Question 1

I've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.

Accepted Answer

Udiliv 300 for Altered Liver Enzymes

_Safety and Efficacy_

1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow.
2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations.
3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include:
    - Hepatotoxicity (rare)
    - Increased risk of liver cancer (theoretical)

_Precautions and Monitoring_

1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity.
2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects.
3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health.

_Alternative Options_

1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist.
2. _Lifestyle modifications_: Implement lifestyle changes, such as:
    - Maintaining a healthy weight
    - Exercising regularly
    - Eating a balanced diet
    - Avoiding hepatotoxic substances (e.g., excessive alcohol)

_In Conclusion_

While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.

Question 2

Experiencing gas problems again even after taking Nexpro 40 as my doctor recommended. Should I keep taking it, or do I need something else? I'm also having this weird, pinching chest pain on both sides sometimes. It's not severe, but I'm worried if it's just gas or something more serious. Any advice?

Accepted Answer

Consult your doctor before adding biotin and omega-3 supplements to your Mesacol OD treatment for ulcerative colitis.

1. Biotin: Generally safe, but may interact with Mesacol OD.
2. Omega-3: May help reduce inflammation, but monitor for interactions.

Regarding Mesacol OD duration:

1. Typically prescribed for 6-12 months.
2. Long-term use (over 1 year) should be monitored by your doctor due to potential side effects.

Schedule a follow-up with your doctor to discuss:

1. Supplement interactions
2. Mesacol OD treatment duration
3. Adjusting your treatment plan as needed

Question 3

I'm really worried about this chest pain I've been having around the middle part, along with some light back pain in the upper area. It's been going on for like 23 days. I don't have a cough, but I do get a lot of burping. A couple of months ago, I saw a pulmonologist because of some mild chest pain, and my x-ray came back normal. He said it was probably gas. The thing is, I used to smoke for about five years but quit two months ago. Could the smoking have something to do with it, or is it really just gas causing this pain? What should I do next?

Accepted Answer

take tablet zerodol and tablet pantoprazole for 3 days

I've been having trouble swallowing for the past 6 months and tests like endoscopy, manometry, and barium swallow show I might have achalasia cardia. The doctor said no to surgery last week but I'm really struggling with this and starting to lose hope - what other options do I have for treatment?

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