Question 1

My mom recently had a checkup, and it turns out she has a few gallbladder stones, with the largest being 57 mm. I heard about bile acid therapy and was wondering if that's a good way to deal with the stones without surgery since she doesn't have any pain or symptoms right now. Could you suggest the best doctor or treatment approach for this situation?

Accepted Answer

Bile acid therapy can be used to dissolve gallstones, particularly in patients who are not experiencing any symptoms. One commonly used medication for this purpose is Ursodiol. It is important to note that the effectiveness of this treatment may vary from person to person, and close monitoring by a healthcare provider is necessary. It is advisable to consult with a Gastroenterologist or a Hepatologist for further evaluation and management of the gallbladder stones. They will be able to assess the specific situation and provide guidance on the most appropriate treatment plan for your mother.

Question 2

I'm really concerned because I've been experiencing constant stomach irritation and this urge to go to the bathroom repeatedly, but it only results in passing a bit of mucus. This has been going on for the past two years, and I've noticed some slight weight loss over time. All my medical reports have come back normal, my hemoglobin levels are at 14, and CRP is at 1. There aren't any other issues with my body, but there's just a lot of acid in my stomach. I'm not sure what's going on, and I could really use some guidance on how to handle this. What should I do?

Accepted Answer

try eating several small meals instead of three large ones whenever you can...Avoid foods that irritate your stomach, especially those that are spicy, acidic, fried or fatty... avoid coffee,tea etc... Avoid stress,consider calming activities, such as meditation, yoga etc...sleep with head raised position and have dinner at least 2 hours before sleep..take over pantaprazole 40 mg twice daily before food with above for 15 days....Consult nearest gastroenterologist

Question 3

I'm really worried because I've been having pain in my left chest every day for the past 10 months. I've done about 20 ECGs, a 2D echo, and a TMT test a month ago, all of which came back normal. The high sensitivity troponin test was normal, and so were my chest X-ray, random blood sugar, and CBC tests. I've been to the cardiologist three times, and he keeps saying it's not a heart issue, but the pain in my left chest, left hand, and upper left back is still there. I'm scared it might be a heart attack. What other tests should I consider, and which type of doctor should I see next?

Accepted Answer

Since the cardiac evaluations have come back normal and your cardiologist has ruled out any heart-related issues, the persistent left chest pain could be due to musculoskeletal problems or other non-cardiac causes. I would recommend consulting a Rheumatologist to evaluate for conditions such as costochondritis or fibromyalgia. Additionally, you may consider getting a CT scan or MRI of the chest to further investigate any potential structural issues. In the meantime, you can take over-the-counter pain relievers like Acetaminophen (Tylenol) for symptomatic relief.

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