Question 1

I've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.

Accepted Answer

Udiliv 300 for Altered Liver Enzymes

_Safety and Efficacy_

1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow.
2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations.
3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include:
    - Hepatotoxicity (rare)
    - Increased risk of liver cancer (theoretical)

_Precautions and Monitoring_

1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity.
2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects.
3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health.

_Alternative Options_

1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist.
2. _Lifestyle modifications_: Implement lifestyle changes, such as:
    - Maintaining a healthy weight
    - Exercising regularly
    - Eating a balanced diet
    - Avoiding hepatotoxic substances (e.g., excessive alcohol)

_In Conclusion_

While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.

Question 2

I've been dealing with this issue for the past month where I'm coughing up this jelly-like mucus. It's really sticky and gets stuck in my throat, so I'm always trying to clear it out. I think it might be related to some gastric problems, but my lungs seem okay since I can run and walk without any problems. Do you have any suggestions or ideas on what might be going on? I've got some pictures of the mucus that I can show.

Accepted Answer

It sounds like you might be experiencing post-nasal drip or mucus production related to gastric reflux. While your lungs seem unaffected, I recommend consulting with a healthcare provider to check for conditions like acid reflux or sinus issues. In the meantime, staying hydrated and avoiding triggers like spicy foods may help.

Question 3

I've been dealing with vomiting issues for the past 15 years where only fluids come out, not food. Even after getting fundoplication surgery based on doctor's advice, the problem hasn't gone away. It usually lasts for two days once it starts in the morning. What could be causing this and is there anything else I can try?

Accepted Answer

Gastroenterologist opinion is advised to the patient.

Whether surgery is needed depends on the exact diagnosis, size, and severity of the condition. Some cases can be managed without surgery, while others may require it for effective treatment. A detailed evaluation will help decide the best course of action.

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