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What Do My Lab Test Reports Indicate?

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Posted on Wed, 26 Aug 2015
Question: Hello Sir,
I am D. Santra 29 Male weight 75 KG

My Gastroscopy
report Date: 20/07/2015
Scopist: XXXXXXX
Instrument: GIF Q150
Indication: Dyspepsia with transaminitis to R/O PUD/Varices
Sedation:Nil
Findings: Esophagus normal mucosa Z line and GE junction at 37 CM
diaphragmatic pinch at 39 CM/ no varices
stomach
fundus and body normal/No varices
Antrum Normal
Pylorus Normal
Duodenum
D1 single erosion less than 5 MM without surrounding
Erythema noted over anterior wall
D2 Normal
Impression: Duodenal erosion
negative for varices
Biopsy:Nil
Procedure: Rut Taken - Positive
Recommendation: In case of abdominal pain / Abdominal distension / blood
vomiting or black stools report to scopy room or W ward



My LFT
Report Date: 26/05/2017
Billirubin Total 0.96
Billirubin Direct 0.30
Billirubin Indirect 0.66
Total Protein 6.3
Albumin 4.2
Globulin 2.1
SGOT (AST) 79
SGPT (ALT) 134 (5 years ago joundice after that all time yearly 2 times check always near 150 )
Alkaline Phosphatase 83
Plasma Glucose F 91
Sodium 139
Potassium 4.4
Uric Acid 6.10
TSH 1.88



currently My medicine Details

Omeprazole Capsules 20mg (NOGACID) two times daily before food 60 days
Clarithromycin Tablet IP Clarbact 250*2pic (=500) two times daily 10 days
Amoxycillin Capsules IP 500mg + 250mg (Mokcan) two times daily 10 days
isabgol husk powder Night time 2 teaspoon



yeastarday finished my antibiotic Clarithromycin and Amoxycillin
but currently on my mouth still few infection
recovered about 90%
Stomach not tested
so I deciding to continue more 4 days antibiotic Clarithromycin and Amoxycillin
I want to know
Is it currect decision?

if I continue then Amoxycillin antibiotic company change
previous Cadila Company Mokcan 500 and Mokcan 250
Now for 4 days I purchased
Ranbaxy Company MOX 500 + Cipla Company Novamox 250 DT

Clarithromycin same

Need your openion quickly
Thanks
doctor
Answered by Dr. Prasanna Heijebu (2 hours later)
Brief Answer:
The changes you made are right.

Detailed Answer:
Hi Sir,

I understand your concern.

I have carefully gone through your complete query.

Extending the antibiotic use for 4 more days will not hamper you.

Its not a wrong decision.

Likewise changing the company name will not not create ill effects as long the the drug name is same in both .

Since you have used same drug with different company name,you are right and it will work equally effective.

Post your further queries if any,
Thank you.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Prasanna Heijebu (2 hours later)
after your advice i taken the dose.
after 3 hours antibiotic side effect much more than previous.
like hand , leg and whole body weight feeling.
going toilet many times
why this side effect much more today?
any food advice from you

every time after 2 hours of meal need to go toilet.
stools also loose and white yellow color with air
how to stop this?
after antibiotic course complete any diet advice from you
for no back Helicobacter pylori and stomach upset

How many days it will full recovered from Helicobacter pylori ?

Is it necessary to take antibiotic for full family ?

family member also suffer stomach acidic but not much more.
what is your opinion?
doctor
Answered by Dr. Prasanna Heijebu (45 hours later)
Brief Answer:
Dietary interventions suggested.

Detailed Answer:
Hi Sir,

I understand your concern.

Its not necessary for all the family members to take the drugs.This is not a contagious/infectious disease.

Similar symptoms in the family members can be due to similar food environment shared.Its better to get them evaluated through endoscopy,rather than starting empirical drug therapy.

The general recommended course for H pylori eradication is 21 days.

So you can continue drugs(antibiotics) for yet another week.

Omeprazole can be taken for 60 days.

It takes approximately 3-4 weeks to recover completely from H pylori associated Duodenal erosion.

Loose stool can be a side effect of these antibiotics.
To control this you can take Tab Dylock -LB one tab once or twice daily as needed after consulting your doctor.

Diet should predominantly consist of Protein and fiber rich food.

Completely avoid fried,fatty and spicy food.

Take Oatmeal,apples,eggs,pomegranate and chapathi/parotha.

Drink 3 liters of water a day.

Milk/curd should be regularly included in the diet.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasanna Heijebu (17 hours later)
number 13 days my Amoxycillin two both dose missing and one
Clarithromycin dose missing due to unwell feeling and fever.
can I take the missing dosage on number 15 days ?
doctor
Answered by Dr. Prasanna Heijebu (14 hours later)
Brief Answer:
Yes you can take the missed doses.

Detailed Answer:
Hi Sir,

Yes you can take the missed doses on the subsequent days.

Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: The changes you made are right. Detailed Answer: Hi Sir, I understand your concern. I have carefully gone through your complete query. Extending the antibiotic use for 4 more days will not hamper you. Its not a wrong decision. Likewise changing the company name will not not create ill effects as long the the drug name is same in both . Since you have used same drug with different company name,you are right and it will work equally effective. Post your further queries if any, Thank you.