Question 1

I'm really worried about my mom's health. About a year ago, her B12 levels were found to be around 1800 pgml, but the doctor didn't really look into it much. She recently had Chikungunya, and her CBC showed a high TLC of 14300 cellsmcmm with high polymorphs at 78 and low lymphocytes at 11. Her kidney function was normal, but her liver tests showed SGPT at 40 and alkaline phosphatase at 325. I read online that high B12 levels can be linked to some serious diseases. She's 5 ft tall, weighs 52 kg, and doesn't have any current medical issues. Do you think I should be concerned and possibly get her checked out by a doctor?

Accepted Answer

#NAME?

Question 2

I'm 7 weeks pregnant and my doctor advised me to take Folvite tablets once in the morning. But I've been taking them at night instead. Could this affect my pregnancy? I'm really worried about it. What should I do?

Accepted Answer

ESR (Erythrocyte Sedimentation Rate) is a blood test that measures inflammation.

_Interpreting ESR Results_

1. _Normal range_: 0-20 mmhr (may vary slightly depending on the lab).
2. _Elevated ESR_: 42 mmhr is almost double the normal range, indicating moderate inflammation.

_Possible Causes_

1. _Infections_: Bacterial, viral, or fungal infections.
2. _Autoimmune disorders_: Rheumatoid arthritis, lupus, or other conditions.
3. _Chronic diseases_: Diabetes, kidney disease, or liver disease.
4. _Cancer_: In some cases, elevated ESR can be associated with cancer.

_Next Steps_

1. _Consult your doctor_: Discuss the test results and determine the best course of action.
2. _Further testing_: Your doctor may recommend additional tests, such as:
    - Blood cultures to check for infections.
    - Autoantibody tests to rule out autoimmune disorders.
    - Imaging tests (e.g., X-rays, ultrasound) to check for underlying conditions.
3. _Monitor and follow-up_: Schedule regular check-ups to monitor your mom's ESR levels and adjust treatment plans accordingly.

Question 3

I'm really worried because my wife ended up swallowing 5ml of Betadine Gargle twice a day for a whole week for her throat pain since she didn't know it was just for gargling. This was about 20 days ago. We only just realized the mistake. She seems fi...

Accepted Answer

Uncomfortable warmth without visible signs of flushing or fever.
 
 _Possible Causes:_
 
 *Hormonal:*
 
 1. Menopause or perimenopause
 2. Thyroid disorders (hyperthyroidism)
 3. Adrenal gland disorders
 4. Hormonal fluctuations
 
 *Vascular:*
 
 1. Vasodilation (dilated blood vessels)
 2. Increased blood flow
 3. High blood pressure
 
 *Neurological:*
 
 1. Anxiety or stress
 2. Autonomic nervous system disorders
 3. Nerve damage or irritation Lifestyle Modifications:_
 
 1. Stay hydrated
 2. Dress comfortably
 3. Avoid overheating
 4. Practice relaxation techniques (deep breathing, meditation)
 5. Exercise regularly

Question 4

I'm feeling a really sharp pinching pain right when I start to have a bowel movement. I've dealt with constipation before, but this pain is new to meand it first happened even when I wasnt constipated. There's no medication I'm taking that could expl...

Accepted Answer

That could be due to hard stools consume plenty of water and fibre rich diet to avoid constipation,if its becoming worse visit physician for appropriate management

Question 5

I'm really struggling with this really loud sound coming from my stomach, and it's so embarrassing, especially when I'm around other people. I just feel really uncomfortable. What can I do to stop these gurgling sounds?

Accepted Answer

The gurgling sound from your stomach is a natural part of digestion, but it can be minimized with lifestyle and dietary changes.
Eat smaller meals, chew thoroughly, and avoid gassy foods and carbonated drinks.
Manage stress and stay hydrated to support digestion.If the issue persists or causes significant discomfort, its important to seek medical advice to rule out any underlying digestive issues.

Question 6

I've just had a liver function test done and noticed that my SGPT level is at 81, which I understand is higher than the usual range. I'm trying to figure out if I should be concerned about this and if it means I need to start taking any medication. C...

Accepted Answer

An SGPT level of 81 above the normal range can indicate liver damage or inflammation. It is important to further investigate the cause of this elevation. In your case, obesity can contribute to liver issues. To address this, you can start with lifestyle modifications such as weight loss through diet and exercise.

Related Questions

I'm 7 weeks pregnant and my doctor advised me to take Folvite tablets once in the morning. But I've been taking them at night instead. Could this affect my pregnancy? I'm really worried about it. What should I do?

I'm really worried because my wife ended up swallowing 5ml of Betadine Gargle twice a day for a whole week for her throat pain since she didn't know it was just for gargling. This was about 20 days ago. We only just realized the mistake. She seems fi...

I'm feeling a really sharp pinching pain right when I start to have a bowel movement. I've dealt with constipation before, but this pain is new to meand it first happened even when I wasnt constipated. There's no medication I'm taking that could expl...

I'm really struggling with this really loud sound coming from my stomach, and it's so embarrassing, especially when I'm around other people. I just feel really uncomfortable. What can I do to stop these gurgling sounds?

I've just had a liver function test done and noticed that my SGPT level is at 81, which I understand is higher than the usual range. I'm trying to figure out if I should be concerned about this and if it means I need to start taking any medication. C...

General Physician/ Internal Medicine

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