Question 1

I've recently had my gallbladder removed due to gallstones, and before the surgery, I was experiencing high levels of SGOT, SGPT, and bilirubin. An endoscopy confirmed the gallstones, leading to the surgery. Now, after the surgery, I've had three liver function tests over a 10-day period. While the SGOT and SGPT levels are back to normal, my bilirubin total is still around 2.3. Is this normal after having my gallbladder removed?

Accepted Answer

After gallbladder removal surgery, it is not uncommon for bilirubin levels to be slightly elevated. However, a total bilirubin level of around 2.3 may still be within the normal range depending on the reference values used by the laboratory. It is important to monitor your bilirubin levels closely and follow up with your healthcare provider for further evaluation if needed. In the meantime, you can consider taking medications like Ursodiol to help with bile flow and digestion post gallbladder removal.

Question 2

I've been struggling with eating spicy food for the past two years because it burns even with just a little spice. What could be causing this, and which type of doctor should I see to help find a solution?

Accepted Answer

Dietary Management for Dengue and Typhoid

_General guidelines:_

1. _Fluid management_: Focus on electrolyte-rich fluids to replace lost salts and minerals.
2. _Bland diet_: Offer a bland, easily digestible diet to minimize stomach upset.
3. _Small, frequent meals_: Divide meals into smaller, more frequent portions to ease digestion.

_Recommended foods:_

1. _Electrolyte-rich beverages_:
    - Coconut water
    - Oral rehydration solution (ORS)
    - Electrolyte-rich drinks like sports drinks
2. _Clear soups_:
    - Chicken or vegetable broth
    - Clear soups like consomm
3. _Plain rice_:
    - Cooked white rice
    - Plain rice porridge
4. _Bananas_:
    - Ripe bananas
    - Banana porridge
5. _Yogurt_:
    - Plain, unflavored yogurt
    - Yogurt with probiotics

_Foods to avoid:_

1. _Spicy or fatty foods_
2. _High-fiber foods_
3. _Dairy products_ (except plain yogurt)
4. _Caffeine_ and _carbonated drinks_

_Specific tips for your mom's situation:_

1. _Start with small amounts_: Offer tiny amounts (1-2 teaspoons) of fluid or food to begin with.
2. _Monitor digestion_: Observe how your mom's body reacts to the food or fluid.
3. _Adjust as needed_: Gradually increase the amount or switch to a different foodfluid if needed.

Question 3

Can I eat mangoes before going to bed? How long should I wait after eating one? I'm a bit worried it might cause some digestive issues.

Accepted Answer

You can eat mango at night in moderation, but it's best to have it at least 1-2 hours before bed to give your body time to digest. Eating too close to bedtime might cause discomfort or indigestion for some people, especially if they have a sensitive stomach.

More Gastroenterology/GI medicine Health Queries

I've been struggling with eating spicy food for the past two years because it burns even with just a little spice. What could be causing this, and which type of doctor should I see to help find a solution?

Can I eat mangoes before going to bed? How long should I wait after eating one? I'm a bit worried it might cause some digestive issues.

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