Question 1

I'm recovering from jaundice and I've been really strict with my diet for the past month. But I'm still getting mild fevers at night and that nauseous feeling keeps coming back. My test results seem normal with bilirubin at 0.7, SGOT at 90, and SGPT at 65. I'm currently taking Liv 52, Ulsys 300, and Nirocil syrup. Could you help me understand why I'm still feeling this way?

Accepted Answer

Palpitations with Normal Rhythm and Pulse_

1. _Generally not a concern_: If your rhythm and pulse are normal, palpitations might not indicate a serious underlying condition.
2. _Common triggers_: Exercise, stress, anxiety, caffeine, and dehydration can trigger palpitations.
3. _Post-exercise palpitations_: It's not uncommon to experience palpitations after exercise, especially if you're new to physical activity or have pushed yourself harder than usual.

_Monitor and Take Precautions_

1. _Keep track of palpitations_: Note when palpitations occur, how long they last, and any potential triggers.
2. _Stay hydrated_: Drink plenty of water, especially during and after exercise.
3. _Manage stress and anxiety_: Engage in stress-reducing activities, such as meditation, deep breathing, or yoga.
4. _Limit caffeine and stimulants_: Avoid or reduce caffeine, nicotine, and other stimulants that can trigger palpitations.

_Consult a Doctor_

1. _If palpitations persist or worsen_: If palpitations become more frequent, severe, or persistent, consult a doctor.
2. _If accompanied by other symptoms_: If you experience chest pain, shortness of breath, dizziness, or fainting, seek medical attention immediately.

Question 2

I'm having some trouble with gas, and I think it might be related to the fact that I've been eating a lot of boiled egg whitesabout 5 to 6 every day. Can they actually be causing this gas issue? If they are, is there something I can do to help with the gas? And what if I decide to switch to liquid egg whites insteadwould that make any difference?

Accepted Answer

Interesting combination of symptoms.

_Relationship Between UTI and Undigested Food in Stool_

1. _Unrelated conditions_: UTI (Urinary Tract Infection) and undigested food in stool are generally unrelated conditions.
2. _E. coli in urine culture_: The presence of E. coli in your urine culture confirms a UTI, but the low colony count might indicate a mild infection.
3. _Undigested food in stool_: This symptom could be related to:
    - Gastrointestinal issues (e.g., IBS, gastroparesis, or malabsorption)
    - Dietary factors (e.g., food intolerance, high-fiber diet, or inadequate digestive enzymes)
    - Other medical conditions (e.g., celiac disease, Crohn's disease, or pancreatic insufficiency)

_Next Steps_

1. _Complete UTI treatment_: Finish the prescribed antibiotic course to clear the E. coli infection.
2. _Investigate gastrointestinal symptoms_: Consult a gastroenterologist or a primary care physician to evaluate the undigested food in stool symptom.
3. _Dietary and lifestyle changes_: Consider keeping a food diary, avoiding trigger foods, and incorporating digestive-friendly foods and habits.

Question 3

I recently went for a check-up and they found my spleen was enlarged at 13 cm and I have a grade 1 fatty liver. I did a bunch of tests like for malaria, typhoid, diabetes, thyroid, hepatitis B and C, ANA, and lipid profile, and everything came back normal except my bilirubin level is at 1.6 and my SGOT SGPT is around 5990. After sticking to regular exercise and a better diet for 50 days, I lost 6 kg, going from 87 to 81 kg. I still don't have any other symptoms but I feel some pain in my spleen area and now it's 14 cm in the ultrasound. I'm taking Udiliv 300 and vitamin E, but I've talked to a lot of doctors and still don't really understand why my spleen is enlarged. Can you help clarify what's going on?

Accepted Answer

As someone with high blood pressure (HBP), it's great that you're taking proactive steps to manage your condition and prevent potential complications, such as kidney problems.

_Understanding the Link between HBP and Kidney Problems_

High blood pressure can damage the blood vessels in your kidneys, reducing their ability to function properly. This can lead to kidney disease or exacerbate existing kidney issues.

_Precautionary Measures to Protect Your Kidneys_

1. _Monitor your blood pressure regularly_: Work with your doctor to ensure your blood pressure is well-controlled, aiming for a target range of 12080 mmHg or lower.
2. _Get regular kidney function tests_: Your doctor may recommend periodic urine and blood tests to monitor your kidney function.
3. _Maintain a healthy lifestyle_:
    - _Exercise regularly_: Aim for at least 30 minutes of moderate-intensity physical activity most days of the week.
    - _Eat a balanced diet_: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and low-fat dairy.
    - _Stay hydrated_: Drink plenty of water throughout the day.
4. _Limit sodium intake_: Consume no more than 2,300 milligrams of sodium per day. Choose low-sodium options, and season your food with herbs and spices instead of salt.
5. _Stay hydrated_: Drink plenty of water throughout the day to help your kidneys function properly.
6. _Manage stress_: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.
7. _Get enough sleep_: Aim for 7-8 hours of sleep per night to help regulate your blood pressure and overall health.
8. _Avoid smoking and limit alcohol_: Both smoking and excessive alcohol consumption can increase your risk of kidney problems.

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