Question 1

I'm a bit worried because both my direct bilirubin and total bilirubin levels are high according to my blood tests. I took some medication for about 5 days, and everything seemed normal again. But then I had one beer at a friend's party, and now both bilirubin levels are elevated again. Also, I've been getting a light fever in the evening or at night. What could be causing this, and should I be concerned?

Accepted Answer

Elevated direct and total bilirubin levels, which normalized with medication but increased again after consuming alcohol, may indicate liver dysfunction or sensitivity, and the recent onset of low-grade evening fevers could suggest an underlying infection or inflammation; consider consulting a hepatologist or gastroenterologist for a comprehensive evaluation, including liver function tests, imaging studies, and potentially a liver biopsy, to determine the underlying cause and develop an appropriate treatment plan.

Question 2

I'm dealing with ulcerative colitis and have been on Mesacol OD for about a year now. I'm curious if it's okay to take biotin and omega-3 supplements alongside it. Also, how long typically should someone stay on Mesacol OD?

Accepted Answer

Possible causes:

1. Viral pharyngitis
2. Tonsillitis
3. Laryngitis
4. Acid reflux

Try:

1. Staying hydrated
2. Gargling with warm salt water
3. Using a humidifier
4. Avoiding spicyirritating foods
5. Resting your voice

Question 3

I'm really worried because I've just been diagnosed with a grade 2 fatty liver and my sgpt is at 70.05. I've started feeling a dull abdominal pain, and even though I've cut out oily junk food and now walk about 3-4 kms daily, I'm struggling to get a good night's sleep, probably because of stress. Lately, I've noticed that after eating cabbage sabji for dinner, I can smell cabbage in my stool the next day. Could this mean something, or am I just overthinking it? Would love to hear your thoughts.

Accepted Answer

Its great that youve made positive changes like walking and avoiding oily foods. Fatty liver can cause mild discomfort, and stress might be affecting your sleep. The cabbage smell in your stool is likely due to digestion, which is normal, but if the pain persists or worsens, I recommend consulting your doctor for further guidance. Managing stress and improving sleep quality can also help with your overall health.

I'm currently applying cremagel cream for an anal fissure, and I'm really worried about what to do if it doesn't get better after using this ointment. What is the best way to heal a fissure if it doesn't worsen after these treatments?

More Gastroenterology/GI medicine Health Queries

I'm dealing with ulcerative colitis and have been on Mesacol OD for about a year now. I'm curious if it's okay to take biotin and omega-3 supplements alongside it. Also, how long typically should someone stay on Mesacol OD?

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