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Suggest Treatment For Lower Abdominal Pain, Lower Back Pain And Acidity
Question: Please check my recently tested report and suggest me the probem and solution - I have pain in my both side lower abdoman back side and so much acidity from last 2weeks. (not is it due to lifestyle problem or something else)
Below are my High Low report content -- rest part are normal.
Please let me know if i have any problem in my body on which i need to take care.
MEAN PLATELET VOLUME 13.6 High 6.8 10.9 fL
AST/SGOT - 52 High 15 37 U/L
ALT/SGPT - 102 High < 45.0 U/L
HYDROXYVITAMIN-D 18.68 Low
VITAMIN B12 <150.0 Low 197 771 pg/mL
HDL CHOLESTEROL 34 < 40 Low
NON HDL CHOLESTEROL 131 High
CHOL/HDL RATIO 4.9 High
URIC ACID 7.5 High 3.5 7.2 mg/dL
SODIUM 133 Low 136 145 mmol/L
TOTAL IGE 453.3 High
Normal report ---
GLYCOSYLATED HEMOGLOBIN (HBA1C) 5.3 Nondiabetic: < 5.7 - OK
LIVER FUNCTION PROFILE, SERUM
BILIRUBIN, TOTAL 0.75 0.2 1.0
mg/dL
METHOD : DIAZO METHOD
BILIRUBIN, DIRECT 0.20 0.0 0.2 mg/dL
TOTAL PROTEIN 7.7 6.4 8.2 g/dL
ALBUMIN 4.2 3.4 5.0 g/dL
GLOBULIN 3.5 2.0 4.1 G/DL
ALBUMIN/GLOBULIN RATIO 1.2 1.0 2.1 RATIO
ALKALINE PHOSPHATASE 101 30 120 U/L
LACTATE DEHYDROGENASE 156 100 190 U/L
CALCIUM 9.5 8.5 10.1 mg/dL
CHOLESTEROL 165 < 200 Desirable
TRIGLYCERIDES 123 < 150 Normal
DIRECT LDL CHOLESTEROL 113 ,,,100 to 129 Near or above optimal
VERY LOW DENSITY LIPOPROTEIN 24.6
BLOOD UREA NITROGEN 11 6 20 mg/dL
CREATININE 0.96 0.90 1.30 mg/dL
BUN/CREAT RATIO 11.46 5.00 15.00
TOTAL PROTEIN 7.7 6.4 8.2 g/dL
ALBUMIN 4.2 3.4 5.0 g/dL
GLOBULIN 3.5 2.0 4.1 g/dL
Below are my High Low report content -- rest part are normal.
Please let me know if i have any problem in my body on which i need to take care.
MEAN PLATELET VOLUME 13.6 High 6.8 10.9 fL
AST/SGOT - 52 High 15 37 U/L
ALT/SGPT - 102 High < 45.0 U/L
HYDROXYVITAMIN-D 18.68 Low
VITAMIN B12 <150.0 Low 197 771 pg/mL
HDL CHOLESTEROL 34 < 40 Low
NON HDL CHOLESTEROL 131 High
CHOL/HDL RATIO 4.9 High
URIC ACID 7.5 High 3.5 7.2 mg/dL
SODIUM 133 Low 136 145 mmol/L
TOTAL IGE 453.3 High
Normal report ---
GLYCOSYLATED HEMOGLOBIN (HBA1C) 5.3 Nondiabetic: < 5.7 - OK
LIVER FUNCTION PROFILE, SERUM
BILIRUBIN, TOTAL 0.75 0.2 1.0
mg/dL
METHOD : DIAZO METHOD
BILIRUBIN, DIRECT 0.20 0.0 0.2 mg/dL
TOTAL PROTEIN 7.7 6.4 8.2 g/dL
ALBUMIN 4.2 3.4 5.0 g/dL
GLOBULIN 3.5 2.0 4.1 G/DL
ALBUMIN/GLOBULIN RATIO 1.2 1.0 2.1 RATIO
ALKALINE PHOSPHATASE 101 30 120 U/L
LACTATE DEHYDROGENASE 156 100 190 U/L
CALCIUM 9.5 8.5 10.1 mg/dL
CHOLESTEROL 165 < 200 Desirable
TRIGLYCERIDES 123 < 150 Normal
DIRECT LDL CHOLESTEROL 113 ,,,100 to 129 Near or above optimal
VERY LOW DENSITY LIPOPROTEIN 24.6
BLOOD UREA NITROGEN 11 6 20 mg/dL
CREATININE 0.96 0.90 1.30 mg/dL
BUN/CREAT RATIO 11.46 5.00 15.00
TOTAL PROTEIN 7.7 6.4 8.2 g/dL
ALBUMIN 4.2 3.4 5.0 g/dL
GLOBULIN 3.5 2.0 4.1 g/dL
Brief Answer:
Acid peptic disorder poorly managed.
Detailed Answer:
Hi,
Some points before answering your query are-
Liver function tests should be elevated minimum three times the upper normal value for having any dignificance.
Mild to moderate derangements or variations of numbers have no significance.
Vitamin d and b12 are low(common in 70% indians).
Uric acid is mildly elevated.
Rx
Tab vitamin D cholecalciferol 60 k once a week for 8 weeks followed by once a month for 2 months.
Cap Mycobal 1500mcg(b 12) once daily for 3 months.
Tab zyloric 100 mg once daily for 3 months.
Now lets move to treatment of your primary problem acid peptic disorder.
Esomeprazole can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.
An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily.
Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastro-esophageal reflux in healthy adults.
All these drugs should be given by your gastroenterologist to provide you with relief in your problem.
General precautions-
Don't sleep immediately after eating, wait for at least two hours before you go to bed
Avoid spicy foods as they tend to aggravate symptoms of dyspepsia
Space out your meals, eat multiple smaller meals instead of few large ones
Restrict smoking and alcohol consumption
Hope i answered your query in details and hope you understood my explanation.
In case you have more doubts feel free to ask
Acid peptic disorder poorly managed.
Detailed Answer:
Hi,
Some points before answering your query are-
Liver function tests should be elevated minimum three times the upper normal value for having any dignificance.
Mild to moderate derangements or variations of numbers have no significance.
Vitamin d and b12 are low(common in 70% indians).
Uric acid is mildly elevated.
Rx
Tab vitamin D cholecalciferol 60 k once a week for 8 weeks followed by once a month for 2 months.
Cap Mycobal 1500mcg(b 12) once daily for 3 months.
Tab zyloric 100 mg once daily for 3 months.
Now lets move to treatment of your primary problem acid peptic disorder.
Esomeprazole can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.
An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily.
Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastro-esophageal reflux in healthy adults.
All these drugs should be given by your gastroenterologist to provide you with relief in your problem.
General precautions-
Don't sleep immediately after eating, wait for at least two hours before you go to bed
Avoid spicy foods as they tend to aggravate symptoms of dyspepsia
Space out your meals, eat multiple smaller meals instead of few large ones
Restrict smoking and alcohol consumption
Hope i answered your query in details and hope you understood my explanation.
In case you have more doubts feel free to ask
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks a lot Doctor...
Just wanted to understand do I need to take any more medicine or test (or it is already in your suggested medicine list for Liver and Kidney problem that report is showing.
Any special care required to avoid such problem and cure the problem shown in report.
Also, wanted to understand the allergy has very high value i.e. TOTAL IGE 453.3 High (normal is 100). any medicine for this.
how can I know the allergy details like with whom i have allergy. due to allergy very often i face swelling in my right lower eyes and dry mouth.
also I always face itching in throat and after trying bulgum comes out and then for few hours i feel relaxed, mostly face this problem in morning.
Please let me know if any other test required for further analysis (if required)
Any food to avoid, i hope my blood sugar is normal.
I don't smoke and take alcohol (never taken).
Just wanted to understand do I need to take any more medicine or test (or it is already in your suggested medicine list for Liver and Kidney problem that report is showing.
Any special care required to avoid such problem and cure the problem shown in report.
Also, wanted to understand the allergy has very high value i.e. TOTAL IGE 453.3 High (normal is 100). any medicine for this.
how can I know the allergy details like with whom i have allergy. due to allergy very often i face swelling in my right lower eyes and dry mouth.
also I always face itching in throat and after trying bulgum comes out and then for few hours i feel relaxed, mostly face this problem in morning.
Please let me know if any other test required for further analysis (if required)
Any food to avoid, i hope my blood sugar is normal.
I don't smoke and take alcohol (never taken).
Brief Answer:
follow up.
Detailed Answer:
Hello,
First and the foremost thing is start exercising 6 days a week for minimum of 1 hour daily.
It should include 15 minutes cardio session(running) and 30 minutes of mild weight training.
In three months this would cause a paradigm shift in your overall health status.
Medicine is a last resort treatment though due to heavy income through pharma companies from last it has moved to first.
In a 35 years old young man for liver dylipidimia and kidney my only suggestion for next three months is do exercise and just try to change few things in your diet like firstly change all whites from brown...eg include brown rice in place of white rice.Brown bread for white,Take unsalted peanut butter in place of ghee...Eat a plate of veggies salad daily.Take your last meal before 9 p.m.Avoid all c...like cream cheese etc.
In 3 months every thing would be fine.
Medicines once started is a life long thing...only the doses will keep increasing.
For allergy take tab allegra 180 mg once daily.
Allergy test can be done to know to which products is your body allergic.Can be done at any lab.
No test required except allergy test rather focus on lifestyle modification...Repeat tests after 60 days every thing would be fine.
I can also suggest you a bag of medicines but as told earlier you are young and medicine is a last resort policy for you.
Try minor changes as suggested and you will be fine.
Thank you.
follow up.
Detailed Answer:
Hello,
First and the foremost thing is start exercising 6 days a week for minimum of 1 hour daily.
It should include 15 minutes cardio session(running) and 30 minutes of mild weight training.
In three months this would cause a paradigm shift in your overall health status.
Medicine is a last resort treatment though due to heavy income through pharma companies from last it has moved to first.
In a 35 years old young man for liver dylipidimia and kidney my only suggestion for next three months is do exercise and just try to change few things in your diet like firstly change all whites from brown...eg include brown rice in place of white rice.Brown bread for white,Take unsalted peanut butter in place of ghee...Eat a plate of veggies salad daily.Take your last meal before 9 p.m.Avoid all c...like cream cheese etc.
In 3 months every thing would be fine.
Medicines once started is a life long thing...only the doses will keep increasing.
For allergy take tab allegra 180 mg once daily.
Allergy test can be done to know to which products is your body allergic.Can be done at any lab.
No test required except allergy test rather focus on lifestyle modification...Repeat tests after 60 days every thing would be fine.
I can also suggest you a bag of medicines but as told earlier you are young and medicine is a last resort policy for you.
Try minor changes as suggested and you will be fine.
Thank you.
Above answer was peer-reviewed by :
Dr. Prasad
Dear Dr.
Thanks a lot for your great suggestions. I will surly follow your suggestion.
What ever medicines you have suggested above will start as of now, but will continue my exercise (not sure for 1 hour, but for 30 mins sure) may be will increase in few days.
I do exercise (running in morning) but not regular, If I run in morning for 5 mins, i get tired very soon, is it due to above impact for continuity issue. do you think any tread mill test is required to me.
Is it good if I run in evening around 7:30 PM.
Thanks a lot for your suggestions.
In addition to above details ,
Kindly review and confirm the below medicine details and duration, so that i can buy and start taking as per prescribed by doctor (in addition to excercise)--
1. tab allegra 180 mg - once daily - 3 month
2. Cap Mycobal 1500mcg(b 12) - once daily for 3 months.
3. Tab zyloric 100 mg - once daily for 3 months.
4. Esomeprazole 80 mg - twice daily - 1 month weeks
5. Domperidone 30mg or Levosulpiride(both are prokinetic) - once daily 3 month
6. Acotiamide - 100mg thrice daily - 3 month
7. Tab vitamin D cholecalciferol 60 k - 1tab/week for 8 weeks -- 1tab/month - 2 months
8. Antacid (Mucaine gel ) - 2 tsf thrice daily.
Hope i will get all these medicines easily on medical shop.
Thanks a lot for your great suggestions. I will surly follow your suggestion.
What ever medicines you have suggested above will start as of now, but will continue my exercise (not sure for 1 hour, but for 30 mins sure) may be will increase in few days.
I do exercise (running in morning) but not regular, If I run in morning for 5 mins, i get tired very soon, is it due to above impact for continuity issue. do you think any tread mill test is required to me.
Is it good if I run in evening around 7:30 PM.
Thanks a lot for your suggestions.
In addition to above details ,
Kindly review and confirm the below medicine details and duration, so that i can buy and start taking as per prescribed by doctor (in addition to excercise)--
1. tab allegra 180 mg - once daily - 3 month
2. Cap Mycobal 1500mcg(b 12) - once daily for 3 months.
3. Tab zyloric 100 mg - once daily for 3 months.
4. Esomeprazole 80 mg - twice daily - 1 month weeks
5. Domperidone 30mg or Levosulpiride(both are prokinetic) - once daily 3 month
6. Acotiamide - 100mg thrice daily - 3 month
7. Tab vitamin D cholecalciferol 60 k - 1tab/week for 8 weeks -- 1tab/month - 2 months
8. Antacid (Mucaine gel ) - 2 tsf thrice daily.
Hope i will get all these medicines easily on medical shop.
Brief Answer:
Follow up answer.
Detailed Answer:
Hello,
Yes you can run any time you are comfortable running.
As you will make exercising a habit your stamina would increase.
1. tab allegra 180 mg - once daily - 3 month
2. Cap Mycobal 1500mcg(b 12) - once daily for 3 months.
3. Tab zyloric 100 mg - once daily for 3 months.
4. Esomeprazole 40 mg - twice daily - 1 month
5. Domperidone 30mg or Levosulpiride(both are prokinetic) - once daily 1 month
6. Acotiamide - 100mg thrice daily - 3 month
7. Tab vitamin D cholecalciferol 60 k - 1tab/week for 8 weeks -- 1tab/month - 2 months
8. Antacid (Mucaine gel ) - 2 tsf thrice daily.
I have corrected it please check.
You will get it at any pharmacy all are common medicines.
Thanks
Follow up answer.
Detailed Answer:
Hello,
Yes you can run any time you are comfortable running.
As you will make exercising a habit your stamina would increase.
1. tab allegra 180 mg - once daily - 3 month
2. Cap Mycobal 1500mcg(b 12) - once daily for 3 months.
3. Tab zyloric 100 mg - once daily for 3 months.
4. Esomeprazole 40 mg - twice daily - 1 month
5. Domperidone 30mg or Levosulpiride(both are prokinetic) - once daily 1 month
6. Acotiamide - 100mg thrice daily - 3 month
7. Tab vitamin D cholecalciferol 60 k - 1tab/week for 8 weeks -- 1tab/month - 2 months
8. Antacid (Mucaine gel ) - 2 tsf thrice daily.
I have corrected it please check.
You will get it at any pharmacy all are common medicines.
Thanks
Above answer was peer-reviewed by :
Dr. Kampana
Thanks a lot doctor...
Appreciate your support...
Appreciate your support...
Brief Answer:
Follow up answer.
Detailed Answer:
Wish you a good health.
Do rate the answer.
Suggestion for making answer better are welcome.
Thanks!
Follow up answer.
Detailed Answer:
Wish you a good health.
Do rate the answer.
Suggestion for making answer better are welcome.
Thanks!
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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