Question 1

I'm concerned about my health because my bilirubin level has reached 6.2, and despite having a normal MRI of my abdomen, my bilirubin keeps rising. Can you help me understand why this might be happening? I have my blood test report if you need any specific details from it.

Accepted Answer

Yes, you can take Dolo 650 (paracetamol) and Cetirizine together.

No known significant interactions between the two.

However, always follow dosage instructions and consult a doctor if:

- You have pre-existing medical conditions
- Taking other medications
- Exceeding recommended doses

Question 2

I'm really worried because I haven't been able to have a bowel movement in four days. It's like the liquid stuff will come out, but none of the solid things. I even tried taking medication like Dulco, but it's just not working. What should I do?

Accepted Answer

take SYP lactulose 10ml 1-0-1 take fruits banana and guava with diet

Question 3

So I've had mild splenomegaly for the last four years and also deal with IBS. I'm really curious if my enlarged spleen might be the reason behind all these digestive problems. Could they be connected?

Accepted Answer

The ultrasound report indicates "gas distended bowel loops" in your lower abdomen, which means that there is an accumulation of gas in the intestines, causing them to expand.

_What does it mean?_

This condition is often related to:

1. _Irritable Bowel Syndrome (IBS)_: A common disorder affecting the large intestine, causing abdominal pain, bloating, and changes in bowel movements.
2. _Functional abdominal pain_: Recurring abdominal pain without any obvious cause.
3. _Gas and bloating_: Swallowing air, eating certain foods, or having food intolerance can lead to gas accumulation.

_Why does it occur?_

1. _Food intolerance_: Lactose, gluten, or high-FODMAP foods can cause gas and bloating.
2. _Eating habits_: Eating too quickly, not chewing food properly, or drinking carbonated beverages can lead to gas accumulation.
3. _Stress and anxiety_: Stress can exacerbate IBS symptoms.

_How to cure it?_

1. _Dietary changes_: Avoid trigger foods, eat smaller meals, and choose low-FODMAP foods.
2. _Probiotics_: Consider taking probiotics to promote gut health.
3. _Stress management_: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises.
4. _Medications_: Your doctor has prescribed Pansec (Pantoprazole) for acid reflux and Meftal Spas (Mefenamic acid) for pain relief.

I'm dealing with a lot of hyper acidity, and I've noticed I occasionally get palpitations. All my tests like blood work, ECG, and Echo are normal, but these palpitations have me worried. Is it possible that my acid reflux is causing these palpitations?

Visit your Physician for evaluation and appropriate management

More Gastroenterology/GI medicine Health Queries

I'm concerned about my health because my bilirubin level has reached 6.2, and despite having a normal MRI of my abdomen, my bilirubin keeps rising. Can you help me understand why this might be happening? I have my blood test report if you need any specific details from it.

I'm really worried because I haven't been able to have a bowel movement in four days. It's like the liquid stuff will come out, but none of the solid things. I even tried taking medication like Dulco, but it's just not working. What should I do?

So I've had mild splenomegaly for the last four years and also deal with IBS. I'm really curious if my enlarged spleen might be the reason behind all these digestive problems. Could they be connected?

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