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 told to take Vsl 3 and Econorm once daily for a month. Is it okay if I take them in the afternoon with a 10-minute gap between them? I'm just trying to make sure I'm doing it right!

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 3

I'm currently pregnant and a bit anxious about my baby's development. At my latest check-up, they told me my baby weighs 189 grams. Is this a normal weight for around four months into the pregnancy? I'm kind of worried and would really appreciate som...

Accepted Answer

The average weight of a baby at the fourth month of pregnancy is around 190-210 grams. It is important to ensure proper nutrition and prenatal care to support the healthy growth and development of the baby.

Question 4

My wife is feeling a bit under the weather with a mild cold, and she's in her third trimester right now. My uncle, who's an ENT doctor, recommended febrex plus and azithro 250 mg for her. I'm just a bit concerned and would love some input on whether ...

Accepted Answer

If it mild No need

Question 5

I work in a medical lab and often deal with blood samples from patients. Sometimes blood accidentally splashes on my face and even into my eyes. I know that the eyes have mucous membranesso does that mean HIV can be transmitted this way? Could you ex...

Accepted Answer

1. _Protein-rich foods*: Lentils, beans, and groundnuts are excellent sources of protein and iron.
2. _Fruits and vegetables*: Apple and spinach juice provide essential vitamins and minerals.
3. _Dairy*: Milk is a good source of calcium, vitamin D, and protein.

_Areas for Improvement_

1. _Increase iron-rich foods*: Add more iron-rich foods like leafy greens (spinach, kale), beets, and fortified cereals.
2. _Vitamin C-rich foods*: Include more vitamin C-rich foods like citrus fruits, bell peppers, and tomatoes to enhance iron absorption.
3. _Folic acid-rich foods*: Add folic acid-rich foods like dark leafy greens, legumes, and fortified cereals.

_Expected Time to Reach Normal Hemoglobin Levels_

1. _Gradual improvement*: With a balanced diet and supplements (if recommended), hemoglobin levels can improve gradually over 2-3 months.
2. _Regular monitoring*: Regular blood tests will help track progress and adjust the diet or treatment plan as needed.

_Injections to Improve Hemoglobin Levels_

1. _Not recommended*: Injections are usually reserved for severe iron deficiency anemia or when oral supplements are not effective.
2. _Consult a doctor*: Discuss your wife's specific situation with her doctor to determine the best course of treatment.

Question 6

I've been going to the bathroom a lot after getting my first dose of the COVID-19 vaccine, and I also had a fever last night. I spent the entire night having to urinate every half hour. I'm really worriedis this a side effect of the vaccine or could ...

Accepted Answer

Frequent urination after a COVID-19 vaccine isn't a common side effect, but the fever you experienced might have triggered increased urination due to fluid intake or changes in your body's response. If this continues or worsens, it's a good idea to consult a doctor to rule out any underlying issues.

Related Questions

I've been told to take Vsl 3 and Econorm once daily for a month. Is it okay if I take them in the afternoon with a 10-minute gap between them? I'm just trying to make sure I'm doing it right!

I'm currently pregnant and a bit anxious about my baby's development. At my latest check-up, they told me my baby weighs 189 grams. Is this a normal weight for around four months into the pregnancy? I'm kind of worried and would really appreciate som...

My wife is feeling a bit under the weather with a mild cold, and she's in her third trimester right now. My uncle, who's an ENT doctor, recommended febrex plus and azithro 250 mg for her. I'm just a bit concerned and would love some input on whether ...

I work in a medical lab and often deal with blood samples from patients. Sometimes blood accidentally splashes on my face and even into my eyes. I know that the eyes have mucous membranesso does that mean HIV can be transmitted this way? Could you ex...

I've been going to the bathroom a lot after getting my first dose of the COVID-19 vaccine, and I also had a fever last night. I spent the entire night having to urinate every half hour. I'm really worriedis this a side effect of the vaccine or could ...

General Physician/ Internal Medicine

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