Question 1

So I just got my full body check-up done at the health camp at work, and I'm 39, by the way. All my tests were pretty standard - blood tests and ECG and all that. The results seemed okay, but I noticed my alkaline phosphatase levels are high. The thing is, I feel fine and don't have any issues that I'm aware of. Could you tell me what symptoms might show up with high alkaline phosphatase?

Accepted Answer

A high alk phos level occurs when there is a blockage of flow in the biliary tract or a buildup of pressure in the liver--often caused by a gallstone or scarring in the bile ducts.

Question 2

I'm experiencing a burning sensation on the right side of my abdomen, and my bowel movements aren't clear. I've also been feeling feverish, dealing with headaches, and having gas issues for about a month now. These symptoms keep coming and going. I have hypothyroidism and I'm currently taking RabletD and thyroxine. Could these be related, or is there something else I should be worried about?

Accepted Answer

You may be experiencing symptoms of gastritis or acid reflux, which can be common in individuals with hypothyroidism. To help with the burning sensation in your right side abdomen, you can try taking a proton pump inhibitor like Rabeprazole (brand name: Rabicip) along with domperidone (brand name: Domstal) for better relief. Additionally, for your gas problem, you can take simethicone (brand name: Colicaid) to help alleviate symptoms. It is also important to maintain a healthy diet, avoid spicy and acidic foods, and eat smaller meals throughout the day. If your symptoms persist or worsen, please consult with your healthcare provider for further evaluation and management.

Question 3

I have multiple gallstones, with the largest being 12mm and others around 8-9mm. I'm also diabetic, and my HIDA scan showed 95% gallbladder function. Should I consider surgery for gallstones? I'm worried about potential future issues like chronic diarrhea, fat-soluble vitamin deficiencies, liver problems, or increased gas and acidity after gallbladder removal.

Accepted Answer

Given your multiple gallstones, including one 12mm stone, and your diabetes, surgery (cholecystectomy) is a strong consideration for addressing the gallstones. While a HIDA scan showing 95% gallbladder function indicates relatively good function, larger stones, especially in a diabetic patient, increase the risk of complications and may outweigh the benefits of maintaining the gallbladder

Thats usually symptom of GERD try to continue the advised by your doctor ,avoid spicy foods and consume plenty of foods, give some time it will become better.

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