apollo
  • male
  • 35 Years
  • 20/02/2025

I'm really worried because my SGPT level is at 75 and my total bilirubin is 7.5. Could you tell me what I can do to bring down the bilirubin levels? And how long might it take for everything to get back to normal?

Doctor 1

Answered by 1 Apollo Doctors

it comes normal, take treatment

Dr. Ranjith Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 25/07/2025

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I'm having a lot of trouble with gas choking near my heart when I have dinner at 9 pm. It's making it really hard for me to sleep. Whenever I try to rest, I wake up feeling uncomfortable around my heart. I'm also smoking about 4 cigarettes a day. Could this be causing these issues? What should I do?

It sounds like you might be experiencing acid reflux or indigestion, which can cause discomfort near your heart, especially after a late meal. Smoking can also contribute to this. Try to avoid heavy meals before bed and consider quitting smoking for better heart and digestive health. If the discomfort persists, its important to consult a doctor for further evaluation.

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I'm a bit worried because I just got my liver function tests back, and it says my SGPT level is 111.4 and SGOT level is 90.17. Should I be concerned about these numbers? Is there something serious going on?

Your SGPT and SGOT levels are elevated, but this doesnt necessarily point to a serious issue. It's important to investigate the cause with your doctor. Early detection and lifestyle changes can often help manage and reverse mild liver dysfunction.

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I'm 23 and I've been dealing with constipation for the past six months, even though I eat well. I saw a gastroenterologist and followed their treatment plan, but the relief was only temporary and the issue keeps coming back. I take Meftal Spas for my period pain and read somewhere that this medication might affect bowel movements. Could that be causing my constipation? I also feel lazy all the time and have a thyroid problem. What should I do about this?

Meftal Spas, which contains dicyclomine and paracetamol, can indeed cause constipation as a side effect. To help with your constipation, you can try taking a stool softener like Duphalac (Lactulose) 15-30 ml once daily at night. Additionally, increasing your fiber intake with a supplement like Metamucil (Psyllium) 1 tablespoon mixed with water once or twice daily can also be beneficial. Make sure to drink plenty of water throughout the day and stay physically active. If your symptoms persist, it's important to consult with your doctor for further evaluation and management of your constipation.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.