Physical examination Quantity. 1.5ml Colour:pale whitish Viscosity: Normal Microscopic Examination Sp count 29 millions/ml Sp motility 70% Motility details Active motile 60% Sluggishly motile 10% Dead sperms 30% Morphology Normal 70% Abnormal 30% Abnormal spermatozoa Pin headed %12 Bifid headed. 08% Amorphous headed 10% Pus cells 03 to 04

GERD. It has been on and off since 2008. The condition worsened last month in Jan 2013 and I could hardly swallow any solid food. It just gets stuck in the throat and feel like I am choking till I push the food down with water. Liquids and semi solid foods are ok. The doctors did Nasal Endoscopy, Normal Gastro Endoscopy, Esopheagal Manometry, Barium Swallow X-Ray and all tests came up normal. I was told the swallowing problem is primarily related to GERD and I was advised Cintapro 1 mg tablet for 1 month. So far as I take the tablet, I am able to take in selected solid foods fine, but not all foods. If I do not take this tablet for one day, the problem recurrs back. Question 1: How long will this motility disorder be related to GERD ? Question 2: Are there any side effects of taking this Cintapro 1 mg to help in motility on a long term basis (Say if I need to take this for some more time) Questionj 3: Are there any other tests that will show the proper reason for this motility disorder of the esophaegus (Apart from Esopheagal Manometry, Gastro Endoscopy, Barium Swallow X-Ray) etc.

My two semen analysis report 1. Colour white time of liquification 60 min volume 1.5 viscosity higly viscous reaction alakline fructose positive sperm count 160 million/ml motility actively motile 60% sluggish 20% dead 20% pus cell 0 to 2 p.h.f second report shows Count 40mi/ml, viscosity +2, motility 50%pus cell +2 debris +2 aggulation +1 morphology normal plz gibe me suggestion

1. My grand daughter 2 yrs of age having severe lose motion or diarrhea for the last 4 days and passing watery yellowish stool every 5 to 10 minutes. Had slight temperature max 101.5 Deg F, for the first two days. Now there is no temperature. 2. She is being hydrated and has been passing urine occasionally. She is 11kg by weight. 3. Urine and stool tests have been carried out. There is no infection. 4. Urine : Albumin- Trace, Ketone Bodies-Present +, Red Bllod Cells-Absent, Puss Cell-4-5/HPF, Epithelial Cells-2-3/HPF 5. Stool: reducing substances- Present +, Puss cells – 2-3/HPF, Epithelial cells-Occasional. (Oval Cysts not seen) 6. Local doctor says she will be all right but her watery stool continues unabated and we are extremely worried. She is losing her body weight and becoming cranky. Her skin around anus has become swollen & reddish. 7. She has been put on liquid O2 Suspension from today (Ofloxacin and Orindazole) 8. Please let us know: a. How can we stop the lose motion of such high frequency. b. Is O2 has some side effect? Do you suggest any other medicine c. Is it normal that such watery stool can continue for such log time? d. Please advice what should be done now.

Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

What is the meaning of my urinalysis result? "Microscopy" Physical Characteristic: color- yellow transparency- SL. Turbid reaction- acidic ph- 6.0 specific gravity- 1.030 Chemical Test: albumin- trace sugar- negative Microscopic Findings: rbc- 36-40/HPF pus cells- 9-14/HPF epithelial cells- few bacteria- few amorphous urates/phosphate- few mucus threads- 1+

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