Question 1

I'm really stressed about my liver enzyme levels; my SGPT is at 274 and SGOT is 290. I did see an ayurvedic doctor and have been on some herbal medication. I've also been cycling 8 km daily and cut out oily and fatty foods for the past couple of weeks, but instead of getting better, my enzyme levels went up! A month ago, my SGPT was 290 and SGOT was 169. I'm worried because Ive got a job abroad and these high levels are causing issues with my medical tests. Could you suggest any treatment or medication I should consider to bring these levels down quickly? I really need guidance on what I should do next.

Accepted Answer

Consuming milk after eating chicken is generally safe for most people, including pregnant women.

_No Major Side Effects_

1. _No scientific evidence_: There's no conclusive evidence to suggest that combining milk and chicken causes significant harm.
2. _Protein and calcium benefits_: Milk provides essential calcium, while chicken offers protein, both crucial for pregnant women.

_Pregnancy Considerations_

1. _Food safety_: Ensure chicken is cooked thoroughly to avoid foodborne illnesses, which can be more severe during pregnancy.
2. _Lactose intolerance_: If you're lactose intolerant, consuming milk may cause discomfort, but this isn't specific to eating chicken.

_Precautions_

1. _Choose low-fat or fat-free milk_: High-fat dairy products may exacerbate digestive issues.
2. _Select cooked chicken_: Avoid undercooked or raw chicken to minimize foodborne illness risks.

In summary, drinking milk after eating chicken is safe for pregnant women when following proper food safety guidelines and being mindful of lactose intolerance and digestive comfort.

Question 2

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

Accepted Answer

Erosive Antral Gastritis_

1. _Definition_: Erosive antral gastritis is a type of gastritis characterized by inflammation and erosion of the stomach lining, specifically in the antrum (the lower part of the stomach).
2. _Causes_: Common causes include:
    - Helicobacter pylori (H. pylori) infection
    - Non-steroidal anti-inflammatory drugs (NSAIDs)
    - Excessive alcohol consumption
    - Stress
3. _Symptoms_: Common symptoms include:
    - Abdominal pain or discomfort
    - Nausea and vomiting
    - Loss of appetite
    - Weight loss
4. _Endoscopy results_: The endoscopy results confirmed erosive antral gastritis, which is a definitive diagnosis.

_Second Opinion and Concerns_

1. _Consult a gastroenterologist_: Schedule an appointment with a gastroenterologist to discuss the diagnosis, treatment options, and any concerns.
2. _Treatment and management_: The gastroenterologist will likely recommend:
    - Antibiotics to treat H. pylori infection (if present)
    - Acid-reducing medications to alleviate symptoms
    - Lifestyle modifications, such as avoiding trigger foods, managing stress, and quitting smoking (if applicable)
3. _Follow-up endoscopy_: A follow-up endoscopy may be recommended to assess the healing progress and rule out any complications.

_Reassurance and Next Steps_

1. _Reassurance_: Erosive antral gastritis is a treatable condition, and with proper management, symptoms can be alleviated.
2. _Adhere to treatment plan_: Ensure your father-in-law follows the recommended treatment plan and attends follow-up appointments.
3. _Monitor symptoms and report changes_: Encourage your father-in-law to report any changes in symptoms or concerns to the gastroenterologist.

Question 3

My doctor said I have an incompetent lower esophageal sphincter and I'm really worried because my brother told me GERD is incurable. Is there any way to heal this without surgery? I'm feeling pretty down about it.

Accepted Answer

as symptoms are suggestive of gastritis and GERD (GASTRO ESOPHAGEAL REFLUX DISEASE ).Need to follow some lifestyle changes. Take food timely. Avoid cabbage, capsicum, citrus fruits ( for a while). Don't drink water with food, take after 40 min. as much as needed thereafter. Don't lie down immediately after food. Finish night meal by 8.30 pm maximum. Go to bed after minimum 1 hour after dinner. Always keep stomach 1/4 th empty.Divide meal into 5-6 times a day. Avoid the particular food, which is being observed to cause bloating, fullness, upper abdominal pain/ discomfort, reflux symptoms etc. A good acid blocker is needed to check excess acid production.

yes continue the medicines if symptoms persist

More Gastroenterology/GI medicine Health Queries

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

My doctor said I have an incompetent lower esophageal sphincter and I'm really worried because my brother told me GERD is incurable. Is there any way to heal this without surgery? I'm feeling pretty down about it.

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