Question 1

I've just found out that my SGOTSGPT ratio is 2.3, and I read that it should be somewhere between 0.7 and 1.4. I'm really concerned about what this means for my health. Can you tell me what kind of treatment I might need? Are there specific foods I should steer clear of, and should I stop drinking alcohol entirely? How serious is this ratio for my liver? Also, I've got a vitamin D level of 14.21 ngml. Is that something to worry about?

Accepted Answer

A high SGOTSGPT ratio can indicate liver damage. To help lower your ratio and support your liver health, you can take Ursodeoxycholic acid (UDCA). Additionally, you should avoid fatty and fried foods, processed foods, and excessive sugar intake. It is advisable to limit or avoid alcohol consumption as it can further damage the liver. With a ratio of 2.3, it is concerning and indicates potential liver issues that need to be addressed. It is important to follow up with your healthcare provider for further evaluation and monitoring. Your low vitamin D level of 14.21ngml also needs attention, and you can take Vitamin D3 supplements 1000 IU daily to improve your levels.

Question 2

I've been dealing with really bad breath for a while now and just don't know what to do. My dentist checked and said there's nothing wrong with my mouth, but the bad breath is still there even after I brush. I brush three times a day, use mouthwash, and everything, but the smell just doesn't go away. It's super embarrassing when people keep their distance or cover their noses. Even when I'm a few meters away, they cover their mouths. It makes me feel so left out and embarrassed. Can you help me figure out what might be causing this?

Accepted Answer

It sounds like you may be experiencing chronic bad breath, also known as halitosis. In cases where oral hygiene practices are not resolving the issue, it's important to consider other factors that could be causing the bad breath. One common cause of persistent bad breath is gastrointestinal issues such as acid reflux or gastritis. I recommend trying over-the-counter medication like Omeprazole (Prilosec) 20mg once daily before breakfast for 2 weeks to see if it helps improve your symptoms. Additionally, you can try using a tongue scraper to clean your tongue, as bacteria on the tongue can contribute to bad breath. If the bad breath persists despite these measures, it would be advisable to consult with a gastroenterologist for further evaluation and management.

Question 3

I've been dealing with hard stools and recently got a painful pimple in my butt crack that hurts every time I use the toilet. It went away after about two weeks but seems to have come back after a month. I drink a cup of coffee daily and I've been doing this for the past 8 years. Could coffee be causing this issue? I also have seasonal allergies and have been taking levocetirizine 5mg daily for about 3 years. Could either of these be contributing to my problems?

Accepted Answer

The recurring painful pimple in the butt crack, accompanied by hard stools, could be related to anal fissures, hemorrhoids, or perianal abscesses, potentially exacerbated by chronic constipation, straining during bowel movements, or irritation from coffee consumption; levocetirizine may also contribute to dry, hard stools, so consider consulting a gastroenterologist

Given the large gallstone (15mm), symptoms, and high blood sugar, a cholecystectomy (gallbladder removal) is generally recommended for your mother. While homeopathy and Ayurveda can offer complementary therapies, they are not a replacement for conventional medical treatment.

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