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What Do My Lab Test Reports Indicate?
Question: Dr. Mazumdar, I hope you you would guide me in my disease. Post LUCS ( November 2015), me suffering from pain in U/A since last 2 months with vomiting tendency and yellow colou urine. As per reports attached me detected with Cholecystitis with Cholelithiasis along with mild GB Wall Thickening at the same time my Bilirubin Total is 1.63 which i guess is slightly on higher side. At present i am breastfeeding my 3.5 months daughter, does my high Bilirubin would also lead my daughters bilirubin high? ( at the time of birth her bilirubin was in normal range).
Secondly Should i go for conservative management treatment like Antibiotics, Approriate Pain Killers ( For my Gas Attack Problems Sometimes) & Gall Bladder Stone Dissolvers. Kindly guide me is it very urgent for me to go for operation or should I opt for medicine treatment, if so can you please suggest me antibiotics name along with pain killers and medicine as GB Stone Dissolvers. Do I need to check my ESR and WBC for Antibiotics Treatment?
Secondly Should i go for conservative management treatment like Antibiotics, Approriate Pain Killers ( For my Gas Attack Problems Sometimes) & Gall Bladder Stone Dissolvers. Kindly guide me is it very urgent for me to go for operation or should I opt for medicine treatment, if so can you please suggest me antibiotics name along with pain killers and medicine as GB Stone Dissolvers. Do I need to check my ESR and WBC for Antibiotics Treatment?
Brief Answer:
SURGERY CAN BE PLANNED
Detailed Answer:
Hello,
Thank you for the query.
As I understand you are suffering from Acute on chronic cholecystitis with Cholelithiasis (stone in the gall bladder duct) leading to acutely raised liver enzymes. The GB wall thickening says that the problem was long standing and is precipitated now because of other reasons.
Let me directly answer your questions.
At present i am breastfeeding my 3.5 months daughter, does my high Bilirubin would also lead my daughters bilirubin high? ( at the time of birth her bilirubin was in normal range).
NO, YOU CAN BREAST FEED YOUR BABY WITH THESE BILIRUBIN LEVELS. the Bilirubin is not excreted via breast milk.
Secondly Should i go for conservative management treatment like Antibiotics, Approriate Pain Killers ( For my Gas Attack Problems Sometimes) & Gall Bladder Stone Dissolvers.
SURGERY IS A BETTER OPTION AT THIS TIME. YOU CAN GO IN FOR ELECTIVE SURGERY OR PLANNED ONE.
Kindly guide me is it very urgent for me to go for operation or should I opt for medicine treatment,
AS ABOVE. I DO NOT THINK MEDICINE CAN PROLONG THE CONDITION.
if so can you please suggest me antibiotics name along with pain killers and medicine as GB Stone Dissolvers. Do I need to check my ESR and WBC for Antibiotics Treatment?
I DO NOT SUGGEST ANTIBIOTIC TREATMENT.
Hope this is easy to understand and helps your decision making.
SURGERY CAN BE PLANNED
Detailed Answer:
Hello,
Thank you for the query.
As I understand you are suffering from Acute on chronic cholecystitis with Cholelithiasis (stone in the gall bladder duct) leading to acutely raised liver enzymes. The GB wall thickening says that the problem was long standing and is precipitated now because of other reasons.
Let me directly answer your questions.
At present i am breastfeeding my 3.5 months daughter, does my high Bilirubin would also lead my daughters bilirubin high? ( at the time of birth her bilirubin was in normal range).
NO, YOU CAN BREAST FEED YOUR BABY WITH THESE BILIRUBIN LEVELS. the Bilirubin is not excreted via breast milk.
Secondly Should i go for conservative management treatment like Antibiotics, Approriate Pain Killers ( For my Gas Attack Problems Sometimes) & Gall Bladder Stone Dissolvers.
SURGERY IS A BETTER OPTION AT THIS TIME. YOU CAN GO IN FOR ELECTIVE SURGERY OR PLANNED ONE.
Kindly guide me is it very urgent for me to go for operation or should I opt for medicine treatment,
AS ABOVE. I DO NOT THINK MEDICINE CAN PROLONG THE CONDITION.
if so can you please suggest me antibiotics name along with pain killers and medicine as GB Stone Dissolvers. Do I need to check my ESR and WBC for Antibiotics Treatment?
I DO NOT SUGGEST ANTIBIOTIC TREATMENT.
Hope this is easy to understand and helps your decision making.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
Dr,
What you exactly mean by elective surgery? Is it like only a day affair of 3-4 hours and can i be back home within 4-5 hours as since my baby is very young i cant leave her unattended as she doesn't stays with any one else. Planned Surgery can it be done later after 4-6 months?
What you exactly mean by elective surgery? Is it like only a day affair of 3-4 hours and can i be back home within 4-5 hours as since my baby is very young i cant leave her unattended as she doesn't stays with any one else. Planned Surgery can it be done later after 4-6 months?
Brief Answer:
Planned surgery with Gastro surgeon
Detailed Answer:
Hi,
What I meant was you can plan the surgery with the help of your surgeon. Since it is planned surgery you can leave the baby in someone's care. The complications are much less for planned surgery. The surgery can be a key hole surgery if permits. The pain and hospitalization duration is less in key hole surgery. The uncomplicated surgery will last one to 2 hours.
YOu can feed the baby after the surgery. It is not contraindicated.
I do not think it is wise to wait for 6 months. I do not advice however your surgeon can be the best person to give fair idea.
Thank you.
Planned surgery with Gastro surgeon
Detailed Answer:
Hi,
What I meant was you can plan the surgery with the help of your surgeon. Since it is planned surgery you can leave the baby in someone's care. The complications are much less for planned surgery. The surgery can be a key hole surgery if permits. The pain and hospitalization duration is less in key hole surgery. The uncomplicated surgery will last one to 2 hours.
YOu can feed the baby after the surgery. It is not contraindicated.
I do not think it is wise to wait for 6 months. I do not advice however your surgeon can be the best person to give fair idea.
Thank you.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
Dr
Can you throw some light on the role of Udiliv 300 medicine in my disease. At present i am taking it twice a day. is it good for me to continue the same with Veloz 20 empty stmoach. Whats the role of Udiliv 300 medicine in liver?
Can you throw some light on the role of Udiliv 300 medicine in my disease. At present i am taking it twice a day. is it good for me to continue the same with Veloz 20 empty stmoach. Whats the role of Udiliv 300 medicine in liver?
Brief Answer:
I do not support UDILIV at this juncture
Detailed Answer:
Hello,
I am not a good fan of UDILIV's role in acute on chronic cholecystitis with cholelithiasis. The role of UDILIV is sometimes considered controversial in gall stones. I think it will help to dissolve the bile acids which are not formed but would not dissolve the already formed ones.
However VELOZ 20 may be helpful to some extent.
Thank you for taking my opinion.
I do not support UDILIV at this juncture
Detailed Answer:
Hello,
I am not a good fan of UDILIV's role in acute on chronic cholecystitis with cholelithiasis. The role of UDILIV is sometimes considered controversial in gall stones. I think it will help to dissolve the bile acids which are not formed but would not dissolve the already formed ones.
However VELOZ 20 may be helpful to some extent.
Thank you for taking my opinion.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Dr Mazumdar,
At present my doctor has prescribed me following medicines and said to wait for sometime before going for surgery-
actibile 300 twice daily
trisoliv syrup- twice daily
tefroliv tablet twice daily
and Becozyme C Forte once daily
Kindly throw some light on the above medicines and course of treatment, I trust you fully that you wont misguide me .
At present my doctor has prescribed me following medicines and said to wait for sometime before going for surgery-
actibile 300 twice daily
trisoliv syrup- twice daily
tefroliv tablet twice daily
and Becozyme C Forte once daily
Kindly throw some light on the above medicines and course of treatment, I trust you fully that you wont misguide me .
Brief Answer:
Actibile is nothing but UDILIV
Detailed Answer:
Hi,
ACTIBILE is nothing about UDILIV.
TRISOLIV happens to be tricholine citrate 500 mg, andrographis paniculata which are hepatoprotective drugs of feeble importance. Their mechanism of action on liver and how does it protect is not known.
Tefroliv Tablet is an herbal / ayurvedic preparation and is equal to LIV 52 which is a good brand. Their mechanism of action is not clear.
Becozyme is a B Vitamin
So the above was your doctor's opinion. It is up to you to wait or not to wait for the surgery.
Actibile is nothing but UDILIV
Detailed Answer:
Hi,
ACTIBILE is nothing about UDILIV.
TRISOLIV happens to be tricholine citrate 500 mg, andrographis paniculata which are hepatoprotective drugs of feeble importance. Their mechanism of action on liver and how does it protect is not known.
Tefroliv Tablet is an herbal / ayurvedic preparation and is equal to LIV 52 which is a good brand. Their mechanism of action is not clear.
Becozyme is a B Vitamin
So the above was your doctor's opinion. It is up to you to wait or not to wait for the surgery.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
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