Question 1

I've been struggling with high bilirubin levels for a couple of years now, and I'm feeling quite worried. The doctors checked for gallstones with an ultrasound and didn't find any. They said I need to follow a good diet, but my bilirubin levels went from 1.8 to 2.2 and haven't improved. What could be causing this, and what kind of treatment should I consider? Could it be something other than diet? I have my lab reports if that helps.

Accepted Answer

High bilirubin levels can be concerning, especially if they have been persisting for 2 years despite following a good diet and ruling out gallstones in the bladder. One possible treatment option to help lower bilirubin levels is to use Ursodeoxycholic acid (UDCA). UDCA can help improve bile flow and reduce the amount of bilirubin in the blood. It is important to follow up with your doctor regularly to monitor the effectiveness of the treatment and make any necessary adjustments.

Question 2

I'm kind of worried because my SGPT level is at 240 and my SGOT is 94. Do you think I should take Liv52 and HEP plus tablets for this? Also, what kind of diet should I be following to help manage these levels?

Accepted Answer

Visit Gastroenterologist for appropriate management and consume foods that are rich in vitamin E

Question 3

I'm using Vigora 50 whenever I have sex, and I'm wondering if that could be dangerous. Could you let me know if there are any risks involved? If there are, I'd really appreciate some advice on what to do.

Accepted Answer

Vigora-50 contains Sildenafil, which is used to treat erectile dysfunction. It is generally safe to use as directed, but it can have potential side effects such as headache, flushing, indigestion, and changes in vision. However, if you have certain medical conditions like heart problems, it can be dangerous to use without medical supervision. If you experience any chest pain, dizziness, or vision changes while using Vigora-50, you should stop using it and seek medical attention.

Question 4

I'm 40 years old and I did a blood sugar test last week. My fasting was 124 and my postprandial (pp) was 97. I'm trying to understand why my fasting level is high since I'm not on any diabetes medication. I ran for 40 minutes just before doing this c...

Accepted Answer

decrease in kidney size can be a good sign, but it's essential to understand the context.

_Interpretation_

1. _Variation in measurement_: The 0.9cm difference in kidney size might be due to variations in measurement techniques or equipment between the two diagnostic centers.
2. _Spontaneous improvement_: In some cases, a decrease in kidney size can indicate spontaneous improvement or resolution of an underlying condition, such as a cyst or inflammation.
3. _No cause for concern_: Since all other parameters are normal, and you're not experiencing any symptoms, this decrease in kidney size might not be a cause for concern.

_Recommendations_

1. _Consult your doctor_: Discuss the ultrasound reports with your doctor to determine the best course of action.
2. _Monitor kidney function_: Regularly monitor your kidney function through blood tests (e.g., serum creatinine, eGFR) to ensure there are no underlying issues.
3. _Follow-up ultrasound_: Schedule a follow-up ultrasound in 6-12 months to monitor any changes in kidney size or function.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe symptoms, such as flank pain, hematuria, or fever.
2. _Abnormal kidney function_: If your kidney function tests reveal abnormal results.
3. _Rapid changes in kidney size_: If you notice rapid changes in kidney size or function.

Question 5

Hey, I'm a bit concerned because after masturbating, my foreskin isn't going back up and it's a little swollen underneath. There's no pain, but it's making me a bit anxious. Any advice on what I should do?

Accepted Answer

It sounds like you might be experiencing temporary swelling or tightness in the foreskin after masturbation, which can happen occasionally. If there's no pain or severe discomfort, it should improve on its own. However, if it persists or causes more concern, it's a good idea to consult a healthcare provider for reassurance.

Question 6

I had unprotected sex with a commercial sex worker, and it's been six months since then. I already took an HIV test using the CMIA method at an ICTC, and it came back non-reactive. Is this result 100% conclusive, or should I take another test after a...

Accepted Answer

Since your 6-month HIV tests (CMIA, ICTC, and HIV rapid tests) were non-reactive, these results are considered conclusive and accurate, and you do not need another test at 12 months unless you are experiencing symptoms or have had another exposure. However, if you remain anxious or have concerns, you can consult with a healthcare provider for further reassurance.

Please keep in mind that safe sex practices, including the use of condoms, are important in preventing HIV and other sexually transmitted infections (STIs) moving forward.

Related Questions

I'm kind of worried because my SGPT level is at 240 and my SGOT is 94. Do you think I should take Liv52 and HEP plus tablets for this? Also, what kind of diet should I be following to help manage these levels?

I'm using Vigora 50 whenever I have sex, and I'm wondering if that could be dangerous. Could you let me know if there are any risks involved? If there are, I'd really appreciate some advice on what to do.

I'm 40 years old and I did a blood sugar test last week. My fasting was 124 and my postprandial (pp) was 97. I'm trying to understand why my fasting level is high since I'm not on any diabetes medication. I ran for 40 minutes just before doing this c...

Hey, I'm a bit concerned because after masturbating, my foreskin isn't going back up and it's a little swollen underneath. There's no pain, but it's making me a bit anxious. Any advice on what I should do?

I had unprotected sex with a commercial sex worker, and it's been six months since then. I already took an HIV test using the CMIA method at an ICTC, and it came back non-reactive. Is this result 100% conclusive, or should I take another test after a...

General Physician/ Internal Medicine

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