Question 1

I'm a bit concerned about my stool patterns. I've noticed that while in the morning it's more solid, in the afternoon and evening it tends to be flat. Could there be any potential reasons for this?

Accepted Answer

Chest X-Ray Findings

_Interpretation_

1. _Prominent bilateral perihilar vascular markings_: This means that the blood vessels in the lungs, particularly around the hilar region (where the lungs connect to the heart), appear more prominent than usual on the X-ray.
2. _Normal findings otherwise_: The rest of the X-ray findings are normal, which suggests that there are no other significant abnormalities in the lungs or chest.

_Possible Causes_

1. _Increased blood flow_: Prominent vascular markings can indicate increased blood flow to the lungs, which may be due to various factors, such as:
    - High blood pressure
    - Heart conditions (e.g., heart failure)
    - Pulmonary hypertension
    - Anemia
2. _Other possible causes_: Less common causes include:
    - Pulmonary embolism (blood clot in the lungs)
    - Pulmonary vein obstruction

_Level of Concern_

1. _Mild concern_: While the finding is not immediately alarming, it does warrant further evaluation to determine the underlying cause.
2. _Follow-up recommended_: Schedule a follow-up appointment with your doctor to discuss the findings and determine the best course of action.

_Next Steps_

1. _Consult your doctor_: Discuss the X-ray findings with your doctor to determine the next steps.
2. _Additional tests_: Your doctor may recommend additional tests, such as:
    - Echocardiogram (heart ultrasound)
    - Pulmonary function tests (PFTs)
    - Computed tomography (CT) scan or magnetic resonance imaging (MRI) of the chest

Question 2

I've had GERD for about a year now and every time I take medicine or antacids, I end up with loose motions. Is this normal? Should I consider surgery as an option or are there other ways to manage this?

Accepted Answer

gastroenterologist opinion .

Question 3

I'm having trouble with regular bowel movements. It's only happening about once a week. I'd love some advice on how to have them more regularly in the mornings. Also, I'm dealing with some pain on the right side of my stomach. Could you suggest what might be going on and how to address it?

Accepted Answer

Moving to a new country can be challenging, especially when managing a medical condition like ADHD.

In India, you'll find several medications available for ADHD treatment. *Commonly prescribed medications* include:

- __Methylphenidate__ (MPH): Available in immediate-release (IR), extended-release (ER), and long-acting (LA) formulations.
- __Atomoxetine__ (ATX): A non-stimulant medication.
- __Lisdexamfetamine__ (LDX): A stimulant medication, although its availability might be limited in India.
- __Clonidine__: Sometimes prescribed off-label for ADHD treatment.

To find a doctor in Kanchipuram, you can:

1. *Ask for referrals*: Reach out to friends, family, or colleagues who live in Kanchipuram for recommendations.
2. *Online directories*: Utilize online directories like Practo or Lybrate to find psychiatrists or neurologists in Kanchipuram.
3. *Contact your embassy*: Reach out to the U.S. Embassy in India for guidance on finding medical care in Kanchipuram.

Regarding the cost of medication and appointments, it's difficult to provide an exact estimate without knowing the specific doctor or hospital you'll be visiting. However, you can expect the cost of ADHD medications in India to be lower compared to the U.S.

Before your move, consider:

1. *Carrying a sufficient supply*: Bring a sufficient supply of your current medication, Vyvanse, to last you a few months.
2. *Obtaining a prescription*: Get a prescription from your current doctor that you can use in India.
3. *Researching Indian pharmacies*: Look into pharmacies in Kanchipuram that can provide you with the necessary medication.

I'm on medication for stomach tuberculosis and it's been nine months so far. I've heard that for stomach TB, you need to take the meds for at least a year to avoid the risk of MDR. Is that actually true?

yes it is true , you need to follow the complete course of tuberculosis

More Gastroenterology/GI medicine Health Queries

I'm a bit concerned about my stool patterns. I've noticed that while in the morning it's more solid, in the afternoon and evening it tends to be flat. Could there be any potential reasons for this?

I've had GERD for about a year now and every time I take medicine or antacids, I end up with loose motions. Is this normal? Should I consider surgery as an option or are there other ways to manage this?

I'm having trouble with regular bowel movements. It's only happening about once a week. I'd love some advice on how to have them more regularly in the mornings. Also, I'm dealing with some pain on the right side of my stomach. Could you suggest what might be going on and how to address it?

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