Question 1

I'm really worried because my SGPT level is 147. Could you please tell me what I should do next? What kind of medicine or treatment would you recommend for this?

Accepted Answer

Visit your Physician for evaluation and appropriate management

Question 2

I'm 23 and I've been dealing with constipation for the past six months, even though I eat well. I saw a gastroenterologist and followed their treatment plan, but the relief was only temporary and the issue keeps coming back. I take Meftal Spas for my period pain and read somewhere that this medication might affect bowel movements. Could that be causing my constipation? I also feel lazy all the time and have a thyroid problem. What should I do about this?

Accepted Answer

Meftal Spas, which contains dicyclomine and paracetamol, can indeed cause constipation as a side effect. To help with your constipation, you can try taking a stool softener like Duphalac (Lactulose) 15-30 ml once daily at night. Additionally, increasing your fiber intake with a supplement like Metamucil (Psyllium) 1 tablespoon mixed with water once or twice daily can also be beneficial. Make sure to drink plenty of water throughout the day and stay physically active. If your symptoms persist, it's important to consult with your doctor for further evaluation and management of your constipation.

Question 3

I've been dealing with GERD for 4 years and my gastroscopy showed a 40cm hiatus hernia. I constantly feel nauseous with a lump in my throat, and my stress levels are through the roof. Would surgery actually fix my GERD issues? I'm really hesitant about getting that 24hr pH metry test it sounds like it would be awful to go through. How bad is it really?

Accepted Answer

U need a proper assessment by a surgeon,, of your symptoms clinically to establish volume reflux and Gerd.. Gastro scopy has told that you hav a hiatus Hernia.. There is no need of 24 hr pH metry if you symptoms match with your gastroscopy.. What you need is esophageal manometry... A small miniature tube... 1/10 of size of endoscopy tube... Which you already hav gone through.. That wil establish whether you require surgery called Lap fundoplication and how much you will benefit from it. normally.. Of my pts who hav underwent this surgery... Those who had volume reflux did the best from surgery.

Is it OK to take baking soda every day?

No. Excess intake leads to acidity.

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I'm really worried because my SGPT level is 147. Could you please tell me what I should do next? What kind of medicine or treatment would you recommend for this?

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