Recently Answered Questions
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USG suggests a distended gallbladder in the elderly. What to do?
Query: Hello doctor, Patient is an 82-year-old female. Ultrasound report says sludge with the distended gall bladder. Ongoing medicines Pantodac, Ulyses 150. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. The gall bladder is a bag-like organ adjacent to the liver where bile gets collected. When we eat food at that time the bile is released from the gall bladder into the small intestine. The pa... Read Full »
Can Ursodeoxycholic acid, Evion and Metadoxine be taken as precaution in alcoholic?
Query: Hello doctor, I am 32 years old. I have been drinking for the last five years. LFT before six months showed normal and CT scan whole abdomen did 10 months back showed the liver is normal. Pancreas normal no gallstones but I have been drinking heavily these six months due to stress. Now I have stoppe... Read Full »
Answer: Hi, Welcome to icliniq.com. You need to stop drinking as first which will lead to recovery. The body will naturally heal itself since your LFT ( lung function test) and CT (computed tomography) was normal. Regarding medicines, they have a limited role in such situations. Although there is no harm ... Read Full »
What is the action taken to manage silent and non-movable gallstones?
Query: Hi doctor, I am a 54 year old male. I got a bypass heart surgery 12 years ago. During that time, my gallbladder had multiple small stones, which were silent according to the doctor. The location and position of these stones were found static during regular ultrasound tests. Four years back, I consul... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). The reports show chronic calculous cholecystitis. And as you do not have any symptoms like biliary colic or acute severe abdominal pain, it is asymptomatic chronic cholecystitis. ... Read Full »
I have recurrent itchiness. Please help.
Query: Hello doctor, I was diagnosed with obstetric cholestasis two months back due to symptoms of itchy palms and feet. My LFT's and bile acids where raised. I was put on Ursodeoxycholic acid 500 mg twice daily and pregnancy vitamins. My symptoms disappeared within a week. I am closely monitored, weekly b... Read Full »
Answer: Hi, Welcome to icliniq.com. You are right. You have symptoms and signs of OC (obstetric cholestasis) that shows itching on palms and soles in the absence of rash with abnormal LFT and bile acid and resolves after birth. Obstetric cholestasis has increased the risk of preterm birth especially iatro... Read Full »
My SGOT, SGPT, cholesterol and triglyceride levels are high. Why?
Query: Hello doctor, My blood test show SGOT and SGPT 100 and 239, respectively. Cholesterol level is 314 and triglycerides is 209. Kindly suggest which specialist doctor I should consult for both. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your concern is regarding which doctor to consult. So you can consult a physician or gastroenterologist for examination and management. I would like to give you some information regarding your reports (attachment removed to protect patient identity). You can have met... Read Full »
How can itching be effectively and safely controlled during pregnancy?
Query: Hello doctor, My wife is 35 years old and is four months pregnant now. She is suffering from severe itching which is not responding to any medication. Her doctor advised to take Udiliv 150 and Cetirizine, but there is no relief. We changed the doctor, and this doc advised to take Udiplus 300, capsul... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and reports (attachment removed to protect patient identity). Yes, it is obstetric cholestasis. During pregnancy, Udiliv (Ursodeoxycholic acid) 300 mg is the best and effective treatment for cholestasis. Your gynecologist has prescribed yo... Read Full »
How to treat severe body itching during pregnancy?
Query: Hi doctor, I am currently 26 weeks pregnant. I have developed severe itching all over my body, particularly in palms and soles of feet. I initially did not take it serious and kept applying coconut oil, Lacto calamine, etc., to get some relief. However, I did not get any relief from any of these. Th... Read Full »
Answer: Hi, Welcome to icliniq.com. You have raised liver enzymes. This indicates that you have a condition called obstetric cholestasis (bile acid accumulation in blood resulting in constant itching during third trimester of pregnancy). It needs proper treatment and you need to get LFT - liver function t... Read Full »
My stomach hurts a lot after eating. Can I have gallbladder disease?
Query: Hi doctor, I think I have a gallbladder disease. My stomach hurts every time after I eat. The pain is in the middle of my stomach and my back. Does it sound like gallbladder disease? Is it something I should go to my doctor or ER? My mother and grandmother had their gallbladder removed, so it may be... Read Full »
Answer: Hi, Welcome to icliniq.com. The presence of a genetic component in gallbladder diseases implies an elevated susceptibility due to your family history. The described pain aligns with symptoms of gallbladder stones, particularly if it intensifies post-meals and while reclining. To confirm the diagnos... Read Full »
Can gallbladder stones be dissolved without doing surgery?
Query: Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen, one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery? Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to say, but dissolving calculi of this size is impossible. Gallstones get dissolved spontaneously if the size is less than 5 mm. You should consult a surgical gastroenterologist. Till then, I suggest you try the following: Tablet Udiliv (Ursodeoxycholic acid) 30... Read Full »
My pregnant wife has vaginal itching. Can she take Udiliv?
Query: Hi doctor, My wife is in her 7th month of pregnancy. Since last 15 to 20 days, she has been experiencing itching throughout her body. She was ordered liver function test. Report for blood sample collected and attached. Based on this report, she has been taking Udiliv 150 mg twice a day and also Liv ... Read Full »
Answer: Hello, Welcome to icliniq.com. She is suffering from IHCP or intrahepatic cholestasis of pregnancy (attachment removed to protect patient identity) and hence the itching. The parameters have deranged and AST (aspartate aminotransferase), ALT (alanine aminotransferase) and Alkaline phosphatase have... Read Full »