apollo
  • female
  • 40 Years
  • 14/08/2025

I've been dealing with slow transit constipation and HiFiber seems to be making it worse. My doctor advised against long-term laxative use but I'm not seeing improvement. Could surgery be a viable option for my condition?

Doctor 1

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Dr. Dhankecha Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 14/08/2025

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I've got some test results that I'm a bit worried about. My SGPT levels are sitting at 106, and my SGOT is 38. The direct bilirubin came back at 0.34. I'm wondering if these numbers mean I should get tested for jaundice or something else. Also, are there any ways I can bring these elevated levels down?

Altered Liver function , typically the liver enzymes dearrangement is seen in many conditions.This mostly happen if there is any other infective pathology already present in the body. SGPT SGOT also raised in Alcoholic non Alcoholic fatty liver disease(NAFLD). A through evaluation needed which includes a Ultrasound of abdomen, Hepatic viral profile ( Hepatitis B and C typically). Get evaluated and this is reversible.

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Doctor 1Doctor 2

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I've been experiencing something unusual latelyit feels like there's a slippery substance in my anus, especially noticeable after using the toilet and washing up. It went away before but has come back recently and feels most noticeable when I'm lying in bed. Im getting a bit worried and can't figure out what it might be. Could you give me some insight into what this might be?

Recognizing the urge to quit porn is a significant step. I'm here to support you. _Is Porn Addiction Real?_ Yes, porn addiction is a recognized condition. It's also known as Compulsive Sexual Behavior (CSB) or Hypersexual Disorder. Porn addiction can lead to negative effects on mental and physical health, relationships, and daily life. _Your Situation_ Based on your description, it seems you might be experiencing some characteristics of porn addiction: 1. _Triggers_: You feel the urge to watch porn when alone. 2. _Intrusive thoughts_: You experience sudden, unwanted thoughts about sex or naked women. 3. _Preoccupation_: You think about sex or porn frequently, even when you don't want to. _Quitting Porn_ Congratulations on taking the first step towards quitting porn! Here are some resources to help you: 1. _Support groups_: Join online communities, like NoFap or Reddit's rNoFap, for support and guidance. 2. _Counseling_: Consider therapy with a certified sex addiction therapist or counselor. 3. _Self-help resources_: Explore books, articles, and online courses on overcoming porn addiction. 4. _Accountability software_: Utilize tools like Covenant Eyes or Accountable2You to monitor and block pornographic content. Remember, quitting porn is a process. Be patient, kind, and compassionate with yourself as you work towards recovery.

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I've had a few tests recently and I'm a bit concerned about my liver results. I got tested on March 16th and my SGOT was normal, but my SGPT was at 83.5, and my platelets were 79000. When I tested again on March 17th, the SGOT was still normal, but the SGPT went up to 87.8. I just had another test on March 19th. I've been trying to manage things by drinking 23 liters of water and taking some supplements like Liver 52, Gaumulive, and papaya leaf extract. Could you help me understand these results, and if there's something else I should be doing to lower the SGPT level?

Based on your test results, Munish, your SGPT (ALT) levels are elevated (83.5 and 87.8), indicating liver inflammation or damage, while your SGOT (AST) levels are normal; your platelet count is also low (79,000); continuing to stay hydrated with 2-3 liters of water and taking Liver 52, Gaumulive, and Papaya leaf extract may be helpful; however, consult your doctor to discuss the test results, potential underlying causes, and adjust your treatment plan accordingly.

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