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Retired 61-Year-Old Male Suffering from Dry Cough, Anxiety, and Elevated Liver Enzymes After Gallbladder Removal

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1074 Answers  |Ask -

General Physician - Answered on Aug 09, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
xxxx Question by xxxx on Aug 09, 2024Hindi
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Doctor I am 61 year male retired and my gall bladder was removed in 2016 and that time i was having slight fatty liver but no pain or discomfort any where other than severe constipation . However , since than I was taking Pan D daily morning . But suddenly 1 and half year back I had severe coughing which continued till last month and local physician prescribed antibiotics and cough syrups and foracourt 200 but coughing did not go . All my chest xray and sputum test came negative . Coughing was more severe when I lie down on bed and was not able to take turn to left side as it was worst coughing that time. i was not able to sleep and severe anxiety , palpitation , dry throat , excessive sweating , all of a sudden feeling cold or hot etc were there . Then I consulted the surgeon who operated the gall bladder he asked for LFT and sonography of upper abdoman . Everything came fine including fasting sugar and HB except SGPT and SGOT levels are high SGPT 200 and SGOT 85 . After this doctor prescribed Veloz IT cap in the morning empty stomach and Obetohep 5mg after lunch both for 2 months and Reflux fort syrup for 7 days along with Anxozap 15mg. Also asked to take no fat meal , fruits , and as I am vegetarian all leafy vegetables , very low sugar and salt . I have followed sincerely and I am walking at least 6000 steps daily. I left smoking for more than 2 months now . I am non alcoholic . Since then situation has improved a bit but not fully . In these conditions it is very difficult to travel to other place as I need to go what should I do will this ever be all right and I can resume my normal food . Please suggest best possible way out .

Ans: Travel with the sensitivity to your body's inner clock.
If you are aligned with your inner biological clock and have discipline in your food, sleep and Activity, I suppose you can travel
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Ashit

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Asked by Anonymous - May 27, 2023Hindi
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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.
Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score

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