Question 1

I'm a bit worried because after eating spicy food, I noticed some black, sand-like stuff in my mouth. It doesn't taste good and I'm not sure what it is. I used to smoke but quit about four years ago. I'm concerned it might be something serious, like throat cancer. Is this something I should be worried about, or is it normal?

Accepted Answer

it is normal

Question 2

I've had a chronic anal fissure for the last three months, and it's caused a small skin tag. Can medicine alone completely heal it, or is surgery the only permanent fix? Also, if I skip surgery, could things like constipation or anal sex make the fissure worse later on? Would really appreciate your advice.

Accepted Answer

A detailed evaluation will help decide the best course of action.

Question 3

I'm a bit worried because I recently found out I have a 3.7mm gall bladder polyp. My doctor told me I don't need further investigations for now and just to check again in six months to see if it grows. But I'm curious about why it might be there in the first place. Should I be doing something more about this now or is it okay to wait?

Accepted Answer

Elevated ALT (SGPT) levels can be a concern.

ALT (SGPT) Levels:

Normal range: 0-40 UL (units per liter)
Your result: 107 UL

Possible Causes:

1. _Liver damage or inflammation_: Elevated ALT levels can indicate liver cell damage or inflammation.
2. _Fatty liver disease_: Non-alcoholic fatty liver disease (NAFLD) or alcoholic liver disease can cause elevated ALT levels.
3. _Medication side effects_: Certain medications, such as statins, antibiotics, or anti-seizure medications, can increase ALT levels.
4. _Other medical conditions_: Thyroid disorders, muscle damage, or other medical conditions can also contribute to elevated ALT levels.

Next Steps:

1. _Repeat the test_: To confirm the results, your doctor may recommend repeating the ALT test.
2. _Liver function tests (LFTs)_: Your doctor may order additional LFTs, such as AST (SGOT), bilirubin, or albumin, to assess liver function.
3. _Imaging tests_: Ultrasound or other imaging tests may be recommended to evaluate liver health.
4. _Consult a hepatologist or gastroenterologist_: If your doctor suspects liver damage or disease, they may refer you to a specialist for further evaluation and guidance.

Lifestyle Changes:

1. _Maintain a healthy weight_: If you're overweight or obese, losing weight can help reduce liver inflammation.
2. _Exercise regularly_: Regular physical activity can improve insulin sensitivity and reduce liver inflammation.
3. _Avoid excessive alcohol consumption_: Limit or avoid alcohol to reduce liver damage.
4. _Eat a balanced diet_: Focus on whole, nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

Ulgel od x 3 weeks

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