Question 1

I'm a 29-year-old guy, and I spend a lot of time sitting in front of a computer because of my software job. It's been about a year since I found out my uric acid levels were high, so I cut back on protein and I'm eating vegetarian now. I don't smoke, and I'm not really working out currently. My last uric acid level was at 7.0. I just got some blood work done, including Liver Function Tests, and it showed my globulin level is low at 1.81, and my albuminglobulin ratio is 2.81. Everything else in the LFT was okay. Is this something to be worried about? Should I be doing other tests to figure out what's happening, or could this all be related to my diet? What lifestyle or dietary changes do you recommend? And which kind of doctor should I get in touch with for advice?

Accepted Answer

Anal Itching and Bleeding

_Possible Causes_

1. *Anal Fissure*: A small tear in the lining of the anus, often caused by hard stools, constipation, or anal trauma.
2. *Hemorrhoids*: Swollen veins in the anus or rectum, which can cause itching, bleeding, and discomfort.
3. *Anal Abscess or Fistula*: A collection of pus or a tunnel-like structure in the anal tissue, which can cause itching, bleeding, and pain.

_What to Do_

1. *Seek Medical Attention*: Consult a doctor, preferably a gastroenterologist or a proctologist, for proper evaluation and treatment.
2. *Practice Good Hygiene*: Keep the anal area clean, and avoid scratching or rubbing the area.
3. *Stool Softeners*: Consider taking stool softeners to prevent hard stools and reduce discomfort.

Question 2

I've been having this pain on the right side of my waist, and sometimes it spreads all overfrom left to right and up to down. It's really hard for me to bend forward or backward when it tightens up. I can feel the pain no matter what I'm doing, whether I'm sitting or lying in bed. And it's making it tough to do any kind of hard work. What could be causing this and how can I ease the pain?

Accepted Answer

You need imaging and scans to determine the cause. It could be muscular pain or spine related abnormality. There are various causes to rule out before making a clear diagnosis.

Question 3

Can you tell me if taking febuxostat 40 would be okay instead of febutaz 40? Ive been taking febutaz 40mg for about 13 days now, but I ran out and the pharmacy near me only had febuxostat 40. They said its the same thing, but I just want to make sure its safe before switching. Is there any difference between the two?

Accepted Answer

Those are exactly the same medicines , just with different brand names

I'm a bit concerned because my C-reactive protein is at 75. I'm wondering if I should be taking medication for this, or if regular exercise might help? Could you please give me some advice on what would be best?

Regular exercises,salt restricted diet , alcohol cessation is also advised to the patient.. AN ecg,cardiac enzymes is also advised.

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