Question 1

My dad has been feeling nauseous and vomiting all day but his sonography and CT scan came back normal. His creatinine is 1.92 and endoscopy showed acid reflux. He has a pacemaker from 2014 and had bypass surgery in 2008. Right now his cardiologist has him on three meds for acid reflux Zofer, Rantac 300, and Pantocid. Is this the right treatment or should one of Rantac or Pantocid be stopped? Could there be a better option?

Accepted Answer

In this case, nausea and reflux may be related to kidney function or meds. Zofer (ondansetron) is okay short term. Only one PPI (Pantocid) is usually needed‚Äîconsult for drug interaction review.

Question 2

I'm a bit worried about my recent lab results. The report from the GI LAB in my office says my total bilirubin is 2.9. Could you help me understand what this means and what I should do next?

Accepted Answer

Penile Vibration and Potential Causes

_Possible Causes_

1. _Nerve compression or damage_: Your spinal condition, specifically the compression of nerves from L1 to L5, could be contributing to the vibration sensation.
2. _Neurological symptoms_: The vibration might be a neurological symptom related to your spinal condition, rather than an infection.
3. _Other possibilities_: Less likely causes could include:
    - Peripheral neuropathy
    - Nerve entrapment
    - Vasculitis (inflammation of blood vessels)

_Recommended Actions_

1. _Consult your spine specialist or neurologist_: Discuss the new symptom with your doctor to determine if it's related to your spinal condition.
2. _Neurological examination_: Your doctor may perform a neurological examination to assess nerve function and determine the cause of the vibration.
3. _Imaging tests or nerve conduction studies_: Additional tests, such as MRI or nerve conduction studies, might be ordered to rule out other potential causes.

Question 3

I've just gotten my abdomen sonogram results, and everything seems okay, except there are a few small calculi found in my gall bladder. I'm wondering if this is something I should be worried about. Can these be dealt with without surgery, or what's the best treatment approach?

Accepted Answer

conservative management

healthy diet can help manage gallbladder symptoms and reduce the risk of new gallstone formation, it's unlikely to dissolve existing gallstones, especially those as large as 45mm. Surgery is often the recommended treatment for larger gallstones and those causing persistent pain or complications

More Gastroenterology/GI medicine Health Queries

I'm a bit worried about my recent lab results. The report from the GI LAB in my office says my total bilirubin is 2.9. Could you help me understand what this means and what I should do next?

I've just gotten my abdomen sonogram results, and everything seems okay, except there are a few small calculi found in my gall bladder. I'm wondering if this is something I should be worried about. Can these be dealt with without surgery, or what's the best treatment approach?

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