Question 1

I'm dealing with this chronic pain under my left rib cage, and it seems to act up mostly when I sleep on my left side. The pain isn't unbearable, but it's happening quite frequently. I also feel like the area beneath my left and right rib cages don't feel the sameis this normal? I remember getting hit by a cricket ball there as a kid. Could that have something to do with it? What might be going on?

Accepted Answer

The chronic pain under your left rib cage, exacerbated by sleeping on your left side, could be related to a possible rib injury or fracture from the childhood cricket ball incident, leading to conditions like costochondritis, intercostal neuralgia, or rib tip syndrome; consult orthopaedician

Question 2

I've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.

Accepted Answer

Udiliv 300 for Altered Liver Enzymes

_Safety and Efficacy_

1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow.
2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations.
3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include:
    - Hepatotoxicity (rare)
    - Increased risk of liver cancer (theoretical)

_Precautions and Monitoring_

1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity.
2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects.
3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health.

_Alternative Options_

1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist.
2. _Lifestyle modifications_: Implement lifestyle changes, such as:
    - Maintaining a healthy weight
    - Exercising regularly
    - Eating a balanced diet
    - Avoiding hepatotoxic substances (e.g., excessive alcohol)

_In Conclusion_

While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.

Question 3

I had pile surgery last year and it's been a year now but whenever I eat or drink water, my stomach bloats up like a balloon. Sometimes it's hard to pass gas and stools don't come out easily either. My chest also feels tight. Is this happening because of indigestion or a gas problem? Could you suggest any Ayurvedic medicine for this?

Accepted Answer

Consultant BAMS DR

What does trapped gas in chest feel like?

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

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