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Can I Please Have Dr XXXXXXX From My Previous Consultation

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Posted on Wed, 6 Nov 2019
Question: Can I please have Dr XXXXXXX from my previous consultation as I need to give hiim the results? Thanks
doctor
Answered by Dr. Ramesh Kumar (7 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hello there,
Thanks for follow up,
Please upload the results.
Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Ramesh Kumar (31 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hello and thanks for follow up dear,
Rise in ALT with normal AST is suggestive of the stone obstructing/causing inflammation in gallbladder.
Procedure of choice is removal of stone by laproscopic surgery.
The earlier the better.
In some patients it obstructs the bile duct or reaches to pancreas causing acute emergency conditions like pancreatitis.
Best way get it removed by planned laproscopic surgery.
Follow up are welcome,
Thank you!


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (11 minutes later)
Hey Doc XXXXXXX I did the blood tests again and the AST is normal now and the ALT is 211 and the normal is 100. Your opinion on this? Is there any other procedures instead of removi g the gallbladder for stones? Thanks again. BR Aryeh
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Follow up: Dr. Ramesh Kumar (19 hours later)
So doctor XXXXXXX I have to remove the Ga gallbladder, there is no other choice correct? my stones are 5mm
doctor
Answered by Dr. Ramesh Kumar (27 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again,
The smaller the stone the more is the risk that it may reach common bile duct and may cause pancreatitis.
Yes you should go for laproscopic removal of stone.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
Ok so when you meant the removal of the stone, so u meant the removal of the Gallbladder? I was wondering if there was another treatment that's all
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hello,
Yes both means the same thing they are going to take out your bladder.
If you are so desperate about treatment then you could try urodeoxycholic acid tablet 300mg twice daily for three months.
Rate of success is about 40%(that too depends on nature of stone i.e material it is made up of(there are various types of gall bladder stones).
You can give it a try.
Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Can I Please Have Dr XXXXXXX From My Previous Consultation

Brief Answer: Follow up. Detailed Answer: Hello there, Thanks for follow up, Please upload the results. Thank you.