Brief Answer:
Further evaluation needed

Detailed Answer:
Hi.
Thanks for posting your query at HCM.

Noticed that your experienced pain in the right upper quadrant of abdomen ( below rib-cage) last week. Vomiting accompanied with pain. Intensity of Pain decreased in the following days, however now you have difficulty in breathing along with pain in left and right side of chest.

Firstly, the differential for your last week symptoms ( after eating fish) is gastritis, OR liver pathology OR gall bladder pathology.

However, if symptoms are relieved , so observation is required and avoid eating that particular species of fish and junk food and unhygienic food.
If the pain and symptom reappear then You may visit treating physician and have following blood test done : 1. Blood Routine 2. Liver function Test

Secondly, for your current symptoms, labored breathing and chest pain, its better to exclude lung pathology. your advised to have following tests done:

1. Chest X ray
2. Blood routine
3. treating physician may prescribe pulmonary function test

Any further questions are most welcome.

Hope to answer your concern.
wish you good and sound health.

Regards,
Dr Tayyab Malik

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Brief Answer:
Ultrasonography maybe repeated again

Detailed Answer:
hi.
thanks for getting back to me.

if you had blood test including LFT 8 months ago, then NO need to check the liver enzymes now.
however, your advised to have an ultrasound examination of abdomen to rule out any gall bladder stone or stones in common bile duct.

and yes, gall stones do cause pain on the right side just below the ribs . Vomiting maybe present too. However, one needs to have an ultrasound to confirm the diagnosis.

further more, if you have a history of gallstones, your advised to cut fat in your diet and avoid junk food.

Any further questions are most welcome.
if no further questions, kindly close dialogue box and rate the answer. Thank you.

Hope to answer your concern.
wish you good and sound health.

Regards,
Dr Tayyab Malik

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Brief Answer:
all tests normal except lipid profile

Detailed Answer:
Dear Mr XXXXXXX
Assalamo alaikum.

all reports were normal except for lipid profile.
Repeat "lipid profile" now to know current values of lipids/fat in your body.

furthermore, as advised earlier,
- cut fat in your diet
- avoid junk food and beverages.
- maintain healthy diet
- exercise daily
- reduce weight if overweight
- have an ultrasound examination of abdomen to rule out any gall bladder stone or stones in common bile duct

i would be glad to clear any further doubts.
if no further questions, kindly close dialogue box and rate the answer. Thank you.

Hope to answer your concern.
wish you good and sound health.

Regards,
Dr Tayyab Malik

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Brief Answer:
I could Not find attached ultrasound report

Detailed Answer:
hi.
sorry dear XXXXXXX

i could not find attached ultrasound report.
three reports are attached viewed previously too. They are lipid profile, blood routine and HCV antibdy and CEA.

kindly recheck at your end, if the ultrasound file was successfully attached.

thank you.
regards
Dr Tayyab Malik

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Brief Answer:
kindly read detailed answer below.

Detailed Answer:
hi.
its pleasure to be of help and answer your concerns.
ultrasound shows three abnormalities.
1. gallbladder stones
2. colonic gaseous distension
3. mild prostate hyperplasia

lets discuss three separately.
firstly, "asymptomatic gall stones with normal gall bladder morphology usually require NO treatment. observation is sufficient. however , you may take second opinion from general surgeon. Medical management maybe advised and no need to surgical remove gall stones as per your current presentation.

secondly, colonic gaseous distention may require diet modification if your not suffering from diarrhea/constipation. take fiber rich diet, do not eat mouth full and OTC simethicone and probiotic medication maybe take after consulting with your treating physician.

thirdly, mild prostate hyperplasia is not of much concern. your advised to decrease frequency of sexual activity and also consult q urologist gor further management.

last but not least, as mentioned previously, cut fat diet, and loose weight (if over weight) and monitor your lipids.

hope to answer your concerns.
further questions are welcomed.


thanks
regards
dr Tayyab Malik

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