a baby of 5 months.has biliary atresia, bile flow from the liver to the gallbladder is blocked. is now sent to CMC Vellore for further treatment. patient can bear expenditure of maximum 1 lakh. advice treatment and solution please

hi i have a female friend , she used to to smoke Hookah tobacco for 3 months then suddenly she stopped smoking , now she feels heart pain (heart beats faster ), chest pain (hard to breath and some timed coughs blood ) and back pain when she went to the hospital the doctor said you must stop smoking hookah gradually not stop suddenly so what do u recommend and is it true that this is the only solution for this problem ? or is there some kind of pills or medical solution? i don't her to smoke again cause if she tries again she may be addicted again to hookah tobacco so please i want a better solution then this solution

Hi i am from india. I need advice on complication after tooth extraction. I had oroantral fistula and later it closed spontaneously . The extraction was in nov and i2012 since then my nose is blocked. Can any one advice me what should i do now

sleep apenia , now my question is , is there anything except using cpap machine to fight with sleep apenia Analysis (Flow evaluation period: 7 h 55 min / SpO2 evaluation period: 8 h 1 min) Indices Normal Result AHI*: < 5 / h Average breaths per minute [bpm]: 7.24 RI*: < 5 Breaths: 3441 Apnea index: 58 < 5 / h Apneas: 463 Hypopnea index: 3 < 5 / h Hypopneas: 27 % Flow lim. Br. without Sn (FL): 21 < Approx. 60 Flow lim. Br. without Sn (FL): 706 % Flow lim. Br. with Sn (FS): 16 < Approx. 40 Flow lim. Br. with Sn (FS): 558 Snoring events: 2355. my sleep study today result ...

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

kasai procedure

liver transplantation

aiims hospital