Question 1

Doctor, my SGOT is 53 and SGPT is 75, plus I have Gilbert syndrome and multiple gallstones with the largest being 7.2mm. I'm considering surgery but I'm a bit worried is it safe to go ahead with it given my condition?

Accepted Answer

Gilbert syndrome and mildly raised LFTs usually don‚Äôt cause surgical risk‚Äîdiscuss anesthesia clearance and hydration protocol with surgeon.

Question 2

I'm really concerned right now. A couple of months ago, I had typhoid, but everything seemed fine afterward. I did an ultrasound and all my tests came back normal, so I went back to my usual diet. But recently, after a weekend of drinking more alcohol than usual, I experienced a hangover that felt really strange. I went to the hospital, and while most of my liver function test results were normal, my bilirubin levels were highBilirubin Total was 2.2, Direct was 0.9, and Indirect was 1.3. The ultrasound showed nothing abnormal, though. My doctor prescribed some ursodeoxycholic acid tablets and anti-reflux meds, and suggested we repeat the liver function test after 15 days. I'm pretty worried about this whole situation. Could this be linked to my past typhoid, or did the alcohol play a bigger role? What should I be keeping an eye on? This is stressing me out.

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 3

I'm noticing some fluid leaking from my anus, and it had been painful for the first couple of days, but now there's no pain. It still leaks, though. There's no pain when I go to the bathroom, and I've never seen any blood. Any idea what this might be or what I should do about it?

Accepted Answer

The itching around your bikini line, butt, and ringworm on your thighs can be uncomfortable and concerning. Here's a step-by-step plan to help you address these issues:

*Immediate Relief*

1. *Continue using Itch Guard and Candid dusting powder*: These products seem to provide temporary relief, so you can continue using them to manage the itching.
2. *Apply an antifungal cream*: For the ringworm on your thighs, apply an antifungal cream like Clotrimazole or Miconazole.

*Underlying Cause*

1. *Fungal infections*: The itching and ringworm suggest a fungal infection, possibly caused by Candida or Tinea.
2. *Moisture and hygiene*: Excessive moisture, sweating, and poor hygiene can contribute to fungal growth.
3. *Tight clothing*: Wearing tight clothing, especially in warm weather, can create a warm, moist environment that fosters fungal growth.

*Prevention and Treatment*

1. *Improve hygiene*: Practice good hygiene by washing the affected areas with soap and water, especially after exercising or sweating.
2. *Wear loose, breathable clothing*: Avoid tight clothing and opt for loose, breathable fabrics like cotton.
3. *Use antifungal powders or sprays*: Apply antifungal powders or sprays to the affected areas to help prevent fungal growth.
4. *Consider probiotics*: Probiotics can help maintain a healthy balance of gut bacteria, which can, in turn, help prevent fungal infections.
5. *Consult a doctor*: If the itching and ringworm persist or worsen, consult a doctor for further guidance and treatment.

*Additional Tips*

1. *Avoid scratching*: Scratching can further irritate the skin and create an environment conducive to fungal growth.
2. *Stay dry*: Dry yourself thoroughly, especially after showering or bathing, to prevent moisture buildup.
3. *Wash clothing and bedding*: Regularly wash your clothing and bedding in hot water to prevent the spread of fungal spores.

I've been diagnosed with pelvic floor dyssynergia and my doctor recommended biofeedback therapy. Is there an effective Ayurvedic treatment for this condition? I'm open to either surgery or medicine but want to know what works best.

Bio feedback is the best treatment for this. You can search for alternative options but start following this.

More Gastroenterology/GI medicine Health Queries

Doctor, my SGOT is 53 and SGPT is 75, plus I have Gilbert syndrome and multiple gallstones with the largest being 7.2mm. I'm considering surgery but I'm a bit worried is it safe to go ahead with it given my condition?

I'm noticing some fluid leaking from my anus, and it had been painful for the first couple of days, but now there's no pain. It still leaks, though. There's no pain when I go to the bathroom, and I've never seen any blood. Any idea what this might be or what I should do about it?

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