Hello Doctor, I am 25 years old and my sgpt/sgot levels are 191/186..also, i feel abnormal gas pressure in the morning..n throughout the day..do they have any connection n do i need to see a doc urgently?? I am a pure vegetarian, I drink alcohol occasionally though.. Fried n fatty food has been a part of my routine..

My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi Puneet, Every time i eat something i have this inflammatory sensation in my throat that's kind of very uncomfortable. I cannot eat spicy food at all these days. Every time i eat junk food like burgers or Pizza or KFC, i end up having problem with my stomach (stomach upset mostly). This problem started since 2010 when i was doing night shifts for my company. There was a time when i did graveyard shift for 3 consecutive weeks. I stopped doing night shifts after i had problems with my stomach. I have a very tough time in finding food of my taste here. I generally prefer salads and bland food. Fruits rich in alkaline level tend to help me a lot. I'm not married yet, so its very difficult for me to find such food everywhere especially at my workplace. I consume alcohol every weekend but next day morning i end up having acidity. So i have to take ENO (fruit salt) to feel better. This has been the case since 3 years now. The only food which suits me is Bland food and fruits (especially the ones rich in alkaline level). I would really appreciate your help with this. Thanks!

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.

my bilirubin (total) is found 0.97 mg/dl, bilirubin direct is found 0.33 mg/dl, SGOT is found 41 iu/l, SGPT is found 80.9 iu/l, alkaline phosphatase is found 101 iu/l & albumin is found 4.2 gm/dl after going through a liver functioning test. I am very much worried about the SGPT count which came abnormal. i do not take regular alcohol, but i do take some medicines like norflox tz or ciprowin tz whenever i came across stomach upsets. Sir, please suggest me what should i do now and shall it be dangerous that the count came abnormal? please help.

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

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