Question 1

I've been dealing with ongoing diarrhea for the past couple of weeks. It's strange because I'm not getting dehydrated or feeling tired, but when the abdominal pain hits, I have to rush to the restroom. I've noticed that sometimes the stools are loose, but not always; they're mostly normal. I've tried taking Lomofen tablets, but they don't seem to make a difference. Could you help me understand what's going on?

Accepted Answer

Can be a case of Irritable bowel syndrome.
Do these tests : Culture and sensitivity stool and Routine stool microscopy.
Reduce stress
Avoid oily spicy smoked and deep fried food
Avoid Tea Coffee Dark Chocolate and pastries
Avoid Maida products
Take plenty of fluids
Also take probiotics like Bifilac cap once daily at bed time for 10 days.

Question 2

I've been experiencing this tightness or squeezing sensation in the upper right side of my chest for over a year now, and it seems to be getting worse. My chest X-ray came out normal, but I also have Gilbert's syndrome, which is adding to my fatigue. I'm really worried about what's going on. Could you help figure out what's causing this?

Accepted Answer

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

Question 3

I'm a bit worried because I recently found out I have a 3.7mm gall bladder polyp. My doctor told me I don't need further investigations for now and just to check again in six months to see if it grows. But I'm curious about why it might be there in the first place. Should I be doing something more about this now or is it okay to wait?

Accepted Answer

Elevated ALT (SGPT) levels can be a concern.

ALT (SGPT) Levels:

Normal range: 0-40 UL (units per liter)
Your result: 107 UL

Possible Causes:

1. _Liver damage or inflammation_: Elevated ALT levels can indicate liver cell damage or inflammation.
2. _Fatty liver disease_: Non-alcoholic fatty liver disease (NAFLD) or alcoholic liver disease can cause elevated ALT levels.
3. _Medication side effects_: Certain medications, such as statins, antibiotics, or anti-seizure medications, can increase ALT levels.
4. _Other medical conditions_: Thyroid disorders, muscle damage, or other medical conditions can also contribute to elevated ALT levels.

Next Steps:

1. _Repeat the test_: To confirm the results, your doctor may recommend repeating the ALT test.
2. _Liver function tests (LFTs)_: Your doctor may order additional LFTs, such as AST (SGOT), bilirubin, or albumin, to assess liver function.
3. _Imaging tests_: Ultrasound or other imaging tests may be recommended to evaluate liver health.
4. _Consult a hepatologist or gastroenterologist_: If your doctor suspects liver damage or disease, they may refer you to a specialist for further evaluation and guidance.

Lifestyle Changes:

1. _Maintain a healthy weight_: If you're overweight or obese, losing weight can help reduce liver inflammation.
2. _Exercise regularly_: Regular physical activity can improve insulin sensitivity and reduce liver inflammation.
3. _Avoid excessive alcohol consumption_: Limit or avoid alcohol to reduce liver damage.
4. _Eat a balanced diet_: Focus on whole, nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

stop eating junk , drink warm water

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