apollo
  • Male
  • 28 Years
  • 22/01/2025

I'm really worried because I've been feeling a lot of discomfort in my chest, especially at the back, and sometimes I even vomit blood. My appetite is almost gone, and there's this burning feeling in my chest and lower abdomen. What could be causing all this?

Doctor 1

Answered by 1 Apollo Doctors

do one chest xray

Dr. Kareemulla Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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I've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.

Udiliv 300 for Altered Liver Enzymes _Safety and Efficacy_ 1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow. 2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations. 3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include: - Hepatotoxicity (rare) - Increased risk of liver cancer (theoretical) _Precautions and Monitoring_ 1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity. 2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects. 3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health. _Alternative Options_ 1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist. 2. _Lifestyle modifications_: Implement lifestyle changes, such as: - Maintaining a healthy weight - Exercising regularly - Eating a balanced diet - Avoiding hepatotoxic substances (e.g., excessive alcohol) _In Conclusion_ While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.

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I had an ultrasound that showed two echogenic foci measuring 4.6mm and 3mm but my liver, kidneys, spleen, and pancreas are normal. My doctor recommended surgery but I'm hesitant can this be treated with medications instead or should I wait a month to see if it resolves on its own? I really don't want to rush into a laparoscopy unless absolutely necessary. What would you suggest?

Whether surgery is needed depends on the exact diagnosis, size, and severity of the condition. Some cases can be managed without surgery, while others may require it for effective treatment. A detailed evaluation will help decide the best course of action.

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My mom is 65 and has gallbladder stones but refuses surgery. We're really worried because she's had them for a while now. Are there any other treatment options besides surgery that could help her?

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.