Question 1

Hello doctor I have been facing digestion issues for the past 2 years. Initially I had grade A esophagitis but now it is cured. My digestion problem is almost 80 percent cured but I have noticed that almost every day I feel vibration and bloating in my stomach especially around 1 30 AM to 3 AM. This does not happen if I am not sleeping. I also have fatty liver. My weight is 68 kg and height is 151 cm. Please review my report and let me know if this is a serious issue or not? Thank you in advance.

Question 2

Can someone please help explain the findings in my attached medical report? I am a 4 year post renal transplant patient, currently also managing diabetes mellitus. I have been on MDR TB treatment for some time now. Over the past week, I have been experiencing constant stomach pain and bloating. I have only had gastric issues once before this episode.

Question 3

I received my blood test report. My cholesterol was high at 211, LDL was 153, HDL was 36, vitamin D was less than 10.5 (normal 75 to 110), and B12 was 320. I was given 60k vitamin D capsules weekly. After the third week, I started experiencing dizziness and discomfort on the right side of my abdomen. My liver and kidney panel were normal, but ALT was 71 (normal 30 to 65). My bowel movements are fine, but I have bloating most of the time, and my abdomen feels tight like a tyre, which is very uncomfortable. I am worried, but my physician said my liver and kidneys are fine and it may be just gas. He asked me to continue the vitamin D tablets and take an antacid in the morning. What should I do? Can I take magnesium supplements too, as I read that vitamin D requires magnesium? My right knee hurts a lot while coming down the stairs, and I also have muscle cramps. My major issue is lower abdomen bloating and dull pain below the lower ribs on the right side.

My SGPT is 25, SGOT is 19, and alkaline phosphatase is 371. Bilirubin is 3.03. What could be the reason for high alkaline phosphatase? I have attached my report. If gallstones are the reason, what could be their size according to the report?

High ALP suggests a bile duct obstruction which could be suggestive of gallstones. For determining the size of the gallstone we need to perform GGT, USG Abdomen and liver functions test to find out the underlying cause.

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