Question 1

My father has multiple gallstones with a 4.7 cm one in the mid pole and cystitis changes can this be treated with medicine or does he need surgery?

Accepted Answer

In general, gallstones that cause symptoms or complications typically require treatment, which often includes surgery. While medications might be used in some cases, they are less common and may not be effective for larger stones or if symptoms are severe. Cystitis, or bladder inflammation, is typically treated with antibiotics.

Question 2

I've been dealing with an anal fissure for 2 months now and haven't taken any medicines until recently. For the past 15 days, I tried coconut oil and it helped heal about 90% of the fissure, but then it came back because of hard stools. For the last 5 days, I've been doing sitz baths three times a day for 20 minutes, taking Pilex tablets, and using Pilex ointment. I've also been eating high-fiber foods and drinking more water for a month. Will this treatment heal the fissure completely or is surgery the only option? How long should I wait to see if it gets better before considering the next step? I'm really worried about this.

Accepted Answer

It's understandable to be concerned about your anal fissure, especially after experiencing a recurrence despite initial improvement. While your current treatment, including sitz baths, Pilex, high-fiber diet, and increased water intake, is beneficial for managing symptoms and promoting healing, it may not be enough to completely resolve chronic fissures. It's advisable to continue these measures and monitor for any signs of improvement over the next 6-8 weeks. If the fissure doesn't show significant healing or you continue to experience pain and discomfort, consult with a doctor, who might recommend additional treatments, including botox injections or, in some cases, surgery.

Question 3

I'm really concerned because my ultrasound report came back showing hepatomegaly with fatty liver grade 1 and a partially distended gallbladder. My SGPT and SGOT levels are normal, and so is my bilirubin and alkaline phosphate. I do experience light inflammation and occasional pain in my right upper abdomen. I'm worried and feeling a lot of anxiety about this. Could you please tell me what's going on and recommend any medications or treatments I should consider? I'm eager to understand more about my situation.

Accepted Answer

Your ultrasound shows a mild fatty liver (grade 1) and a partially distended gallbladder, which could be linked to diet or minor gallbladder dysfunction. Since your liver enzymes and bilirubin are normal, its not alarming. Focus on a low-fat, balanced diet and regular exercise, and consult a doctor to discuss potential medications like Ursodeoxycholic acid if needed. Don't worry; this is manageable with lifestyle changes.

Ecg and x-ray pa view is advised to the patient.

More Gastroenterology/GI medicine Health Queries

My father has multiple gallstones with a 4.7 cm one in the mid pole and cystitis changes can this be treated with medicine or does he need surgery?

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