Question 1

I recently went for a check-up and they found my spleen was enlarged at 13 cm and I have a grade 1 fatty liver. I did a bunch of tests like for malaria, typhoid, diabetes, thyroid, hepatitis B and C, ANA, and lipid profile, and everything came back normal except my bilirubin level is at 1.6 and my SGOT SGPT is around 5990. After sticking to regular exercise and a better diet for 50 days, I lost 6 kg, going from 87 to 81 kg. I still don't have any other symptoms but I feel some pain in my spleen area and now it's 14 cm in the ultrasound. I'm taking Udiliv 300 and vitamin E, but I've talked to a lot of doctors and still don't really understand why my spleen is enlarged. Can you help clarify what's going on?

Accepted Answer

As someone with high blood pressure (HBP), it's great that you're taking proactive steps to manage your condition and prevent potential complications, such as kidney problems.

_Understanding the Link between HBP and Kidney Problems_

High blood pressure can damage the blood vessels in your kidneys, reducing their ability to function properly. This can lead to kidney disease or exacerbate existing kidney issues.

_Precautionary Measures to Protect Your Kidneys_

1. _Monitor your blood pressure regularly_: Work with your doctor to ensure your blood pressure is well-controlled, aiming for a target range of 12080 mmHg or lower.
2. _Get regular kidney function tests_: Your doctor may recommend periodic urine and blood tests to monitor your kidney function.
3. _Maintain a healthy lifestyle_:
    - _Exercise regularly_: Aim for at least 30 minutes of moderate-intensity physical activity most days of the week.
    - _Eat a balanced diet_: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and low-fat dairy.
    - _Stay hydrated_: Drink plenty of water throughout the day.
4. _Limit sodium intake_: Consume no more than 2,300 milligrams of sodium per day. Choose low-sodium options, and season your food with herbs and spices instead of salt.
5. _Stay hydrated_: Drink plenty of water throughout the day to help your kidneys function properly.
6. _Manage stress_: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.
7. _Get enough sleep_: Aim for 7-8 hours of sleep per night to help regulate your blood pressure and overall health.
8. _Avoid smoking and limit alcohol_: Both smoking and excessive alcohol consumption can increase your risk of kidney problems.

Question 2

I've been dealing with a lot of sneezing, a running nose, and now a blocked nose for over 20 days, and my head feels heavy. I tried taking cetrizine and cetgel, but they haven't helped. Do you have any suggestions on what I should do next?

Accepted Answer

Consider consulting an ear, nose, and throat (ENT) specialist or an allergist to rule out underlying conditions such as allergies, sinusitis, or nasal polyps; in addition to Cetrizine and Cetgel, you may want to try other treatments like nasal saline irrigation, steam inhalation, or immunotherapy; also, ask your doctor about alternative medications like Montelukast, Azelastine, or Fluticasone nasal spray, which may provide relief from your symptoms.

Question 3

I've just turned 27 and was diagnosed with high blood pressure about a year ago. I'm currently taking Telma and Prazopress. I recently read online that having high BP might increase the chances of developing kidney issues later on. Can you guide me o...

Accepted Answer

Your father's blood pressure reading of 17080 is not normal, especially considering his history of diabetes. Normally, people with diabetes should have a blood pressure of no more than 13080 .

The sudden spike in blood pressure could be a cause for concern. I recommend that you consult with your father's doctor immediately to determine the cause of this sudden increase.

In the meantime, here are some general tips that may help your father manage his blood pressure:

- *Monitor blood pressure regularly*: Keep track of your father's blood pressure readings to identify any patterns or changes.
- *Follow a healthy diet*: Encourage your father to eat a balanced diet that is low in salt, sugar, and unhealthy fats.
- *Stay hydrated*: Make sure your father drinks plenty of water throughout the day.
- *Manage stress*: Stress can exacerbate high blood pressure. Encourage your father to engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.

Question 4

I've been dealing with a fever and headache for the last two weeks and was thinking of taking Wymox. Is it okay to take it three times a day? I'm a bit worried about whether it's safe or if there are any side effects I should watch out for.

Accepted Answer

no problem take twice a day

Question 5

I'm trying to understand the results of my recent Widal test. The report shows Salmonella typhi O at 1:160 dilutions and Salmonella typhi H at 1:140 dilutions, plus Salmonella paratyphi AH and BH both at 1:120 dilutions. The impression says it's posi...

Accepted Answer

High Creatinine Levels in Blood

_Creatinine Level 9: Indicates Severe Kidney Dysfunction_

_Proper Treatment_:

1. _Dialysis_: Recommended to remove waste products and excess fluids from the blood.
2. _Medications_: To manage underlying conditions, such as diabetes, hypertension, or kidney disease.
3. _Lifestyle Changes_: Dietary modifications, fluid restriction, and avoiding nephrotoxic substances.

_Dialysis Options_:

1. _Hemodialysis (HD)_:
    - Suitable for acute kidney injury or temporary kidney failure.
    - Typically performed in a hospital or dialysis center.
2. _Peritoneal Dialysis (PD)_:
    - Suitable for patients with some residual kidney function.
    - Can be performed at home.
3. _Continuous Renal Replacement Therapy (CRRT)_:
    - Suitable for critically ill patients with acute kidney injury.

_Temporary or Permanent Dialysis_:

1. _Temporary Dialysis_: If your brother's kidney function is expected to recover, temporary dialysis (HD or PD) may be suitable.
2. _Permanent Dialysis_: If your brother's kidney function is irreversibly damaged, permanent dialysis (HD or PD) or kidney transplantation may be necessary.

Question 6

My younger brother is 12 years and 2 months old. His friend showed him a picture of a naked girl on a phone, and when he saw it, he suddenly had an orgasm and ejaculation without even touching his penis. This was his first time ever experiencing this...

Accepted Answer

Anal Secretions and Habitual Anal Fingering

_The Slimy Substance_

1. _Mucus_: The slimy substance you're describing is likely mucus, a natural secretion produced by the anal glands.
2. _Normal presence_: Mucus is normally present in the anus, helping to lubricate and protect the anal canal.

_Anal Fingering and Mucus Secretion_

1. _Stimulation of anal glands_: Anal fingering can stimulate the anal glands, leading to increased mucus secretion.
2. _Temporary and harmless_: The mucus secretion you're experiencing is temporary and harmless.

_Health Concerns and Recommendations_

1. _Risk of anal irritation_: Frequent anal fingering can cause anal irritation, itching, or discomfort.
2. _Infection risk_: Inserting fingers into the anus can introduce bacteria, potentially leading to infections.
3. _Stop the habit_: It's essential to stop the habit of anal fingering to prevent potential health issues.
4. _Practice good hygiene_: Maintain good anal hygiene by wiping correctly, avoiding harsh soaps, and wearing breathable clothing.
5. _Consult a doctor if concerns persist_: If you experience persistent discomfort, pain, or bleeding, consult a doctor for guidance.

_Overcoming the Habit_

1. _Identify triggers_: Recognize situations or emotions that trigger the urge to engage in anal fingering.
2. _Find alternative coping mechanisms_: Replace the habit with healthier coping mechanisms, such as exercise, meditation, or creative activities.
3. _Seek professional help_: Consider consulting a therapist or counselor to address underlying issues driving the habit.

Related Questions

I've been dealing with a lot of sneezing, a running nose, and now a blocked nose for over 20 days, and my head feels heavy. I tried taking cetrizine and cetgel, but they haven't helped. Do you have any suggestions on what I should do next?

I've just turned 27 and was diagnosed with high blood pressure about a year ago. I'm currently taking Telma and Prazopress. I recently read online that having high BP might increase the chances of developing kidney issues later on. Can you guide me o...

I've been dealing with a fever and headache for the last two weeks and was thinking of taking Wymox. Is it okay to take it three times a day? I'm a bit worried about whether it's safe or if there are any side effects I should watch out for.

I'm trying to understand the results of my recent Widal test. The report shows Salmonella typhi O at 1:160 dilutions and Salmonella typhi H at 1:140 dilutions, plus Salmonella paratyphi AH and BH both at 1:120 dilutions. The impression says it's posi...

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General Physician/ Internal Medicine

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