Question 1

I recently had an ultrasound without any particular reason and it showed I have a gallstone that's 16mm. The thing is, I'm not having any pain or issues right now. Should I be thinking about removing my gallbladder? I'm just not sure what the best course of action is.

Accepted Answer

no

Question 2

I'm really concerned about my wife's recent LFT blood test results. Her Alkaline Phosphatase level is at 141 UL, but everything else seems pretty normal. I'm wondering if there's anything specific she should do to be cautious. Is taking Liv 52 a good idea in this situation? All her scan reports came back normal, so I'm a bit confused about the next steps. Could you provide some advice on this?

Accepted Answer

_Persistent Buttock Pain and Frequent Urination: Further Evaluation and Treatment Options_

Given your persistent symptoms and normal MRI and CT scan results, it's essential to consider other possible causes and seek further evaluation.

_Possible Causes:_

1. _Piriformis syndrome_: Compression of the sciatic nerve by the piriformis muscle can cause buttock pain.
2. _Sacral or coccygeal issues_: Problems with the sacrum or coccyx can cause pain in the buttocks.
3. _Prostatitis or epididymitis_: Inflammation of the prostate or epididymis can cause pain in the buttocks, perineum, or genital area, along with frequent urination.
4. _Referred pain_: Pain from other areas, such as the lower back or hips, can radiate to the buttocks.

_Next Steps:_

1. _Consult a specialist_: Schedule an appointment with a specialist, such as an orthopedic surgeon, urologist, or pain management specialist, to further evaluate your symptoms.
2. _Physical examination and diagnostic tests_: The specialist may perform a physical examination, review your medical history, and order additional diagnostic tests, such as:
    - Electromyography (EMG) to assess muscle function
    - Nerve conduction studies (NCS) to evaluate nerve function
    - Ultrasound or MRI of the pelvic floor or lower back
3. _Pain management_: The specialist may recommend alternative pain management options, such as physical therapy, pain injections, or medication adjustments.

_Important Notes:_

1. _Don't ignore symptoms_: Persistent pain and frequent urination can be indicative of an underlying condition that requires attention.
2. _Seek a second opinion_: If you're not satisfied with your current diagnosis or treatment plan, consider seeking a second opinion from a specialist.

Question 3

Why do I keep getting anal fissures even after LIS surgery? I'm vegetarian and careful with my diet but still get fissures from just one episode of hard stool caused by antibiotics. Others pass hard stool without issues, but my small anus seems prone to tearing - is that the real cause?

Accepted Answer

It's understandable why you're concerned about recurring anal fissures despite LIS surgery, even with a seemingly healthy diet. While your small anus might be a contributing factor, it's important to consider other potential reasons for continued fissures, like the specific trauma caused by hard stools, even in a vegetarian, and underlying sphincter issues

More Gastroenterology/GI medicine Health Queries

I recently had an ultrasound without any particular reason and it showed I have a gallstone that's 16mm. The thing is, I'm not having any pain or issues right now. Should I be thinking about removing my gallbladder? I'm just not sure what the best course of action is.

Why do I keep getting anal fissures even after LIS surgery? I'm vegetarian and careful with my diet but still get fissures from just one episode of hard stool caused by antibiotics. Others pass hard stool without issues, but my small anus seems prone to tearing - is that the real cause?

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