Question 1

I've been feeling better since recovering from dengue last month, but I'm worried because my SGPT level is at 168 UL and my SGOT is 40 UL. Should I be concerned about these levels being high? What could this mean for my health right now? Looking for some advice on what steps I should take next.

Accepted Answer

Low Platelet Count (Thrombocytopenia) and Rashes

_Medical Consultation_

1. _Consult a hematologist_: Schedule an appointment with a hematologist to determine the underlying cause of your low platelet count.

_Possible Causes_

1. _Immune thrombocytopenic purpura (ITP)_: An autoimmune disorder where the immune system attacks platelets.
2. _Infections_: Certain infections, such as HIV, hepatitis, or sepsis, can cause low platelet counts.
3. _Medications_: Certain medications, such as heparin, can cause thrombocytopenia.

_Treatment Options_

1. _Corticosteroids_: Medications like prednisone can help increase platelet counts.
2. _Immunoglobulins_: Medications like intravenous immunoglobulin (IVIG) can help increase platelet counts.
3. _Thrombopoietin receptor agonists_: Medications like romiplostim or eltrombopag can help stimulate platelet production.

_Natural Remedies_

1. _Vitamin B12 supplements_: Vitamin B12 deficiency can contribute to low platelet counts.
2. _Folate supplements_: Folate deficiency can also contribute to low platelet counts.
3. _Papaya leaf extract_: Some studies suggest that papaya leaf extract may help increase platelet counts.

_Rashes on Palm_

1. _Petechiae_: Small, pinpoint rashes on the skin can be a sign of low platelet counts.
2. _Purpura_: Larger, purple-colored rashes can also be a sign of low platelet counts.

_Monitoring_

1. _Regular blood tests_: Monitor your platelet count regularly to ensure treatment effectiveness.
2. _Watch for bleeding symptoms_: Monitor for signs of bleeding, such as bruising, nosebleeds, or heavy menstrual bleeding.

Question 2

I've had a moderate hiatus hernia for a few years and take a tablet every morning for acidity. I've been on these meds for three years now and worry about long-term side effects. Is there a good alternative to Sompraz L that's safer for daily use? I don't want surgery since multiple endoscopies and doctors say it's not needed yet, but I'm concerned about how these meds might affect my health over time. Any suggestions for a safer long-term option?

Accepted Answer

For long-term management of hiatal hernia-related acidity, a safer alternative to Sompraz L could be a combination of lifestyle changes, H2 receptor blockers, or even trying shorter courses of PPIs with breaks to monitor symptom recurrence. It's crucial to discuss these options with your doctor to determine the best approach for your specific situation

Question 3

I've been having some discomfort on the left side just below my ribs for the past two weeks. It's really tender to the touch and gets quite painful. Plus, I've been experiencing a lot of stomach bloating, especially after I eat. It even affects my breathing at times, making it short, and my heart seems to race when my stomach is bloated. Does this sound familiar, and what might be causing these symptoms?

Accepted Answer

Probable diagnosis is GERD .Patient is advised tab pan d ,orally for 14 days and syrup sucralfate 10 ml thrice daily for 7 days .

drink plenty of water , take tablet pantop for 3 days

More Gastroenterology/GI medicine Health Queries

I've been feeling better since recovering from dengue last month, but I'm worried because my SGPT level is at 168 UL and my SGOT is 40 UL. Should I be concerned about these levels being high? What could this mean for my health right now? Looking for some advice on what steps I should take next.

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