Alcohol addiction can be treated with the help of detoxification, behavior modification, counseling, and medications. Medications like Disulfiram, Acamprosate, and Naltrexone are used to treat alcohol addiction.
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I would like to get a proper diagnosis regarding my high hs-CRP.
Query: Hi doctor,I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on the lower side. I am ma... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows:C-reactive protein (CRP) levels are a bit high indicating mild inflammation. This value is suggestive of high cardiac risk.Your cholesterol, ... Read Full »
I got my LFT done, and everything is normal except GGTP and SGPT levels. Kindly advice.
Query: Hi doctor, I am a 29 year old male. My weight is 75 kg and height is 5'11". Two years ago, I was a heavy drinker. But, nowadays I only drink beer once a week for about 6 to 7 pints. My SGOT AND SGPT levels were much higher two years ago. I think they were around 150 to 175. I just got my LFT done b... Read Full »
Answer: Hi, Welcome to icliniq.com. The liver function test report looks fine (attachment removed to protect patient identity). Although slightly elevated liver enzymes could mean slight inflammation, this is well within acceptable limits. There are a few precautions you must observe with complete av... Read Full »
I have reduced my dependency on alcohol and have been taking medications for the same. Can I take all the medicines together?
Query: Hello doctor, I have reduced my dependency on alcohol. The usage has dropped from more than 16 units per day to just three units. Should I stop now or should I continue to taper? I have also been prescribed three medications for the same. 1) Zopiclone for sleep. 2) Pregabalin for the nervous system ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It is good to hear that you have taken steps to reduce your alcohol intake, and it is important to do so gradually to minimize the risk of withdrawal symptoms. And regarding medications, they all come with their re... Read Full »
Why is bilirubin level 1.4 for three months?
Query: Hi doctor, Three months back, I started feeling feverish, but thermometer readings were normal. I went to a doctor and he ran a series of tests. Everything came out fine, except mild hepatomegaly and elevated conjugated bilirubin. My bilirubin is elevated consistently for the past three months (tota... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your laboratory reports (attachments removed to protect patient identity). All values are excellent, except total bilirubin which is at upper normal level which could be due to fatty liver. I would suggest you to avoid fatty and spicy foods as well as ... Read Full »
My mother is having vesicoureteral reflux. Is it a life-threatening condition?
Query: Hello doctor, My mother has vesicoureteral reflux, which was diagnosed 20 years ago. At that time, her left kidney was functioning 27 % and her right kidney 72 %. She is getting tired and she is a heavy drinker and smoker. Should I be concerned for her? She does not want to see a doctor. Is her cond... Read Full »
Answer: Hi, Welcome to icliniq.com. It is strongly advised that your mother gets a kidney function tests like serum creatinine, blood urea, and nitrogen.She should at least try to reduce her smoking and drinking, as it would further contribute to the worsening of the kidney function. If possible, she should... Read Full »
Is it advisable to consume alcohol with my medicines?
Query: Hi doctor, I am suffering from the following symptoms. Left lower abdomen pain, constant mushy stools (twice had blood), constant watery stools, heart twitches a couple of times a day, abdomen hurts more when I sit or lay down. I am a chronic alcoholic. I have searched in the internet resources and ... Read Full »
Answer: Hello, Welcome to icliniq.com. Lorazepam should not be taken with alcohol since both can cause respiratory suppression if you over do it.Having said that this is the drug of choice to treat alcohol withdrawal symptoms. It has a short half life, so requires multiple doses in a day.I would suggest tap... Read Full »
I want to know whether my liver is in bad condition.
Query: Hi doctor, I am a 33 year old male. My body weight is 64.5 kg and height is 5'3". My USG report shows that the liver is mildly enlarged in size (liver span is 123 mm), but has normal shape and outline. There is a mild diffuse homogenous increase of hepatic parenchymal echogenicity suggesting mild f... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hi, Welcome to icliniq.com. The liver is a workhouse for metabolism of protein and fat (lipids). When there is an excess of lipid in your blood than the capacity to metabolize by the liver, the excessive lipids start to accumulate in hepatic cells known as fatty liver. This is an ongoing proce... Read Full »
Will surgery for gallstones relieve my abdominal and back pain?
Query: Hi doctor, I am a 34 year old female, who weighs 97 kg, and I am 5.9 feet tall. I have extreme pain in my upper abdomen and back. I also feel nauseous. I have a fatty liver and pancreas, and gallstones. Please help. I am attaching all my reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). With complaints of severe to moderate upper abdominal pain and vomiting and elevated liver enzyme levels, ultrasound findings of stones in the gallbladder, fatty changes in liver an... Read Full »
How are elevated homocysteine and uric acid levels treated?
Query: Hi doctor, My homocysteine level is 65 mcmol/L. Vitamin D and SGPT values are 7.72 ng/mL and 70 units respectively. I also have higher uric acid levels. I have attached my reports. Please suggest further treatment plan. Read Full »
Dr. Dholariya Sagar Jayantilal
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient's identity). You have low vitamin B12, low vitamin D and slightly high uric acid levels. A high value of homocysteine could be due to the low level of vitamin D. The possible cause can be nutrition rel... Read Full »
How to lower lipase and amylase levels?
Query: Hi doctor, I have got my routine body check up done in which my lipase has come elevated at 71 and amylase at 146. There is no nausea or fever, just upset stomach. Though I am not an alcoholic, before the test I was abroad for two weeks and was drinking two beers every day. Since childhood, I have h... Read Full »
Answer: Hello, Welcome to icliniq.com. I have studied your reports (attachment removed to protect patient identity). They signify that your lipase and amylase are raised due to alcohol consumption. Since there is no problem in the liver echotexture, this can be well controlled by stopping alcohol. I ne... Read Full »