Question 1

I'm a bit worried about my bilirubin levels since I noticed some mild variations in my latest report. Could you take a look at my results attached here? My total bilirubin is 1.53, with a direct bilirubin of 0.3 and an indirect level of 1.23. Also, my AST (SGOT) is 53 and AST (SGPT) is 77. Is this something to be concerned about, or is it within normal ranges?

Accepted Answer

Pimples or small bumps on the urethra can be caused by:

Meatitis (inflammation of the urethral opening)
Urethral irritation or allergic reactions
Folliculitis (infected hair follicles)
Sexually transmitted infections (STIs) like herpes or HPV
Poor hygiene or tight clothing

Consult a urologist or a dermatologist for a proper diagnosis and treatment.

Question 2

I'm dealing with frequent burping throughout the day, like around 100 times. It's been going on for about a year now, and it's not just after meals. I even burp after just drinking water. Plus, my stomach seems to be getting bigger, even though I'm normally a skinny guy. It really worries me. Do you know what could be causing this or how I can stop it?

Accepted Answer

Possible Causes_

1. *Hypnic jerk*: A common, harmless condition causing sudden, brief contractions of the muscles.
2. *Tic or movement disorder*: Conditions like Tourette's syndrome or dystonia can cause repetitive, involuntary movements.
3. *Neurological conditions*: Certain conditions, such as Parkinson's disease, multiple sclerosis, or peripheral neuropathy, can cause sudden jerks or movements.
4. *Muscle spasms*: Tight muscles or muscle fatigue can lead to sudden jerks.
5. *Caffeine or medication side effects*: Excessive caffeine consumption or certain medications can cause muscle twitching or jerking.

_Recommendations_

1. *Consult a neurologist*: Schedule an appointment to evaluate the cause of the sudden jerks.
2. *Keep a symptom journal*: Record the frequency, duration, and characteristics of the jerks to share with your doctor.
3. *Get a thorough medical examination*: Rule out underlying medical conditions that may be contributing to the sudden jerks.
4. *Manage stress and fatigue*: Engage in stress-reducing activities, like meditation or yoga, and prioritize getting enough sleep.
5. *Avoid excessive caffeine and sugar*: Reduce or avoid consuming excessive caffeine and sugar, which can exacerbate muscle twitching.

Question 3

I'm a bit concerned about my recent liver test results. It says my liver is slightly enlarged at 14.8 cm, and there's a grade 3 diffuse fatty change. It mentions mild hepatomegaly with fatty liver, but the tests for Hepatitis A and C came back negative. My liver enzyme levels are SGOT 46.5, SGPT 91.5, and Gamma GT 97.1. I'm not a drinker, so that's not a factor. Could you help me understand what all this means for my health and what steps I should take next?

Accepted Answer

Meprate (Medroxyprogesterone) for Inducing Periods

_Expected Outcomes_

1. _Scanty periods initially_: It's common to experience light or scanty periods after taking Meprate, especially if you've had irregular or absent periods.
2. _Gradual improvement_: Your periods may become heavier and more regular over time.

_Factors Influencing Outcome_

1. _Hormonal imbalance_: Underlying hormonal imbalances can affect the response to Meprate.
2. _Dosage and duration_: The dosage and duration of Meprate treatment can impact the outcome.
3. _Individual response_: Everyone's body responds differently to hormonal treatments.

_Recommended Next Steps_

1. _Consult your gynecologist_: Discuss your symptoms, treatment, and expectations with your doctor.
2. _Wait for 2-3 cycles_: Allow your body to adjust to the hormonal treatment, and monitor your periods for improvements.
3. _Consider further evaluation_: If your periods remain scanty or irregular, your doctor may recommend further evaluation, such as hormonal tests or ultrasound.

_Possible Additional Treatments_

1. _Hormonal therapies_: Your doctor may prescribe additional hormonal treatments to support regular ovulation and menstruation.
2. _Lifestyle modifications_: Maintaining a healthy weight, following a balanced diet, and managing stress can help regulate your menstrual cycle.

What does trapped gas in chest feel like?

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

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