Question 1

I'm looking at some of my recent blood work results, and I'm a bit unsure about what they mean. My total bilirubin level is 1.6, direct bilirubin is 0.3, and indirect bilirubin is 1.3. Everything else in my liver tests came back normal, but I'm still concerned if these bilirubin numbers could indicate any health issues. Could you help me understand if there's anything to worry about?

Accepted Answer

Your bilirubin levels are slightly elevated, primarily due to indirect bilirubin. This could indicate mild liver function changes, hemolysis, or Gilbert's syndrome if you feel well otherwise. Monitor symptoms and consult a doctor for further evaluation if needed.

Question 2

I've had a few tests recently and I'm a bit concerned about my liver results. I got tested on March 16th and my SGOT was normal, but my SGPT was at 83.5, and my platelets were 79000. When I tested again on March 17th, the SGOT was still normal, but the SGPT went up to 87.8. I just had another test on March 19th. I've been trying to manage things by drinking 23 liters of water and taking some supplements like Liver 52, Gaumulive, and papaya leaf extract. Could you help me understand these results, and if there's something else I should be doing to lower the SGPT level?

Accepted Answer

Based on your test results, Munish, your SGPT (ALT) levels are elevated (83.5 and 87.8), indicating liver inflammation or damage, while your SGOT (AST) levels are normal; your platelet count is also low (79,000); continuing to stay hydrated with 2-3 liters of water and taking Liver 52, Gaumulive, and Papaya leaf extract may be helpful; however, consult your doctor to discuss the test results, potential underlying causes, and adjust your treatment plan accordingly.

Question 3

I'm really struggling with a mouth ulcer that's been bothering me for a week now and the pain's becoming unbearable. I first tried smily cream for a couple of days but it didn't help at all. Then a friend gave me some kenacort gel and I've been using that for a couple of days along with taking a B complex capsule. Just today, an MBBS friend of mine suggested I try pantop 40 and BBiotic capsule, plus apply zytee gel. I started this new treatment tonight, on the 15th of September. Is there anything else you would recommend? I've never had an ulcer last this long, usually it gets better within a day or two. The pain's really affecting my ability to eat and now my stomach's been off too. I'm just wondering if there's a better way to tackle this.

Accepted Answer

Excessive Belching (Burping)_

1. _Swallowing air_: Gulping down food, drinking carbonated beverages, or eating too quickly can lead to swallowing air, which contributes to belching.
2. _Digestive issues_: Conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or small intestine bacterial overgrowth (SIBO) can cause excessive belching.
3. _Food intolerance_: Lactose intolerance, gluten sensitivity, or fructose malabsorption can lead to belching, bloating, and discomfort.
4. _Hormonal changes_: Hormonal fluctuations during menopause, pregnancy, or thyroid disorders can affect digestion and lead to belching.

_Stomach Protrusion (Protruding Abdomen)_

1. _Visceral fat accumulation_: Excess fat around the abdominal organs can cause the stomach to protrude.
2. _Muscle weakness_: Weak abdominal muscles can contribute to a protruding abdomen.
3. _Digestive issues_: Conditions like ascites, hernias, or intestinal obstruction can cause abdominal swelling.

_Recommendations_

1. _Consult a gastroenterologist_: Schedule an appointment to discuss your symptoms and determine the underlying cause.
2. _Dietary changes_: Avoid trigger foods, eat smaller meals, and incorporate low-FODMAP foods to alleviate digestive discomfort.
3. _Probiotics and digestive enzymes_: Consider adding probiotics and digestive enzymes to support gut health and digestion.
4. _Exercise and physical activity_: Engage in regular exercise, such as core strengthening and aerobic activities, to improve overall health and reduce visceral fat.
5. _Manage stress_: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises to help alleviate digestive issues.

Visit your Physician for evaluation and appropriate management

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