Question 1

So my mom, Karthiyayani, went to your clinic on the 9th because she had this stomach pain after taking the Duvanta tablet at night. You originally prescribed Palmigas, Duvanta, Gpital, and Pan D. She didn't take the Pan D at night like you instructed, only in the morning. We're just a bit worried since your clinic isn't open on Sundays, and wanted to ask if she should keep taking these meds or not.

Accepted Answer

Karthiyayani should continue the prescribed medicines:

Medicines to Continue

1. Palmigas
2. Duvanta (as directed)
3. Gpital (as directed)

Next Steps

1. Monitor stomach pain and report any worsening.
2. Follow dosage instructions.
3. Schedule a follow-up appointment for Monday or earliest available time.

Please confirm her condition improves or worsens. If concerns arise, contact the clinic or on-call doctor.

Question 2

I'm really stressed about my liver enzyme levels; my SGPT is at 274 and SGOT is 290. I did see an ayurvedic doctor and have been on some herbal medication. I've also been cycling 8 km daily and cut out oily and fatty foods for the past couple of weeks, but instead of getting better, my enzyme levels went up! A month ago, my SGPT was 290 and SGOT was 169. I'm worried because Ive got a job abroad and these high levels are causing issues with my medical tests. Could you suggest any treatment or medication I should consider to bring these levels down quickly? I really need guidance on what I should do next.

Accepted Answer

Consuming milk after eating chicken is generally safe for most people, including pregnant women.

_No Major Side Effects_

1. _No scientific evidence_: There's no conclusive evidence to suggest that combining milk and chicken causes significant harm.
2. _Protein and calcium benefits_: Milk provides essential calcium, while chicken offers protein, both crucial for pregnant women.

_Pregnancy Considerations_

1. _Food safety_: Ensure chicken is cooked thoroughly to avoid foodborne illnesses, which can be more severe during pregnancy.
2. _Lactose intolerance_: If you're lactose intolerant, consuming milk may cause discomfort, but this isn't specific to eating chicken.

_Precautions_

1. _Choose low-fat or fat-free milk_: High-fat dairy products may exacerbate digestive issues.
2. _Select cooked chicken_: Avoid undercooked or raw chicken to minimize foodborne illness risks.

In summary, drinking milk after eating chicken is safe for pregnant women when following proper food safety guidelines and being mindful of lactose intolerance and digestive comfort.

Question 3

I'm a bit worried about my mom's blood test results. Her direct bilirubin level is 0.32, and I'm seeing the normal level should be around 0.3 mgdL. Is this level something to be concerned about, or is it within a normal range? Her total bilirubin is 1.14, with direct bilirubin at 0.32 and indirect bilirubin at 0.82. Could you help me understand if these levels are okay?

Accepted Answer

-Your mom's bilirubin levels are slightly elevated but not alarmingly high. Total and indirect bilirubin levels are within a mild range, and direct bilirubin is only slightly above normal. Its worth discussing with her doctor, especially if she has sym

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