Question 1

What does trapped gas in chest feel like?

Accepted Answer

Gas pain in the chest can feel like jabbing pains or a general tightness in the middle of the chest area. Other symptoms may include: belching. indigestion

Question 2

I'm a bit worried because I recently found out I have a 3.7mm gall bladder polyp. My doctor told me I don't need further investigations for now and just to check again in six months to see if it grows. But I'm curious about why it might be there in the first place. Should I be doing something more about this now or is it okay to wait?

Accepted Answer

Elevated ALT (SGPT) levels can be a concern.

ALT (SGPT) Levels:

Normal range: 0-40 UL (units per liter)
Your result: 107 UL

Possible Causes:

1. _Liver damage or inflammation_: Elevated ALT levels can indicate liver cell damage or inflammation.
2. _Fatty liver disease_: Non-alcoholic fatty liver disease (NAFLD) or alcoholic liver disease can cause elevated ALT levels.
3. _Medication side effects_: Certain medications, such as statins, antibiotics, or anti-seizure medications, can increase ALT levels.
4. _Other medical conditions_: Thyroid disorders, muscle damage, or other medical conditions can also contribute to elevated ALT levels.

Next Steps:

1. _Repeat the test_: To confirm the results, your doctor may recommend repeating the ALT test.
2. _Liver function tests (LFTs)_: Your doctor may order additional LFTs, such as AST (SGOT), bilirubin, or albumin, to assess liver function.
3. _Imaging tests_: Ultrasound or other imaging tests may be recommended to evaluate liver health.
4. _Consult a hepatologist or gastroenterologist_: If your doctor suspects liver damage or disease, they may refer you to a specialist for further evaluation and guidance.

Lifestyle Changes:

1. _Maintain a healthy weight_: If you're overweight or obese, losing weight can help reduce liver inflammation.
2. _Exercise regularly_: Regular physical activity can improve insulin sensitivity and reduce liver inflammation.
3. _Avoid excessive alcohol consumption_: Limit or avoid alcohol to reduce liver damage.
4. _Eat a balanced diet_: Focus on whole, nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

Question 3

I'm having some really bad backaches at night, and it feels like there's gas building up in my back. When I press certain spots on my back, the gas only seems to release through my mouth, which is really odd. It normally doesn't release otherwise and it's messing with my sleep. This all started happening after I had a C-section. What could be going on? Is there something I can do to fix it?

Accepted Answer

Elevated bilirubin (6.2) with normal MRI suggests a non-obstructive cause.

Possible reasons:

- Hemolysis (red blood cell breakdown)
- Liver dysfunction (e.g., hepatitis, cirrhosis)
- Gilbert's syndrome (benign genetic disorder)
- Medication-induced (e.g., certain antibiotics)

Review your blood test report for:

- Liver enzymes (ALT, AST)
- Hemoglobin and hematocrit
- Direct and indirect bilirubin levels

Consult a hepatologist or gastroenterologist for personalized evaluation and guidance.

It is better to go for ultrasound of abdomen and share reports

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