Question 1

I'm really struggling with anal fissures because of constipation for over a year now, and I've been in a lot of pain. I tried seeing a gynecologist, and they gave me some meds for five days, but nothing's changed. I'm usually on a routine in the morning with bowel movements, but it's been painful for so long. I've switched up my diet to include more fiber and fluids, but I still feel the pain. The only relief I get is from using Cremaffin Plus syrup at night and nifecaine cream around bowel movements, but if I miss the syrup even for a night, the pain is unbearable the next day.

We're thinking about having kids, but I'm concerned if these medications might affect conception. How long can I keep using the syrup without any long-term effects? Is there a solid solution for my situation, and what can I expect if there's a treatment?

Accepted Answer

It sounds like you're experiencing chronic pain due to an anal fissure, which can be aggravated by constipation. Despite your efforts with diet and medications, if the pain persists, it might be worth seeking a second opinion, as other treatments like topical nitrates or botox injections could help. Regarding conception, Cremaffin Plus and nifecaine cream are generally safe for short-term use, but it's advisable to discuss them with your doctor during the planning phase. Treatment duration and improvement vary, but typically, with proper management, healing can occur in a few weeks to months.

Question 2

I'm a bit concerned about my recent health check-up results. My SGPTALT came back at 46, which seems to be above the normal range, and my lipid profile is on the higher side too. Do you think I should be worried about this and possibly start some medication? Also, I'm curious about the role of eosinophils in the body. Could you give me some insight into what they do? I've attached the report for your reference.

Accepted Answer

Your SGPTALT level of 46 is slightly elevated, which could indicate mild liver stress or inflammation. Given the high lipid profile, it's important to focus on lifestyle changes like a balanced diet and regular exercise to manage your cholesterol. Medication may be considered if lifestyle changes alone are not sufficient. Eosinophils are a type of white blood cell involved in immune responses, especially in allergic reactions and combating parasitic infections. It would be best to discuss your results with your doctor for a personalized plan.

Question 3

My mom is 53 and has both diabetes and high blood pressure. She recently found out she has multiple gallstones. What would be better for her trying ayurvedic or homeopathic treatments, or should she just go for surgery?

Accepted Answer

For a 53-year-old woman with diabetes and high blood pressure who has multiple gallstones, surgery (cholecystectomy) is generally the most effective and recommended treatment. While Ayurvedic or homeopathic treatments might offer some relief or symptomatic management, they are not likely to eliminate the gallstones or prevent future complications

I'm dealing with a burning feeling in my food pipe even when I eat simple foods. I also get acid reflux a lot, and sometimes I feel like throwing up when I eat or drink. I've had issues with acidity in the past. What could be causing this, and how can I find relief?

More Gastroenterology/GI medicine Health Queries

My mom is 53 and has both diabetes and high blood pressure. She recently found out she has multiple gallstones. What would be better for her trying ayurvedic or homeopathic treatments, or should she just go for surgery?

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