Question 1

I've been curious about my diet ever since I recovered from jaundice about 4 months ago. I'm wondering if it's okay for me to eat fish now. Also, I've been dealing with diabetes and I'm concerned about any foods I should avoid. Could you offer some guidance on what's safe for me to eat?

Accepted Answer

Congratulations on recovering from jaundice. Given your diabetes and recent jaundice, it's essential to be mindful of your diet. Here are some guidelines:

*Fish Consumption*

You can eat fish, but choose wisely:

1. *Opt for low-mercury fish*: Fish like salmon, cod, tilapia, and catfish are good options.
2. *Avoid high-mercury fish*: Fish like shark, swordfish, king mackerel, and tilefish contain high levels of mercury, which can harm your liver.
3. *Moderation is key*: Limit your fish consumption to 1-2 servings (about 6 ounces or 170g) per week.

*Foods to Avoid or Limit*

Given your diabetes and liver health, it's best to avoid or limit:

1. *High-sugar foods*: Limit sugary drinks, desserts, and refined carbohydrates.
2. *Saturated and trans fats*: Avoid foods high in saturated and trans fats, such as processed meats, full-fat dairy products, and fried foods.
3. *High-sodium foods*: Limit foods high in sodium, such as processed and canned goods.
4. *Foods high in cholesterol*: Avoid foods high in cholesterol, such as egg yolks, organ meats, and high-fat dairy products.

*Foods to Emphasize*

Focus on whole, nutrient-dense foods:

1. *Leafy greens*: Spinach, kale, and collard greens are rich in antioxidants and fiber.
2. *Berries*: Berries like blueberries, strawberries, and raspberries are rich in antioxidants and fiber.
3. *Whole grains*: Choose whole grains like brown rice, quinoa, and whole-wheat bread.
4. *Legumes*: Legumes like lentils, chickpeas, and black beans are rich in protein, fiber, and antioxidants.
5. *Nuts and seeds*: Almonds, walnuts, chia seeds, and flaxseeds are rich in healthy fats, protein, and fiber.

*Additional Tips*

1. *Stay hydrated*: Drink plenty of water throughout the day.
2. *Limit alcohol*: Avoid or limit alcohol consumption to protect your liver.
3. *Monitor your blood sugar*: Regularly check your blood sugar levels to ensure they're within a healthy range.

Question 2

I'm dealing with some mild neck pain for about four months now, and I've noticed my SGPT and SGOT levels are high. I've checked for hepatitis and all results were negative, and a sonography indicated mild fatty liver disease. My doctor prescribed some medicine to bring down the SGPT and SGOT levels, but I'm not really sure about any specific instructions or steps I should be following. What should I do next?

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 3

I'm really worried about my mom. She had typhoid a week ago and was on Levolab 500 mg for those 7 days. Her fever went away after just 3 days, which is good, but she's still feeling super weak. And now she's been having trouble going to the bathroom, like she hasnt had a bowel movement in 3 days, though her urine seems normal. Is this something we should be concerned about, or is it a normal side effect after typhoid? What can we do to help with the bowel issues?

Accepted Answer

Vertigo and Dizziness: Addressing Long-Term Symptoms and Recent Exacerbation_

I understand your concern for the individual's prolonged struggle with vertigo and dizziness. Given the current treatment regimen and recent exacerbation, here are some suggestions:

_Possible Causes of Exacerbation:_

1. _Inadequate medication dosage_: The current dosage of Stugeron and Dytor might not be sufficient to control symptoms.
2. _Medication tolerance_: Long-term use of Stugeron might lead to tolerance, reducing its effectiveness.
3. _Underlying condition progression_: The underlying condition causing vertigo and dizziness might have progressed, requiring adjustments to the treatment plan.

_Recommendations:_

1. _Consult a specialist_: Schedule an appointment with an ear, nose, and throat (ENT) specialist, a neurologist, or a vestibular specialist to reassess the condition and adjust the treatment plan.
2. _Medication adjustments_: The specialist might recommend adjusting the dosage or switching to alternative medications, such as betahistine or vestibular suppressants.
3. _Vestibular rehabilitation therapy (VRT)*: A physical therapist specializing in VRT can help the individual develop exercises to improve balance and reduce vertigo symptoms.
4. _Lifestyle modifications*: Encourage the individual to make lifestyle changes, such as:
    - Avoiding triggers like caffeine, nicotine, or certain foods
    - Maintaining a consistent sleep schedule
    - Engaging in regular exercise, like yoga or tai chi, to improve balance and reduce stress

_Monitor and Seek Immediate Medical Attention if:_

1. _Sudden worsening of symptoms_
2. _Severe vomiting or inability to keep fluids down_
3. _Double vision or difficulty speaking_
4. _Severe headache or confusion_

I've been having this pain under my left rib that keeps coming and going, and it's been like this for a few days now. It actually just got worse today. Any idea what might be causing it? It's starting to worry me a bit.

More Gastroenterology/GI medicine Health Queries

I've been curious about my diet ever since I recovered from jaundice about 4 months ago. I'm wondering if it's okay for me to eat fish now. Also, I've been dealing with diabetes and I'm concerned about any foods I should avoid. Could you offer some guidance on what's safe for me to eat?

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