Question 1

My brother was experiencing stomach ache and indigestion about a week ago, and he noticed his stool was greenish in color. We consulted a doctor, who advised some tests. His report shows that his liver is 14.9 cm long, which is about 4 cm larger than normal. The USG report also indicates an enlarged spleen. He frequently suffers from indigestion. Please advise what could be the cause and the next steps for evaluation or treatment

Question 2

Hello, I just had my routine annual blood work completed. My bilirubin was 1.1. Although the lab report states it is in the normal range, being 0.1 above normal concerns me. I have hypertension and take the generic form of Norvasc 5 mg and a low dose aspirin. I am very active, 38 years old, and work out 5 to 6 days a week with lifting, running, or biking. I have a healthy diet and partake in some social adult beverages. Should I have any concerns? All other numbers came out in the middle ranges.

Question 3

Hello doctor I am Ravi age 25. I have a big problem with weight gain and even after following a weight gain diet and gym my weight remains constant at 52 kg. A few days ago I was drinking alcohol regularly and after that I developed pain below the chest, weight loss, loss of appetite, malaise, shortness of breath, depression, and ringworm on legs and hands. The doctor checked my blood report and chest X ray but was unable to diagnose. Please help me?

Hello, my sister is 27 years old. She delivered yesterday. We did her liver function test. Please advise how the report is. What is serum alkaline phosphatase? It shows 214.

ALP can be mildly elevated in postnatal period or due to healing bones/liver stress. If no jaundice or symptoms, monitor. Please take repeat LFT and ALP Isoenzyme if needed.

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