Question 1

I recently went for a check-up and they found my spleen was enlarged at 13 cm and I have a grade 1 fatty liver. I did a bunch of tests like for malaria, typhoid, diabetes, thyroid, hepatitis B and C, ANA, and lipid profile, and everything came back normal except my bilirubin level is at 1.6 and my SGOT SGPT is around 5990. After sticking to regular exercise and a better diet for 50 days, I lost 6 kg, going from 87 to 81 kg. I still don't have any other symptoms but I feel some pain in my spleen area and now it's 14 cm in the ultrasound. I'm taking Udiliv 300 and vitamin E, but I've talked to a lot of doctors and still don't really understand why my spleen is enlarged. Can you help clarify what's going on?

Accepted Answer

As someone with high blood pressure (HBP), it's great that you're taking proactive steps to manage your condition and prevent potential complications, such as kidney problems.

_Understanding the Link between HBP and Kidney Problems_

High blood pressure can damage the blood vessels in your kidneys, reducing their ability to function properly. This can lead to kidney disease or exacerbate existing kidney issues.

_Precautionary Measures to Protect Your Kidneys_

1. _Monitor your blood pressure regularly_: Work with your doctor to ensure your blood pressure is well-controlled, aiming for a target range of 12080 mmHg or lower.
2. _Get regular kidney function tests_: Your doctor may recommend periodic urine and blood tests to monitor your kidney function.
3. _Maintain a healthy lifestyle_:
    - _Exercise regularly_: Aim for at least 30 minutes of moderate-intensity physical activity most days of the week.
    - _Eat a balanced diet_: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and low-fat dairy.
    - _Stay hydrated_: Drink plenty of water throughout the day.
4. _Limit sodium intake_: Consume no more than 2,300 milligrams of sodium per day. Choose low-sodium options, and season your food with herbs and spices instead of salt.
5. _Stay hydrated_: Drink plenty of water throughout the day to help your kidneys function properly.
6. _Manage stress_: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.
7. _Get enough sleep_: Aim for 7-8 hours of sleep per night to help regulate your blood pressure and overall health.
8. _Avoid smoking and limit alcohol_: Both smoking and excessive alcohol consumption can increase your risk of kidney problems.

Question 2

I've been having this issue for the last 45 days with these excessive and weird burps, and there's a small pain just below my ribs. I've been taking rabcer20 morning and night for the past couple of days before eating, and it provides some relief, but these burps are still happening. On the first day, I even threw up at night shortly after eating. Any idea what's going on? It also feels like there's a little gas bubble just below my ribs, and I can't sit comfortably, especially after meals or even just drinking water. There's also a lot of bloating, and my stomach feels really full and heavy right after eating or drinking. Could it be anything related to my appendicitis surgery that I had when I was 16? I'm 28 years old and male. Any suggestions would be appreciated.

Accepted Answer

You may be experiencing symptoms of gastritis or acid reflux. I recommend you try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for at least 2 weeks. Additionally, you can take Simethicone (brand name Gas-X) after meals to help relieve gas bloating. It's important to avoid spicy and acidic foods, as well as eating large meals close to bedtime. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation.

Question 3

I've been dealing with this issue for the last two years where I get this anal discharge once or twice a day. It's like a mild, transparent mucus with an odor, but it's not stool. It mostly happens after I've eaten or when I've exercised. It's not flowing a lot, just stays there, and doesnt stain my clothes, but it's making the area irritated and itchy. And because of the itching, Ive had skin abscesses on my buttock area about 3-4 times in the past year and a half. There's no pain, no constipation, and my bowel movements are regular. What could be causing this, and is there any medicine or treatment I should consider?

Accepted Answer

to determine the underlying cause of the anal discharge, which may be related to conditions like anal fistula, rectal prolapse, or gastrointestinal infections; in the meantime, maintain good anal hygiene, avoid scratching the area, consult  gastroenterologist

GERD I can think this diagnosis according to your symptoms or maybe anxiety issue! take pantop for 5 days

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