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question:Hi, i am 48 yrs old and work as a Paramedic. Had a recent hep b booster as part of my job and have had some side effects in the form of palpitations. i have had them in the past and all investigations were within normal realms. They have come back out of the blue yesterday. Thanks.

answer:Dear friend , Greetings from HCM, i am afraid these side effects are not because of your vaccination... please stay calm and relax ... if it occurs repeatedly please do check your thyroid profile , CBC, Hb% and peripheral smears ... do not worry .. you will be alright .. take care of your nutrition too.... thank you for contacting us .. do meet us with the report ...take care

question:I HAVE BRIGHT YELLOW WATERY STOOLD SEVERE ABDOMINAL PAIN HAVE HAD GALLBLADDER REMOVED CAN IT BE SERIOUS I AM ATTENDING DOCTOR FOR BLOOD AND STOOL TESTS BUT IT IS PAINFUL AND AFFECTING MY QUALITY OF LIFE COULD THIS BE AN INDICATION OF SOMETHING MORE SERIOUS?

answer:Dear friend , welcome to HCM, i understand your concern... But the loose stools could be due to gastro eneritis ... please check your sttol examination report ... a course of antibitics like norfloxacin / ornidazole depending on the report will be the right thing to try take of your hydration... drink lots of water and juices butter milk etc... ... if symptoms persists please do contact us .. take care have a nice day ...

question:hi, my mum whent to have her goldblader out on wedsday this week by key hole , when she came back from surgery they said they dident remove it as it was srunk and would be to dangers for her , i need to no if it is more dangers to leave it in and what could hapen to her

answer:Hi, How are you? My name is Dr Suresh Raghavaiah. I am a liver and pancrease specialist and I hope to answer your question today. I am sorry to hear about your mother's condition.Gall bladders tend to become thick walled and shrunken in patients who have repeated bouts of inflammation (cholecystitis). This will make it very difficult for the surgeon to remove, especially by laparoscopic (key hole) technique. The normal procedure in such cases would be to do a open cholecystectomy, which involves making a 7-10 cm incision on the abdomen and then removing the gall bladder under vision. The dangers of leaving behind the gall bladder depends on what the original reason for the surgery was. Leaving behind the gall bladder due to stone disease will put the patient at risk for further attacks of cholecystitis, but a still worrisome reason would be if any cancer occurs in teh GB which would mandate that a open cholecystectomy be done.In summary, I would advice you to consider a open cholecystectomy to avoid future complications.Hope this helps and hope your mother starts to feel better.Please do not hesitate to contact me for further details [email protected] a great dayDr Suresh Raghavaiah

question:i am a 19 year old female who is having signs of gallstones i have had a gall stone before when i was pregnant and i thought it went away. but now on top of the gall stone symptoms i am also very hot i cant cool down it feels like i am boiling on the inside and thats what is concerning me the most.

answer:Gall stone present as indigestion burping abdominal pain colicky in nature . What you are mentioning is not related to gall stone

question:my 15 year old daughter has chronic intermittent abdominal pain with abnormal liver function and abnormal clotting profile. previous ultrasound showed coarse liver texture. the liver appears to be enlarged and exhibits a diffusely coarse echotexture with no apparent focal leisons identified.the spleen appears enlarged for her age.

answer:HI Well come to HCM Abdominal pain may not be due to the liver findings detected in ultrasonogragy and not even due to spleen enlargment, such pain is common in female of this age this could be vague type of abdominal pain, nonspecif, such pain can be treaed with following medicine, dysmanorrhea need to rule out. 1) Tab Clinidium with Chlordaizepoxide three times in day this is nothhing to worry would come around soon, take care.

question:my blood report is normal ?Haemoglobin =13.2 gms/100 c.c.s glucose F (normal 70-110 mg%)= 72 , bilirubin (total 0.2-1 mg%) = 0.98 , SGOT( normal 8-40 unit)= 44 , SGPT (normal 5-35 unit) = 50What is SGPT?how does this affect the humanbody?does it harmful

answer:HelloYour findings suggests mildly increased SGPT.Serum glutamic pyruvic transaminase(SGPT )is an enzyme that is normally present in liver and heart cells. SGPT is released into blood when the liver or heart are damaged.Liver related increased SGPT may be due to many reasons like hepatitis,alcohol intake,altered lipid profile, medicines,auto immune causes etc.Increased SGOT may be due to many reasons,it is non specific.You need few other investigations like viral markers,lipid profile and ultrasound of abdomen.SGPT also increases during heart attack.It need clinical correlation in your case.You may need to take some medicines after proper evaluation.Get well soon.Take CareDr.Indu Bhushan

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