Question 1

My vitamin B12 level has been at 138 for the past two years and I'm having bowel movements three times a day. I've already tried taking Vitcofol injections, five doses of 2 ml, but didn't notice any improvement. I recently heard about Metacobalamin tablets and was wondering if I should try them. What's the right dosage? Is there another treatment that might help?

Accepted Answer

Yes ,continue all the medications as advised by the physician , tablet is taken once daily,orally, for about 3-6 months for better results.

Question 2

My brother has been dealing with chronic pancreatitis for the past 4-5 years. Every time he gets treated, doctors find his lipase and amylase levels are abnormally high. They manage it with drips and painkillers until he stabilizes, then slowly reintroduce his diet. This cycle keeps repeating. Is there any permanent solution whether it's medication, surgery, or even an organ transplant? He doesn't drink or use any drugs, and he's just a regular student. What options do we have to stop this from happening again?

Accepted Answer

Chronic pancreatitis has very limited Treatment options. What is the mri/ mrcp findings. If pancreatic duct is large then it can be diverted ( operated). Other wise there is no specific treatment except pain management. For pain management various options including nerve blocks can be tried.

Question 3

I'm having this issue where my stool has undigested food in it for about a month now, and I'm also experiencing a burning feeling when I pee. My urine culture test showed E. Coli, but apparently, the colony count is low. Are these two problems connected? Could the UTI be causing the undigested food situation, or are they unrelated? I'm a bit concerned and would appreciate your thoughts on this.

Accepted Answer

Possible Causes_

1. _Musculoskeletal issues_: Strained or pulled muscles in the abdominal or intercostal areas, especially if you've recently increased gym intensity.
2. _Gastrointestinal issues_: Gallbladder problems, liver issues, or gastrointestinal inflammation (e.g., gastritis) could cause discomfort under the right rib.
3. _Other possible causes_: Pneumonia, pleurisy, or costochondritis (inflammation of the cartilage that connects the ribs to the breastbone) might also contribute to this discomfort.

_Whom to Consult_

1. _Primary Care Physician (PCP)_:
    - Schedule an appointment with your PCP to discuss your symptoms and medical history.
    - They'll evaluate your overall health and refer you to a specialist if needed.
2. _Gastroenterologist_:
    - If your PCP suspects a gastrointestinal issue, they might refer you to a gastroenterologist for further evaluation.
3. _Orthopedic Specialist or Sports Medicine Doctor_:
    - If your PCP believes the discomfort is related to a musculoskeletal issue, they might recommend consulting an orthopedic specialist or sports medicine doctor.

_Before Consulting a Doctor_

1. _Monitor your symptoms_: Keep track of when the discomfort occurs, how long it lasts, and any factors that relieve or exacerbate it.
2. _Gym activities_: Inform your doctor about your gym routine, including any recent changes or intense workouts.

How can I clear my bowels every morning?

High fiber foods such as Pears, strawberries, apple, oat meal, brown rice, banana, broccoli, green leafy vegetables (kale, spinach), avocado, carrots, tomato, beans and sweet potato.and plenty of fluids.

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