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Cholesterol and mouth ulcers - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1698 Questions
Doctor :   Hi
Doctor :   Good afternoon.
Doctor :   How can I help you?
User :   Hi Doc this is XXXXXXXX here
Doctor :   Hi
User :   I am having mouth ulcers
Doctor :   How can I help you?
Doctor :   Ok
User :   once in a month i get it and it stays for few days and automatically gets cured
Doctor :   Since when are you having this problem now?
User :   but it pains and make it difficult to eat
Doctor :   Do you have fever?
User :   no
Doctor :   Do you have any other medical illness such as diabetes?
User :   no
Doctor :   Ok
Doctor :   Let me brief you
Doctor :   Apthous ulcer's are the commonest ulcers that occur in the mouth.
Doctor :   They occur usually due to vitamin deficiency or due to dental inflammation.
Doctor :   The measures that you can help you are
Doctor :   1. Use zytee gel/ointment
Doctor :   This can be applied on the affected region.
Doctor :   They help in reducing the sensation, pain.
Doctor :   2. Use one multivitamin pill a day for a week
Doctor :   3. Avoid hot and spicy food
User :   very recently i got my teeth cleaned
User :   ok
Doctor :   4. Drink plenty of water with plenty of fruits and vegetables in your diet.
User :   ok
Doctor :   Since you do not have fever, you need not worry.
Doctor :   With the above measures, we should be able to treat it.
Doctor :   Consult a doctor if you develop fever.
User :   some times becoz of this pain slight feverish feeling is felt
Doctor :   have you followed what I have suggested?
Doctor :   Check your temperature.
User :   yes
Doctor :   If the body temperature is above 99degree F, then it is an indication of fever.
User :   ok
Doctor :   It is common to have local rise of temperature whenever these is severe pain,
Doctor :   However temperature of more than 99d F indicates infection.
User :   ok
Doctor :   If the temperature is above 100deg F or if you develop chills and shivering with fever, then you need to see a doctor.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   one more query, recently i got my yearly medicals done
Doctor :   Ok
User :   in the Lipid profile test
User :   serum cholestrol is 214 mg/dl serum triglycerides is 208 mg/dl
User :   HDL Cholestrol is 46 mg/dl LDL Cholstrol is 146 mg/dl
Doctor :   Ok
User :   are these figures ok or high
Doctor :   Your cholesterol and triglycerides are slightly high.
User :   also in abdomen scanning there was mild fatty infiltration of the liver observed
Doctor :   May I know your height and weight?
User :   169cm and 73kg
Doctor :   Ok
Doctor :   Do you consume alcohol?
User :   i was hit with typhoid in May10
User :   alcohol very occasionally
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   You have a slightly above normal range of serum cholesterol and triglyceride.
Doctor :   According to your weight and height details, you belong to overweight category.
Doctor :   This along with alcohol explains that above normal limits lipids and the fatty liver infilteration.
Doctor :   Both can be reversed.
Doctor :   you will need to restrict the alcohol consumption as well as involve in weight reducing programme.
Doctor :   That will take care of the cholesterol as well as the liver condition.
User :   ok
Doctor :   Do you have any other query?
User :   do i need to take any medication
Doctor :   Since you have a considerable risk in the form of alcohol and overweight, I feel correcting it should correct the problem.
Doctor :   Only if your cholesterol remains high inspite of modifications in the risk factors or if the cholesterol goes higher,
Doctor :   you will need lipid lowering drugs.
User :   but i was never a regular alcohol drinker
Doctor :   Since the medications can induce some side effects,
User :   very occasional one in 2 months maybe
Doctor :   Alcohol plays a minor role when compared to your weight.
Doctor :   Occasional alcohol doesn't affect much on the liver or the cholesterol, however, your weight does.
User :   yes
Doctor :   Hence involve in weight reducing programme by means of healthy diet modification and exercises,
Doctor :   Do not go more than what you been drinking now.
User :   what kind of food you would recommend
Doctor :   Food in general should contain less calories and low fat.
User :   planning to stop acohol
Doctor :   Stopping alcohol is a good plan.
Doctor :   And as far as diet is concerned, instead of adding new diet,
User :   u recommend meat /fish is good for lever
Doctor :   try modifying your present diet.
Doctor :   Break your meals into small frequent ones.
User :   ok
Doctor :   If you are going for meat, avoid red meat, use lean meat.
User :   ok
Doctor :   Fish and chicken is better than pork and beef
User :   ok
Doctor :   use less amount of oils in your diet.
User :   yaa
Doctor :   Reduce the amount of sugar you consume.
User :   sure
Doctor :   Add plenty of fruits, vegetables and fibrous food in your diet.
Doctor :   Apart from the dietary modifications, you need physical exercise too.
User :   yes
Doctor :   Involve in physical activities such as early morning brisk walks or jogging,
Doctor :   Be regular with your diet and exercises.
User :   yes i have started jogging
Doctor :   you are sure to improve on your weight.
Doctor :   And thereby the effects of serum cholesterol and liver changes.
Doctor :   If you are interested, you can avail for a personalised diet plan from one of our expert nutritionist.
User :   thank doctor, may i know ur name sir
Doctor :   which is also provided free of cost to you.
Doctor :   I am Dr XXXXXXXX here.
Doctor :   Would you like to go with for the diet plan?
User :   what is it like
Doctor :   One of our expert dietician will call you, get details of your present diet and them modify them accordingly.
Doctor :   She or he will them make a diet plan - your personalised one taking into consideration your present lifestyle.
User :   is it free service or paid
Doctor :   A planned diet for a week will be given to you, which you can follow regularly.
Doctor :   This should assist you in fixing your diet and thereby achieve the goal of losing weight.
Doctor :   This is a free service included in the package given to you.
Doctor :   I shall place an request, if you would like to go with it.
Doctor :   Are you there?
User :   ok
User :   As such i maintain a simple diet ,let me work on the dailiy jogging
Doctor :   Ok
Doctor :   Your are free to use this service at any time of your choice.
Doctor :   Do you have any other query?
User :   Ok you can ask the dietician to call me
Doctor :   Please confirm your phone number.
Doctor :   Ok
User :   would be better is i get a call at 830 am to 9am
Doctor :   Shortly after this chat,
User :   or you can call now
Doctor :   a person from the customer service will call you
Doctor :   and brief you about the details of the diet plan.
Doctor :   He or she will then fix an appointment with the dietician.
User :   trust it would be benefit me in reducing the weight
User :   Thanks doctor ,will work on your advise
Doctor :   As I am not sure if the dietician is free now, the support team will fix an appointment with the dietician at your choice.
Doctor :   You will recieve call after this chat.
Doctor :   Do you have any other query?
User :   ok thanks ,whr r u based in
Doctor :   I am from
User :   ok Great. Thanks for the guidance
User :   bye
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day
Doctor :   Bye for now.
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