Question 1

I'm really concerned about my wife's recent LFT blood test results. Her Alkaline Phosphatase level is at 141 UL, but everything else seems pretty normal. I'm wondering if there's anything specific she should do to be cautious. Is taking Liv 52 a good idea in this situation? All her scan reports came back normal, so I'm a bit confused about the next steps. Could you provide some advice on this?

Accepted Answer

_Persistent Buttock Pain and Frequent Urination: Further Evaluation and Treatment Options_

Given your persistent symptoms and normal MRI and CT scan results, it's essential to consider other possible causes and seek further evaluation.

_Possible Causes:_

1. _Piriformis syndrome_: Compression of the sciatic nerve by the piriformis muscle can cause buttock pain.
2. _Sacral or coccygeal issues_: Problems with the sacrum or coccyx can cause pain in the buttocks.
3. _Prostatitis or epididymitis_: Inflammation of the prostate or epididymis can cause pain in the buttocks, perineum, or genital area, along with frequent urination.
4. _Referred pain_: Pain from other areas, such as the lower back or hips, can radiate to the buttocks.

_Next Steps:_

1. _Consult a specialist_: Schedule an appointment with a specialist, such as an orthopedic surgeon, urologist, or pain management specialist, to further evaluate your symptoms.
2. _Physical examination and diagnostic tests_: The specialist may perform a physical examination, review your medical history, and order additional diagnostic tests, such as:
    - Electromyography (EMG) to assess muscle function
    - Nerve conduction studies (NCS) to evaluate nerve function
    - Ultrasound or MRI of the pelvic floor or lower back
3. _Pain management_: The specialist may recommend alternative pain management options, such as physical therapy, pain injections, or medication adjustments.

_Important Notes:_

1. _Don't ignore symptoms_: Persistent pain and frequent urination can be indicative of an underlying condition that requires attention.
2. _Seek a second opinion_: If you're not satisfied with your current diagnosis or treatment plan, consider seeking a second opinion from a specialist.

Question 2

I'm drinking lemon water with salt every day, like two lemons in a big glass all at once. My mom mentioned that this might cause gas and gastric problems. Is there any truth to her concerns? Should I be worried about this?

Accepted Answer

yes lemon contains citric acid it leads to gastritis

Question 3

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

Accepted Answer

Erosive Antral Gastritis_

1. _Definition_: Erosive antral gastritis is a type of gastritis characterized by inflammation and erosion of the stomach lining, specifically in the antrum (the lower part of the stomach).
2. _Causes_: Common causes include:
    - Helicobacter pylori (H. pylori) infection
    - Non-steroidal anti-inflammatory drugs (NSAIDs)
    - Excessive alcohol consumption
    - Stress
3. _Symptoms_: Common symptoms include:
    - Abdominal pain or discomfort
    - Nausea and vomiting
    - Loss of appetite
    - Weight loss
4. _Endoscopy results_: The endoscopy results confirmed erosive antral gastritis, which is a definitive diagnosis.

_Second Opinion and Concerns_

1. _Consult a gastroenterologist_: Schedule an appointment with a gastroenterologist to discuss the diagnosis, treatment options, and any concerns.
2. _Treatment and management_: The gastroenterologist will likely recommend:
    - Antibiotics to treat H. pylori infection (if present)
    - Acid-reducing medications to alleviate symptoms
    - Lifestyle modifications, such as avoiding trigger foods, managing stress, and quitting smoking (if applicable)
3. _Follow-up endoscopy_: A follow-up endoscopy may be recommended to assess the healing progress and rule out any complications.

_Reassurance and Next Steps_

1. _Reassurance_: Erosive antral gastritis is a treatable condition, and with proper management, symptoms can be alleviated.
2. _Adhere to treatment plan_: Ensure your father-in-law follows the recommended treatment plan and attends follow-up appointments.
3. _Monitor symptoms and report changes_: Encourage your father-in-law to report any changes in symptoms or concerns to the gastroenterologist.

More Gastroenterology/GI medicine Health Queries

I'm drinking lemon water with salt every day, like two lemons in a big glass all at once. My mom mentioned that this might cause gas and gastric problems. Is there any truth to her concerns? Should I be worried about this?

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

Health Articles for you

Understanding the Rising Trend of Gastrointestinal Diseases

Natural Treatments For Stomach Pain

Appendicitis Surgical Emergency Timing

Understanding Piles, Fissures, and Fistulas: Key Differences and Treatments

Leaky Gut Syndrome: Signs, Causes, and How to Heal Your Gut