoughts?
answer:Hi, I don't think that biopsy is required. it would be better to do MRI Scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon
question:Hi Doctor, a few weeks ago, I felt a flutter in my stomach after eating and immediately was short of breathe with Tachycardia, I didn t lose consciousness but couldn t catch my breathe and went pale. I went to my GP, had labs done, and everything came back in order and I was told it was nervous stomach from stress, I was prescribed Zantac. I have always suffered from constipation, but now after that episode, I get the same sensation in my stomach after I eat anything, I feel full, constipated, and like throwing up, and as if there was a ball in my stomach that feels warm. I also have the hard time breathing and my heart starts to race. Could this be a gallbladder symptom or something else? How can I have my GP give me a full check up to see if there s something wrong with my digestive tract? I m a 38 year old female and this is very scary. Thank you!
answer:Hi, Yes, it may be caused by gallbladder dysfunction. I suggest to have echolecytsectomy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon