Question 1

I've been having some health issues since June 10th. Initially, it was mild but seems to have gotten worse. I even got a COVID test done on June 17th, and thankfully it was negative. The main issues are shortness of breath, especially after meals or some physical activity, a feeling of choking in the throat just below my neck, constant burping throughout the day, and weakness. Oddly enough, I sleep well and feel alright for about a couple of hours during the day.

I saw a Pulmonologist on the 30th, and after doing some tests like Echo, X-ray, and HRCT, the report didnt show anything serious. They prescribed Montair Fx, Mucotab ET 600mg, PAN D, and Etilaam. But it's been 8 days on these meds with no real improvement. Im starting to worry. Could you suggest which type of doctor I should consult next?

Accepted Answer

"Based on your symptoms and the medications you have been prescribed, it seems like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) along with some respiratory symptoms. Since you have already seen a Pulmonologist and undergone tests which did not show anything serious, you may consider consulting a Gastroenterologist for further evaluation and management of your symptoms. Regarding your current medications: 1. Montair Fx (Montelukast + Fexofenadine) - Take it daily for allergies and respiratory symptoms. Dosage: As prescribed by your doctor. 2. Mucotab ET 600mg (Etophylline + Theophylline) - Take three times a day for respiratory symptoms. Dosage: 600mg three times a day. 3. PAN D (Pantoprazole) - Take it twice a day for acid reflux. Dosage: As prescribed by your doctor. 4. Etilaam - Take it once at night for anxiety or sleep issues. Dosage: As prescribed by your doctor. Since you have not seen improvement after 8 days of medication, it would be advisable to follow up with a Gastroenterologist for further evaluation and management. They can provide additional guidance and treatment options for your symptoms."

Question 2

I'm really worried about my mom. She had an ultrasound a couple of days ago, and it said her liver is bigger than normal at 159 mm with mildly increased echotexture. Theres no sign of dilated IHBR or any abscess. Most other organs like her gall bladder, pancreas, spleen, kidneys, and uterus seem normal, but she has been feeling nauseous consistently for the last 10 days and it's hard for her to eat. She has diabetes and high blood pressure for which she's on medication. What do you think could be causing these symptoms, and what should we do next?

Accepted Answer

Visit your Physician for evaluation and appropriate management

Question 3

I've been struggling with IBS for quite a while now, actually, it's been ongoing since I turned 34 and I'm from Bangladesh. I'm really hoping to find a permanent solution to this. Is there any treatment available that could finally put an end to my IBS issues?

Accepted Answer

A lymphocyte percentage of 46.6% is slightly elevated.

The normal range is typically between 20-40%.

Mild elevations can be caused by viral infections, stress, or fatigue.

However, it's essential to consider your absolute lymphocyte count (ALC) and other blood test results.

Consult your doctor to discuss the results and determine if further testing is needed.

In most cases, a mildly elevated lymphocyte percentage is not a cause for concern.

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More Gastroenterology/GI medicine Health Queries

I've been struggling with IBS for quite a while now, actually, it's been ongoing since I turned 34 and I'm from Bangladesh. I'm really hoping to find a permanent solution to this. Is there any treatment available that could finally put an end to my IBS issues?

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