Question 1

I'm having trouble with hard stools. I ate some bread and pizza, and since then, I've been dealing with chronic constipation. It kinda feels like there's something really stuck in my colon. Can you suggest a practical and lasting solution for this?

Accepted Answer

To relieve your constipation and prevent it from becoming a long-term issue, focus on:

Increasing fiber (fruits, vegetables, whole grains).
Drinking more water.
Exercising regularly.
Avoiding processed foods that can contribute to constipation.
Trying natural laxatives or gentle over-the-counter remedies if necessary.
If your symptoms persist or worsen, dont hesitate to reach out to a doctor

Question 2

I'm a bit worried because I recently found out I have a 3.7mm gall bladder polyp. My doctor told me I don't need further investigations for now and just to check again in six months to see if it grows. But I'm curious about why it might be there in the first place. Should I be doing something more about this now or is it okay to wait?

Accepted Answer

Elevated ALT (SGPT) levels can be a concern.

ALT (SGPT) Levels:

Normal range: 0-40 UL (units per liter)
Your result: 107 UL

Possible Causes:

1. _Liver damage or inflammation_: Elevated ALT levels can indicate liver cell damage or inflammation.
2. _Fatty liver disease_: Non-alcoholic fatty liver disease (NAFLD) or alcoholic liver disease can cause elevated ALT levels.
3. _Medication side effects_: Certain medications, such as statins, antibiotics, or anti-seizure medications, can increase ALT levels.
4. _Other medical conditions_: Thyroid disorders, muscle damage, or other medical conditions can also contribute to elevated ALT levels.

Next Steps:

1. _Repeat the test_: To confirm the results, your doctor may recommend repeating the ALT test.
2. _Liver function tests (LFTs)_: Your doctor may order additional LFTs, such as AST (SGOT), bilirubin, or albumin, to assess liver function.
3. _Imaging tests_: Ultrasound or other imaging tests may be recommended to evaluate liver health.
4. _Consult a hepatologist or gastroenterologist_: If your doctor suspects liver damage or disease, they may refer you to a specialist for further evaluation and guidance.

Lifestyle Changes:

1. _Maintain a healthy weight_: If you're overweight or obese, losing weight can help reduce liver inflammation.
2. _Exercise regularly_: Regular physical activity can improve insulin sensitivity and reduce liver inflammation.
3. _Avoid excessive alcohol consumption_: Limit or avoid alcohol to reduce liver damage.
4. _Eat a balanced diet_: Focus on whole, nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

Question 3

I'm having this weird sensation like something's stuck in my throat, and sometimes I even feel pain that goes all the way down to my chest. It seems to get worse when I wake up in the morning, but when I gargle or have some green tea, it feels a bit better. What could be causing this? Should I be worried?

Accepted Answer

it can be due to post nasal drip

Your bilirubin levels are slightly elevated, primarily due to indirect bilirubin. This could indicate mild liver function changes, hemolysis, or Gilbert's syndrome if you feel well otherwise. Monitor symptoms and consult a doctor for further evaluation if needed.

More Gastroenterology/GI medicine Health Queries

I'm having trouble with hard stools. I ate some bread and pizza, and since then, I've been dealing with chronic constipation. It kinda feels like there's something really stuck in my colon. Can you suggest a practical and lasting solution for this?

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