Question 1

I'm feeling pretty nervous lately, and I'm not sure why. About a week ago, I went to a gastro specialist because I was really bloated. I noticed the bloating happens whenever I have dairy products, which is still an issue now. I've attached my blood test results, and they show that my LDL and NON-HDL levels are high. Could you give me some advice on what steps I should take?

Accepted Answer

From your blood test results showing high LDL and NON HDL levels, along with your symptoms of bloating and nervousness, it is important to address your cholesterol levels and digestive issues. To lower your LDL and NON HDL levels, I recommend starting a medication called Atorvastatin. Additionally, since you are experiencing bloating with dairy products, you can try taking a lactase enzyme supplement like Lactaid before consuming dairy to help with digestion. It is also advisable to follow a low-cholesterol diet and engage in regular physical activity to improve your overall health. Make sure to follow up with your healthcare provider for further evaluation and monitoring of your cholesterol levels.

Question 2

My 67-year-old mom has multiple gallstones with the biggest being 8mm. She was told surgery isn't an option because of serious lung problems. She gets pain sometimes and takes painkillers. What else can be done for patients like her who can't have surgery

Accepted Answer

In high-risk surgical cases, dietary fat control and symptom-based management are options for gallstones; ERCP may be considered in case of complications.

Question 3

I've been dealing with going to the toilet 10 to 12 times a day, and sometimes it's even more than that. It's been happening for six months now. Any ideas on what might be going on or suggestions on what I should do about it?

Accepted Answer

Dog Bite Incident and Potential Infection Risk

_Assessment:_

1. _Minor wound_: The wound was small and healed quickly.
2. _Prompt wound care_: You washed the wound with Dettol liquid, reducing the risk of infection.
3. _Low-risk bite_: The dog's tooth only grazed the skin, and the wound didn't become infected.

_Precautions and recommendations:_

1. _Monitor for symptoms_: Keep an eye out for signs of infection, such as redness, swelling, increased pain, or pus.
2. _Rabies risk is low_: Given the minor nature of the wound and the fact that the dog is still alive and healthy (sleeping in the same place every day), the risk of rabies transmission is low.
3. _Tetanus shot_: If you're not up-to-date on your tetanus vaccinations, consider getting a booster shot.
4. _Consult a doctor_: Schedule a consultation with your primary care physician or an infectious disease specialist to discuss your concerns and determine if any further action is needed.

_No need for:_

1. _Post-exposure prophylaxis (PEP) for rabies_: Given the low-risk nature of the incident.
2. _Immediate antibiotic treatment_: Unless symptoms of infection develop.

Probable diagnosis is Gerd, patient is advised pan d ,orally.once daily for 14 days before food..Avoid spicy foods.

More Gastroenterology/GI medicine Health Queries

My 67-year-old mom has multiple gallstones with the biggest being 8mm. She was told surgery isn't an option because of serious lung problems. She gets pain sometimes and takes painkillers. What else can be done for patients like her who can't have surgery

I've been dealing with going to the toilet 10 to 12 times a day, and sometimes it's even more than that. It's been happening for six months now. Any ideas on what might be going on or suggestions on what I should do about it?

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