Question 1

I recently got my liver function test results and I'm feeling a bit unsure. The results show my total bilirubin is 0.7 mgdl, direct bilirubin is 0.4 mgdl, and indirect bilirubin is 0.3 mgdl. I noticed that my direct bilirubin is 0.1 mgdl higher than the indirect bilirubin. Should I be worried about this? Is there anything specific I should be doing or looking into?

Accepted Answer

No need to worry everythis is normal ,consume balanced diet and maintain healthy lifestyle

Question 2

I'm really struggling with IBS, and it's been about five years now. I had a colonoscopy three years ago, but it didn't show anything. I've tried Colospa and some other medications, but nothing seems to be helping. I have diarrhea and then normal stool, but it's happening like five to six times a day. Lately, I've been experiencing a burning sensation after using the bathroom, and it lasts for an hour or two. It's really concerning, and I'm not sure what to do. Any advice?

Accepted Answer

Given your symptoms:_

1. _Episodic vertigo_: Your vertigo episodes last 3-4 seconds, triggered by changes in movement.
2. _Morning exacerbation_: Vertigo worsens in the morning, making it difficult to stand properly.

_Consider the following:_

1. _Benign Paroxysmal Positional Vertigo (BPPV)_: Your symptoms suggest BPPV, a common inner ear disorder.
2. _Inner ear problems_: Despite a normal CT scan, inner ear issues like labyrinthitis or vestibular neuritis might be contributing to your vertigo.
3. _Vitamin deficiencies_: Deficiencies in vitamins like B12 or vitamin D might exacerbate vertigo symptoms.

_Current treatment:_

1. _Vitcofol, Neurobian Forte, Stmetile, Verin 16_: These medications are often used to treat vertigo, but their effectiveness varies.

_Recommended next steps:_

1. _Consult an ENT specialist or a neurologist_: Seek a specialist's opinion to determine the underlying cause of your vertigo.
2. _Vestibular rehabilitation therapy (VRT)_: VRT can help improve balance and reduce vertigo symptoms.
3. _Consider canalith repositioning procedure (CRP)_: If diagnosed with BPPV, CRP can help alleviate symptoms.

Question 3

I've been dealing with this issue for a couple of days now. I saw a doctor who prescribed me Devon and Benalgis, one each daily, but I'm still having the same problem. Plus, my blood pressure was pretty low at that time, like 8070. The burning sensation comes and goes, it's not constant throughout the day. Any ideas on what else might be going on or what I should do next?

Accepted Answer

Persistent inflamed lymphoid tissue at the tongue base can be challenging.

Consider the following treatment options:

Consult an Ear, Nose, and Throat (ENT) specialist for:

1. Steroid injections or sprays
2. Antibiotics (if bacterial infection is suspected)
3. Laser treatment

Additionally, try:

1. Saltwater gargles
2. Tongue exercises
3. Avoiding irritants (e.g., spicy food, tobacco)

Work with your ENT specialist to determine the best course of treatment.

I've been having trouble with my stomach not getting clean in the mornings, and it's making me feel really uncomfortable all day. There's this constant feeling of nausea and my stomach just feels off with a lot of gas. What could be causing this and how can I fix it?

For your symptoms, you can try taking Pantoprazole along with Domperidone. Additionally, you can take Simethicone for gas relief.

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