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've noticed that every now and then, after I eat, I get this feeling of suffocation where it's hard to breathe, even when I make sure to eat my food slowly. It's starting to worry me and I just can't figure out why it's happening. Could it be something serious, or maybe just how I'm eating? Any advice on what might be going on would be really helpful.

Accepted Answer

chest x ray

Question 3

I've been having some health issues since June 10th. Initially, it was mild but seems to have gotten worse. I even got a COVID test done on June 17th, and thankfully it was negative. The main issues are shortness of breath, especially after meals or some physical activity, a feeling of choking in the throat just below my neck, constant burping throughout the day, and weakness. Oddly enough, I sleep well and feel alright for about a couple of hours during the day.

I saw a Pulmonologist on the 30th, and after doing some tests like Echo, X-ray, and HRCT, the report didnt show anything serious. They prescribed Montair Fx, Mucotab ET 600mg, PAN D, and Etilaam. But it's been 8 days on these meds with no real improvement. Im starting to worry. Could you suggest which type of doctor I should consult next?

Accepted Answer

"Based on your symptoms and the medications you have been prescribed, it seems like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) along with some respiratory symptoms. Since you have already seen a Pulmonologist and undergone tests which did not show anything serious, you may consider consulting a Gastroenterologist for further evaluation and management of your symptoms. Regarding your current medications: 1. Montair Fx (Montelukast + Fexofenadine) - Take it daily for allergies and respiratory symptoms. Dosage: As prescribed by your doctor. 2. Mucotab ET 600mg (Etophylline + Theophylline) - Take three times a day for respiratory symptoms. Dosage: 600mg three times a day. 3. PAN D (Pantoprazole) - Take it twice a day for acid reflux. Dosage: As prescribed by your doctor. 4. Etilaam - Take it once at night for anxiety or sleep issues. Dosage: As prescribed by your doctor. Since you have not seen improvement after 8 days of medication, it would be advisable to follow up with a Gastroenterologist for further evaluation and management. They can provide additional guidance and treatment options for your symptoms."

I'm experiencing quite a bit of pain when I pass stool and even when I'm sitting. It feels like it might be related to piles or possibly a fissure. On top of that, I have a lot of issues with gas. Could all these symptoms be connected, and what should I do to feel better?

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