Question 1

I've been dealing with gout and high uric acid for about six months now. I've been taking LOGOUTSR 250mg three times a day after meals. There's been a shortage of this medication, so I'm a bit concerned and wondering if you could suggest an alternative for me. Any advice on what I can do would really help.

Accepted Answer

kk

Question 2

I'm a bit worried about my cholesterol levels. My latest reading is 202 mgdL, triglycerides are at 167, HDL is 46, and LDL is 112. What steps can I take to keep these numbers in check?

Accepted Answer

refer to general physician

Question 3

I'm experiencing this mild pain around my ribs on both sides, and it's been bothering me whenever I move. I got a chest X-ray, but the results seemed unclear since it was just black and white. I also struggle a lot with acidity and gastric issues, an...

Accepted Answer

X-Rays radiographs are black and white itself. Do not expect colors in that.
As of now, take a tab. Rantac 150mg twice a day half an hour before food for 10 days.
If it still persists, consult a MD consultant physician in person for further evaluation and management.

Question 4

I'm concerned about my health and I'm 53 years old. What can I do to improve my situation and what specific foods should I be incorporating into my diet to help with this issue?

Accepted Answer

Blood vomiting (hematemesis) is a serious symptom.

Possible causes, considering your smoking and drinking habits:

1. Gastroesophageal reflux disease (GERD)
2. Peptic ulcers
3. Esophageal varices (enlarged veins)
4. Liver disease (cirrhosis)
5. Stomach cancer

Consult a:

1. Gastroenterologist (specializes in digestive system disorders)
2. General Surgeon (for emergency situations)

Immediate action:

1. Stop smoking and drinking
2. Stay hydrated
3. Avoid solid foods
4. Seek medical attention ASAP

Don't delay consulting a doctor, as blood vomiting can lead to severe complications.

Question 5

I'm feeling this persistent headache, almost like someone's sticking a needle into my head. I've taken medication for depression and migraine, but nothing seems to be working. I'm really worried about why there's no improvement. Could something else ...

Accepted Answer

I understand your concern about your health condition and I appreciate that...there are many reasons for headache it may be due to increased blood pressures, migraine, cluster headache, refractive errors, meningitis,sinusitis,increased intracranial pressure, reffered pain from somewhere else... So detailed history and examination with relevant investigations is necessary... Kindly consult nearest neuro physician they will do the needful.

Question 6

I've been thinking about taking a probiotic supplement, maybe something like Sporlac, on a daily basis. I'm really curious if it would be good for my health, but I'm also a bit worried about any side effects it could have. Can you give me some guidan...

Accepted Answer

Mild Hepatomegaly with Fatty Liver Diagnosis

_Results Interpretation_

1. _Enlarged liver (14.8 cm)_: Indicates mild hepatomegaly.
2. _Diffuse fatty change (grade 3)_: Suggests fatty liver disease.
3. _Negative hepatitis A and C tests_: Rules out hepatitis A and C infections.
4. _Elevated liver enzymes_:
    - SGOT (AST): 46.5 (normal: 0-40 UL)
    - SGPT (ALT): 91.5 (normal: 0-40 UL)
    - Gamma GT: 97.1 (normal: 0-50 UL)

_Recommended Next Steps_

1. _Consult a gastroenterologist or hepatologist_: Discuss your results and determine the best course of action.
2. _Lifestyle modifications_:
    - Maintain a healthy weight
    - Exercise regularly
    - Eat a balanced diet
    - Avoid sugary and processed foods
3. _Further testing_: Your doctor may recommend additional tests, such as:
    - Liver biopsy
    - Imaging studies (e.g., MRI, CT scan)
    - Blood tests to rule out other liver diseases

_Possible Causes of Fatty Liver Disease_

1. _Insulin resistance_: Often associated with obesity, type 2 diabetes, or metabolic syndrome.
2. _Genetic predisposition_: Family history can play a role in developing fatty liver disease.
3. _Other medical conditions_: Certain conditions, such as polycystic ovary syndrome (PCOS), hypothyroidism, or sleep apnea, can increase the risk of fatty liver disease.

Related Questions

I'm a bit worried about my cholesterol levels. My latest reading is 202 mgdL, triglycerides are at 167, HDL is 46, and LDL is 112. What steps can I take to keep these numbers in check?

I'm experiencing this mild pain around my ribs on both sides, and it's been bothering me whenever I move. I got a chest X-ray, but the results seemed unclear since it was just black and white. I also struggle a lot with acidity and gastric issues, an...

I'm concerned about my health and I'm 53 years old. What can I do to improve my situation and what specific foods should I be incorporating into my diet to help with this issue?

I'm feeling this persistent headache, almost like someone's sticking a needle into my head. I've taken medication for depression and migraine, but nothing seems to be working. I'm really worried about why there's no improvement. Could something else ...

I've been thinking about taking a probiotic supplement, maybe something like Sporlac, on a daily basis. I'm really curious if it would be good for my health, but I'm also a bit worried about any side effects it could have. Can you give me some guidan...

General Physician/ Internal Medicine

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